Analysis of pregnancy outcome after anastomosis of oviduct and its influencing factors

BMC Pregnancy Childbirth. 2019 Oct 30;19(1):393. doi: 10.1186/s12884-019-2469-2.

Abstract

Background: This study aims to investigate the influencing factors of pregnancy after laparoscopic oviduct anastomosis.

Methods: The data of 156 cases of laparoscopic oviduct anastomosis in our hospital were analyzed.

Results: The pregnancy rate decreased with age (P < 0.005). The pregnancy rate after six years of anastomosis was higher in those with ligation (P < 0.005). The postoperative pregnancy rate significantly increased in subjects with oviduct lengths of > 7 cm (P < 0.01). The pregnancy rate of isthmus end-to-end anastomosis was higher (P < 0.005). The pregnancy rate after bilateral tubal recanalization was higher than that after unilateral tubal recanalization (P < 0.005). The pregnancy rate after laparoscopic tubal ligation and laparoscopic anastomosis was higher than that of open tubal ligation and laparoscopic anastomosis (P < 0.005).

Conclusion: The pregnancy rate after laparoscopic oviduct anastomosis is higher in subjects below 35 years old, with a ligation duration of < 6 years, and a length of oviduct of > 7 cm, and those who underwent isthmus anastomosis and laparoscopic oviduct ligation and recanalization.

Keywords: Correlated factors; Laparoscopic; Oviduct anastomosis; The pregnancy rate.

MeSH terms

  • Adult
  • Age Factors
  • China / epidemiology
  • Fallopian Tubes / surgery*
  • Female
  • Humans
  • Laparoscopy* / adverse effects
  • Laparoscopy* / methods
  • Laparoscopy* / statistics & numerical data
  • Postoperative Period
  • Pregnancy
  • Pregnancy Outcome / epidemiology
  • Pregnancy Rate*
  • Salpingostomy* / adverse effects
  • Salpingostomy* / methods
  • Salpingostomy* / statistics & numerical data
  • Sterilization, Tubal* / adverse effects
  • Sterilization, Tubal* / methods
  • Sterilization, Tubal* / statistics & numerical data
  • Time Factors