Tubal ligation reversal or tubal reversal is a procedure that is used to counter the previous process of female sterilization. There are many women who take the decision of tubal ligation and regret it. In this process, the fallopian tube is closed so that the woman can get pregnant in future. This is achieved as the eggs do not pass through the tube and down in to the uterus. It is observed that women change their minds and want to have children. The best possible way to restore the fertility is by going for the reversal procedure. Our tubal reversal center is perfect to get compassionate and professional care.
Blockage of the fallopian tubes may be due to various causes, including prior tubal ligation surgery, prior infection with infective agents such as chlamydia or gonorrhea, or from endometriosis or other pelvic adhesions caused by surgery, such as myomectomy, appendectomy, or removal of cysts.
Tubal reanastomosis (tubal ligation reversal) is a surgery which is performed to reverse tubal ligation. The procedure is performed as follows. A small incision is made into the bikini line of the abdomen. The two portions of the tube which were previously ligated with the tubal ligation procedure, or burned by the tubal fulguration procedure, are then examined under the microscope. The burned portion of the tube is then removed under the microscope with microscissors, and the two ends of the tubes are placed back with very fine sutures.
A reproductive specialist is the most qualified physician to perform this surgery. This surgery requires extra care, because success of the procedure depends on the technique used during the surgery. By using adhesion prevention techniques and microsurgical techniques the surgeon may improve the success of the procedure by up to 50%.
Other tubal blockages may also be repaired using a laparoscopic tuboplasty procedure. This procedure is performed by placing a camera through the belly button and, using minimally invasive surgery, the portion of the tube that is blocked because of prior infection or endometriosis can be surgically opened. Successful pregnancies have been reported after repair of tubes using this technique.
The success of the tubal reversal procedure depends on multiple factors. The age of the female who is undergoing treatment, the extent of scar tissue and adhesions formed next to the tube, the nature of the adhesions that are formed, the diameter of hydrosalpinx (hydrosalpinx is the presence of water in the tube), appearance of the endosalpinx and the thickness of the tube wall. When the tubes are blocked, the endosalpinx, which is the lining of the tubes, is damaged. The longer the tubes are blocked, the lower the chance of pregnancy post tubal reversal surgery.
Tubal reversal will reconnect the blocked segments due to previuos tubal ligation procedure of the fallopian tubes to the remainder of the fallopian tubes. This will give a passsage where eggs can once again travel through the tubes and sperm can move up the fallopian tubes to fertilize an egg. If successful women can get pregnant again else the fertility doctor will offer another alternative treatment to help get pregnant.
Tubes may also be blocked next to the uterus (proximal tubal blockage). If the tubes are blocked proximally or next to the uterus, a technique called hysteroscopic cannulation may be performed to open the tubes. Hysteroscopic cannulation of the tube is a relatively simple procedure to perform. It is usually performed as an outpatient procedure. The success rate of opening the tube with proximal cannulation is as high as 90%, with pregnancy rates ranging from 50-90% post surgically.
In cases of extensive damage of the tubes, the in vitro fertilization (IVF) procedure is the most effective way to achieve pregnancy. In addition, in order to enhance the chances of IVF, for patients with hydrosalpinx (water in their tubes), removal of the tubes may be recommended.
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