Daniell J F, McTavish G
Department of Obstetrics and Gynecology, Centennial Medical Center, Nashville, Tenn., USA.
South Med J. 1995 Sep;88(9):914-6. doi: 10.1097/00007611-199509000-00005.
This retrospective study determines risks, outcomes, and cost savings in microscopic tubal sterilization reversal done by minilaparotomy. From January 1992 to December 1993, 40 women, as outpatients, had combined laparoscopy and minilaparotomy for tubal anastomosis. The mean operating time was 1.7 hours, mean blood loss was 20 mL, and mean recovery time was 3.2 hours. Thirty-seven patients (93%) were discharged on the same day, two stayed for 23 hours, and one patient required hospitalization for 2 nights. There were no immediate or postoperative complications. Early crude pregnancy rate was 60%, with an 8% ectopic rate. Tubal patency was confirmed in 39 (98%). The average total cost to the patient was $5,200. Microsurgical tubal anastomosis can be done safely and successfully on an outpatient basis, reducing costs and morbidity and accelerating the patient's return to activity.
这项回顾性研究确定了通过微型剖腹术进行显微输卵管绝育术逆转的风险、结果和成本节约情况。1992年1月至1993年12月，40名女性作为门诊患者接受了腹腔镜和微型剖腹术联合输卵管吻合术。平均手术时间为1.7小时，平均失血量为20毫升，平均恢复时间为3.2小时。37名患者（93%）在同一天出院，2名患者住院23小时，1名患者需要住院2晚。没有立即或术后并发症。早期自然妊娠率为60%，异位妊娠率为8%。39例（98%）输卵管通畅得到证实。患者的平均总费用为5200美元。显微外科输卵管吻合术可以在门诊安全、成功地进行，降低成本和发病率，并加速患者恢复活动。
