Page 302 - EJMO-9-3

Eurasian Journal of Medicine

and Oncology

SHORT COMMUNICATION
Fertility outcomes of macroscopic tubal

reanastomosis through mini-laparotomy: A
retrospective case series study

Dilay Gök Korucu * , Esra Koşucu 1 , Şükran Doğru 2 , and Oğuzhan Günenç 1
1
1 Department of Obstetrics and Gynecology, Konya City Hospital, University of Health Sciences,
Konya, Türkiye
2 Department of Perinatology, Konya City Hospital, University of Health Sciences, Konya, Türkiye

Abstract

Introduction: Tubal ligation reversal is a surgical option for restoring fertility, with
outcomes influenced by technique, surgeon expertise, and patient factors.
Objective: This study evaluates the fertility outcomes of macroscopic tubal
reanastomosis through mini-laparotomy.
Methods: This retrospective study analyzed medical records of women who had
previously undergone tubal ligation either during cesarean sections or through
laparoscopic electrocoagulation at a tertiary hospital in Türkiye between 2019
and 2022. The primary surgical approach involved a mini-laparotomy, and the
*Corresponding author:
Dilay Gök Korucu anastomosis was performed macroscopically—without the use of an operating
(dilaygok@yahoo.com) microscope—relying instead on direct visual inspection to access and reconnect the
Citation: Korucu DG, Koşucu E, fallopian tubes. The suitability of the tubes for reanastomosis was assessed based on
Doğru S, Günenç O. Fertility the length of the tubes, the presence of adhesion, and the condition of the fimbriae.
outcomes of macroscopic tubal Fertility outcomes, including live birth rates and time to conception, and surgical
reanastomosis through mini-
laparotomy: A retrospective case success rates, were measured.
series study. Eurasian J Med Oncol. Results: The data of 23 patients were retrospectively reviewed. The surgical success
2025;9(3):294-299. rate was 78.2% (unilateral or bilateral reanastomosis of the tubas), with a pregnancy
doi: 10.36922/EJMO025150111
rate of 43.5% and a live birth rate of 34.8%. The mean time to conception was
Received: April 12, 2025 3.73 months.
1st revised: May 13, 2025 Conclusion: Despite lower pregnancy rates compared with the broader literature,
these outcomes are deemed acceptable, particularly for centers lacking facilities
2nd revised: July 3, 2025
for more advanced surgical options. Therefore, macroscopic tubal reanastomosis
Accepted: August 1, 2025 through mini-laparotomy emerges as a feasible alternative for surgeons with limited
Published online: September 3, experience in more intricate microsurgical techniques, providing a viable pathway to
2025 restoring fertility with reasonable success.
Copyright: © 2025 Author(s).
This is an Open-Access article
distributed under the terms of the Keywords: Sterilization reversal; Laparotomy; Fallopian tube reanastomoses; Pregnancy
Creative Commons Attribution rate
License, permitting distribution,
and reproduction in any medium,
provided the original work is
properly cited.
1. Introduction
Publisher’s Note: AccScience
Publishing remains neutral with Female sterilization through bilateral tubal ligation (BTL) is a leading method of
regard to jurisdictional claims in
published maps and institutional contraception worldwide, used by nearly 25% of women aged 15–44 years (approximately
affiliations. 200 million globally), with the prevalence in the United States for the same age group at

Volume 9 Issue 3 (2025) 294 doi: 10.36922/EJMO025150111