574 Obstetrics and Gynecology Board Review •••
❍ True or False: Hydrosalpinges should not be surgically removed in patients undergoing IVF.
False. Rates of implantation and pregnancy are improved with salpingectomy.
❍ What is the overall live birth rate following tubal reanastomosis?
40% to 80%.
❍ What is the ectopic pregnancy rate following tubal reanastomosis?
Approximately 5%.
❍ Under what circumstances can tubal anastomosis be attempted?
In patients <37 with 4 cm of residual tube and with prior ring or clip sterilization.
❍ What are the advantages of the da Vinci telerobotic system?
It may help to convert a laparotomy to a laparoscopic procedure. It has an EndoWrist with 7 degrees freedom of
motion whereas laparoscopically 4 degrees of motion. There is also three-dimensional view.
❍ What portion of the tube is being anastomosed using the da Vinci telerobotic system?
This is an isthmic-isthmic anastomosis procedure showing the grasper holding the proximal cut portion of the left
fallopian tube.