Microsurgical tubal anastomoses performed as an outpatient procedure by minilaparotomy are less expensive and as safe as those performed as an inpatient procedure

Fertility and Sterility
M J Slowey, C C Coddington

Abstract

To determine the cost-effectiveness, safety, and success of microsurgical tubal anastomoses performed by minilaparotomy as an outpatient. Retrospective. Military tertiary care medical center. Seventy consecutively seen women of reproductive age who were undergoing surgical reversal of sterilization from August 1, 1993, through August 1, 1995. Microsurgical sterilization reversal by minilaparotomy was performed as an inpatient (group 1, 47 patients) or as an outpatient (group 2, 23 patients). Cost, complication rate, pregnancy rate. The procedure cost more for inpatients ($3,116) than for outpatients (!,456). Pregnancy rates were similar (56% in group 1 vs. 75% in group 2). There was only one complication in the series. Outpatient microsurgical sterilization reversal performed by minilaparotomy is as safe and effective as the inpatient procedure and is less expensive.

References

Nov 1, 1993·Acta Obstetricia Et Gynecologica Scandinavica·O IstreB Trolle
Jan 1, 1997·Fertility and Sterility·T K YoonK Y Cha

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Citations

Feb 19, 2011·Archives of Gynecology and Obstetrics·Xavier DeffieuxAmélie Gervaise
Apr 18, 2002·The Journal of the American Association of Gynecologic Laparoscopists·Josiah HawkinsTogas Tulandi
Aug 19, 2000·Clinical Obstetrics and Gynecology·B J Van Voorhis
Jan 11, 2000·Clinical Obstetrics and Gynecology·W R Keye
Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Mohamed A BedaiwyTommaso Falcone
Jun 2, 2007·Obstetrics and Gynecology·Allison K RodgersTommaso Falcone
Sep 25, 1999·Current Opinion in Obstetrics & Gynecology·C H Koh, G M Janik
Apr 12, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Jai B Sharma

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