Daniell JF, Kurtz BR, McTavish G
Centennial Medical Center, 2222 State Street, Suite A, Nashville, TN 37203.
J Am Assoc Gynecol Laparosc. 1994 Aug;1(4, Part 2):S9. doi: 10.1016/s1074-3804(05)80895-3.
From January 1992 to July 1993, 30 women underwent minilaparotomy for tubal reanastomosis in a surgery center. Laparoscopy was done and if favorable, minilaparotomy with exteriorization of the uterus and microsurgical tubal reanastomosis was performed. Cost was determined from the surgery center and surgeon's bill and compared with hospital costs of inpatient tubal reanastomosis in nearby hospitals. Mean operating time was 1.7 hours, and mean blood loss was 20 ml. Twenty-seven (90%) were discharged the same day, two (6.6%) were 23 hour stay, and one required hospitalization for two nights. There were no immediate or postoperative complications. Early crude pregnancy rate was 50% with 10% ectopic rate. Tubal patency was confirmed in 29 (96%) patients. The average total cost to the patient was $5,200.00. Tubal reanastomosis can be effectively performed as an outpatient, reducing costs, giving comparable pregnancy rates, and accelerating patient recovery.
1992年1月至1993年7月，30名女性在一家手术中心接受了小切口输卵管再吻合术。先进行腹腔镜检查，若情况良好，则行小切口手术，将子宫外置并进行显微外科输卵管再吻合术。费用根据手术中心和外科医生的账单确定，并与附近医院住院输卵管再吻合术的费用进行比较。平均手术时间为1.7小时，平均失血量为20毫升。27例（90%）患者当日出院，2例（6.6%）住院23小时，1例需住院两晚。无术中或术后并发症。早期自然妊娠率为50%，异位妊娠率为10%。29例（96%）患者输卵管通畅。患者的平均总费用为5200美元。输卵管再吻合术可作为门诊手术有效进行，降低成本，妊娠率相当，且能加速患者康复。
