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TUBAL LIGATION REVERSAL (Tubal Reanastomosis)

 

What is Tubal Ligation Reversal?

Tubal Ligation Reversal is a surgery that is performed to reverse a previous tubal ligation which a woman has undergone. If you have previously had your fallopian tubes “tied” or more medically correct closed or blocked so that your eggs will no longer be released from the ovaries and cannot enter your uterus you may be interested in reversing this procedure so that you may become pregnant once again.

 

Are you eligible for Tubal Reversal Surgery?

Not everyone may be a good candidate for this procedure. It is important for you to contact us directly so that we can find out more about you and your specific medical condition.  A few important things we need to know are your current age, what type of tubal ligation surgery you had (tubes tied, sealed with ring or clip, or burning), and your current health of your ovaries, uterus and fallopian tubes. In most cases an ideal candidate would be a woman who has only has small parts of their tubes removed or one who had surgery using rings or clips to close their tubes; however that doesn’t mean you may not be able to have the procedure. We encourage you to call us so that we can find out more information on your procedure and help to determine if you are a good candidate for this procedure.

 

Prior to Surgery:

If it is decided that tubal ligation is right for you the first step is typically to test and do a thorough exam to find if it is possible for you to become pregnant after tubal reversal is preformed. Typically this will include blood tests, imaging of your ovaries and a hysterosalpinogram (HSG). An HSG is a test which will check the length and current function of your fallopian tubes.

 

The Surgery:

If the testing shows that it is possible to become pregnant after tubal reversal you will then be scheduled for surgery. For this surgery you will be under general anesthesia and unaware of anything that is happening. The surgeon will place a laparascope through your belly button and into your pelvis region. The laparascope is lighted which will allow the surgeon to look at your fallopian tubes and make a final decision as to the possibility of the surgery. Typically by this stage it has already been determined that a tubal reversal will be successful but is necessary to confirm before proceeding. Once it has been determined that it is safe to move forward the surgeon will make a small cut near the public hair line. Using the laparoscope the surgeon will remove the clips or rings that were used to block your tubes. He will then reconnect your tubes to the uterus with stitches.  Typically the procedure will take between two and three hours unless any complications occur.

 

After Surgery:

Tubal Ligation Reversal is a more complex procedure than the original tubal ligation. Many women will need to remain in the hospital anywhere from a overnight to a few days after the surgery.  Although, many doctors today use a microsurgical technique which will allow for the patient to return home the same day.  You will be provided with pain medication and will need to limit your activities for a few weeks. Typically after two weeks you are able to resume your normal activities without worry of pain or danger.

 

Getting Pregnant:

After the surgery you will most likely be attempting to get pregnant again. If after the procedure the remaining fallopian tubes are healthy and there are no other fertility issues with you or your spouse you have a chance to become pregnant again. Some women even after the surgery are not able to become pregnant. There are many factors that contribute and one of the most important is age. The younger the woman typically the higher chances she has to become pregnant after the surgery. Overall, the chance of a woman getting pregnant after surgery ranges between 40-85%.