Robot-assisted tubo-tubal reanastomosis after sterilization in 10 steps.

Journal: Journal of gynecology obstetrics and human reproduction
PMID: 37210010

Abstract

Five to 20% of women regret having a tubal ligation. These women are generally otherwise fertile and have a better chance of pregnancy than other patients experiencing infertility, whether by in vitro fertilization or after tubal surgery. Historically, tubal anastomosis surgery has long been performed by microsurgery through laparotomy, which provided very high precision but was associated with some degree of morbidity. The parallel development of in vitro fertilization and laparoscopy have contributed to reducing the indications for tubal surgery. The laparoscopic approach is challenging because of the number and precision of the sutures needed. The robot-assisted laparoscopic approach may reduce the surgical difficulty and improve the accessibility of this technique. We have described the technique of tubo-tubal reanastomosis after sterilization with robot-assisted laparoscopy in 10 steps. Robot-assisted laparoscopy provides favourable conditions for performing tubo-tubal reanastomosis after sterilization due to the camera stability, precision of movement, and amplitude of articulations.

Authors

  • Antoine Netter
    Department of Obstetrics and Gynecology, Assistance Publique Hôpitaux de Marseille, La Conception Hospital, Aix Marseille University, Marseille 13005, France; Institut Méditerranéen de Biodiversité et d'Écologie Marine et Continentale (IMBE), Aix Marseille University, CNRS, IRD, Avignon University, Marseille, France. Electronic address: antoine.netter@gmail.com.
  • Charlotte Litaudon
    Department of Obstetrics and Gynecology, Assistance Publique Hôpitaux de Marseille, La Conception Hospital, Aix Marseille University, Marseille 13005, France.
  • Claire Tourette
    Department of Obstetrics and Gynecology, Assistance Publique Hôpitaux de Marseille, La Conception Hospital, Aix Marseille University, Marseille 13005, France.
  • Laura Miquel
    Department of Obstetrics and Gynecology, Assistance Publique Hôpitaux de Marseille, La Conception Hospital, Aix Marseille University, Marseille 13005, France.
  • Blandine Courbiere
    Department of Obstetrics and Gynecology, Assistance Publique Hôpitaux de Marseille, La Conception Hospital, Aix Marseille University, Marseille 13005, France; Institut Méditerranéen de Biodiversité et d'Écologie Marine et Continentale (IMBE), Aix Marseille University, CNRS, IRD, Avignon University, Marseille, France.
  • Aubert Agostini
    Department of Obstetrics and Gynecology, Assistance Publique Hôpitaux de Marseille, La Conception Hospital, Aix Marseille University, Marseille 13005, France.

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