Comparison of Reproductive Outcomes after Laparoscopic Tubal Anastomosis Using Conventional (Non-Barbed) Sutures versus Barbed Sutures

Abstract Purpose Our aim is to compare reproductive outcomes after laparoscopic tubal anastomosis using conventional (non-barbed) sutures and barbed sutures. Methods This retrospective cohort study was conducted at Antalya Training and Research Hospital between January 2016 and December 2021. A total of 39 patients who underwent laparoscopic tubal anastomosis were divided into two groups: the Vicryl group (16 women) using 5 − 0 polyglactin sutures, and the V-Loc group (23 women) using 5 − 0 unidirectional barbed sutures. Demographic data, operation time, success of reversal operation, pregnancy rates, and other factors were compared between the two groups. Results The operation time was significantly shorter in the V-Loc group (55.8 ± 7.33 minutes) compared to the Vicryl group (108.7 ± 17.27 minutes) (p = 0.001). The overall pregnancy rate was higher in the V-Loc group (87%) than in the Vicryl group (56.3%) (p = 0.037). The rate of intrauterine pregnancy was also significantly higher in the V-Loc group (p = 0.041). The time interval from surgery to pregnancy was not significantly different between the groups. Conclusion The use of barbed sutures in laparoscopic tubal anastomosis can result in shorter operation times and better reproductive outcomes compared to conventional sutures.