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Daniell JF, Kurtz BR, McTavish G. Outpatient Tubal Reanastomosis Performed by Combined Laparoscopy and Minilaparotomy. J Am Assoc Gynecol Laparosc. 1994;1(4):S9doi: 10.1016/s1074-3804(05)80895-3.
Daniell, J. F., Kurtz, B. R., & McTavish, G. (1994). Outpatient Tubal Reanastomosis Performed by Combined Laparoscopy and Minilaparotomy. The Journal of the American Association of Gynecologic Laparoscopists, 1(4), S9. https://doi.org/10.1016/s1074-3804(05)80895-3
Daniell, et al. "Outpatient Tubal Reanastomosis Performed by Combined Laparoscopy and Minilaparotomy." The Journal of the American Association of Gynecologic Laparoscopists vol. 1,4 (1994): S9. doi: https://doi.org/10.1016/s1074-3804(05)80895-3
Daniell JF, Kurtz BR, McTavish G. Outpatient Tubal Reanastomosis Performed by Combined Laparoscopy and Minilaparotomy. J Am Assoc Gynecol Laparosc. 1994 Aug;1(4):S9. doi: 10.1016/s1074-3804(05)80895-3. PMID: 9073673.
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J Am Assoc Gynecol Laparosc. 1994 Aug;1(4):S9. doi: 10.1016/s1074-3804(05)80895-3.

Outpatient Tubal Reanastomosis Performed by Combined Laparoscopy and Minilaparotomy.

The Journal of the American Association of Gynecologic Laparoscopists

Daniell, Kurtz, McTavish

Affiliations

  1. Centennial Medical Center, 2222 State Street, Suite A, Nashville, TN 37203.

PMID: 9073673 DOI: 10.1016/s1074-3804(05)80895-3

Abstract

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.

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