LAUSR

Study Objective The goal of this video is to demonstrate a variety of options for addressing reversal of tubal ligations, while optimizing the environment to achieve pregnancy with myomectomy. Design This is a case report video. Setting Academic institution with residents and fellows participating in the surgery. Patients or Participants A 34-year-old female with abnormal bleeding due to fibroids, with a history of tubal ligation and desire for future fertility. Interventions Robotic assisted myomectomy with left tubal reanastomosis and right tubal neosalpingostomy. Measurements and Main Results N/A Conclusion This case shows the variety of surgical findings that can be encountered for which a surgeon may have to adapt and demonstrate a diverse surgical skill set. This skill set can then be applied to potentially unforeseen surgical findings in future settings.