Tubal Reversal Surgery Allows Conception To Occur After Sterilization

Tubal ligation is a common procedure many women undergo each year, when they decide they don’t wish to have more children. However, a number of these women will later find themselves wanting to have another baby. The good news is that tubal reversal surgery can restore the ability to conceive, making pregnancy once again possible.

Tubal ligation surgery involves clamping, cutting, or cauterizing the fallopian tubes which flank each side of the uterus, and permit the passage of a ripened ovum the ovaries. When this procedure if reversed, the remaining segments must be rejoined in order that the egg can again be put in a position to be fertilized when released. The success of this surgery depends on several factors.

The method the surgeon used to ligate the tubes plays a key role in determining if reversal is possible. It is important that the fimbriae are intact, these are funnel-like structures which guide the mature egg into the tube. The length of the remaining segments of the tubes also matters, as the greater the length the better the chance of a successful outcome.

Any woman who is interested in undergoing this procedure will need to meet with a gynecological surgeon who can perform it. During this consultation, the doctor will answer the patient’s questions and give her a clear explanation of what the surgery entails. Most often a preliminary assessment of the tubes will be needed in the form of an ultrasound or a dye test called a hysterosalpingogram.

The best candidates for this procedure are those whom have had their tubes sealed off with removable clips or have only a had a tiny amount of tissue taken from each tube. Better results are normally seen if the original ligation surgery was performed immediately following childbirth and the woman is a younger age. If there is excessive scarring or the tube lengths are too short it will reduce the chances of a successful reversal.

The operation will be performed under a general anesthetic. A lighted instrument called a laparoscope will be inserted through the navel to allow the surgeon to clearly view the pelvic area. An incision will then be made just above the pubic bone to access the fallopian tubes and they will then be either carefully sutured back together or if clips were used, these will be removed.

The surgery takes about two to three hours. It is often performed on an out-patient basis, with the woman being able to return home after several hours. There may be some slight discomfort afterwards, but this can be managed with a prescription provided by the doctor for analgesics. The woman may need a second dye test in a few months to confirm that the tubes are open and working as they should be.

The overall success rate for tubal reversal surgery depends on a number of variables including the woman’s age, skill of the surgeon, amount of scarring present in the tubes, and the level of fertility of both partners. Generally the procedure is anywhere from 40 to 85 % effective. Most women who do become pregnant will do so within a year of undergoing the surgery.

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