Fertility outcomes following laparoscopic tubal re-anastomosis post tubal sterilisation.

OBJECTIVE To determine fertility outcomes following laparoscopic tubal re-anastomosis. DESIGN Retrospective mail follow-up. SETTING Specialised private gynaecological endoscopy practice. POPULATION OR SAMPLE 19 women who underwent laparoscopic tubal reanastomosis following tubal sterilisation. MAIN OUTCOME MEASURES Pregnancy rate and 'take home baby' rate. RESULTS 15 (78.9%) of women became pregnant, and 13 (68.4%) carried pregnancies to viability. The mean operating time was 115 minutes (range 90-200 minutes). The mean reversal to pregnancy interval was 8.3 months (1-24 months). CONCLUSIONS This study suggests that the pregnancy and 'take home baby' rates after laparoscopic reversal of tubal sterilisation compare favourably with open microsurgical reversal and in vitro fertilisation.