Laparoscopic tubal ligation reversal

Laparoscopic Tubal Ligation Reversal

The most widely used method of birth control at the moment is tubal sterilization, even though there are many different types of contraception available. Tubal ligation is a surgery that involves tubal involves tying, cutting, or burning your fallopian tubes to prevent pregnancy. Your fallopian tubes are blocked by tubal ligation, which prevents an egg from fertilizing a sperm. Fertilization is therefore impossible.

Tubal Ligation Reversal

The only ways to get pregnant after tubal ligation are through in vitro fertilization (IVF) or tubal ligation reversal surgery. You don’t need fallopian tubes to become pregnant with IVF. Each choice has advantages and disadvantages.

Surgery to reverse a tubal ligation is known as tubal ligation reversal. A tubal ligation reversal reopens or re-connects your tubes, allowing sperm and eggs to combine and facilitating conception. It undoes a tubal ligation, making conception possible.

Why the Procedure Is Performed

Tubal Ligation Reversal is a procedure for women who have had their tubes tied in the past (tubal ligation) and now want to get pregnant. 

How Do I Prepare For A Laparoscopic Tubal Ligation Reversal

On your initial visit with your fertility specialist, it would be beneficial if you could bring a copy of the report from your tubal ligation procedure. Additionally, bring the pathology report if your tubes were removed.

To increase the likelihood that your pregnancy will be healthy:

1. Make sure you have effective control over any ongoing medical issues
2. Avoid smoking
3. Cut back on your coffee and alcohol intake
4. Take a folic acid-containing prenatal vitamin or multivitamin

What Happens During a Laparoscopic Tubal Recanalization

The goal of the surgery is to rejoin the fallopian tube’s previously severed sections. Some women desire to undo the family planning process, which causes the fallopian tube to rupture. Regaining fertility requires re-establishing the fallopian tubes, which is the reverse surgery.

How Is Tubal Reversal Done?

In a hospital, the tubal ligation reversal procedure takes two to three hours to complete. On the day of your procedure, you’ll be allowed to return home.

The process your surgeon employs will dictate the course of the surgery. A mini-laparotomy involves your doctor making a single, 2-inch side-to-side incision slightly below your bikini line. Using an operating microscope, the procedure is then carried out via the incision. In a robotic-assisted laparoscopy, your surgeon makes multiple tiny abdominal incisions and uses a console to control robotic arms to do surgery.

When doing surgery, your medical professional will:

1. Administer a general anesthetic so that the process puts you to sleep
2. During surgery, the surgeon places a small tube called a catheter inside the patient’s bladder to collect urine
3. To reach your fallopian tubes, they make one large incision or multiple smaller ones
4. The surgeon will determine if it is possible to reconstruct your tubes. Should tubal reversal be a viable option, your surgeon will do the procedure right away. They will rejoin the segments of your fallopian tubes and unblock the blocked ends of your tubes
5. To determine whether or not your fallopian tubes are open, the surgeon will inject dye into your uterus
6. After this, the doctor will apply a bandage over the surgical site and use dissolvable sutures to close the incisions beneath the patient’s skin.

What Happens After a Laparoscopic Tubal Recanalization

The gynecology surgeon makes a tiny incision to allow the laparoscope to pass after determining that the tubes are appropriate and can be reconnected, or recanalized. The eggs can then be fertilized by suturing the broken tubes back together.

What Are the Benefits or Advantages of Tubal Ligation Reversal

The ability to attempt monthly conception and become pregnant more than once without the need for additional fertility treatments is the greatest benefit of surgery.

What Are the Risks or Complications of Tubal Ligation Reversal

Reversing a tubal ligation has relatively little risk. But like with any surgery, there is a chance of problems, such as:

1. Infection
2. Hemorrhaging or Thrombosis
3. Allergic response to sedation
4. Damage resulting from surgery to other organs

Although there is a chance of an ectopic pregnancy after a tubal ligation reversal, it is still extremely minimal. After a tubal reversal, 2% to 7% of pregnancies result in ectopic pregnancies. An ectopic pregnancy occurs when an embryo (fertilized egg) implants in your fallopian tube rather than your uterus. An ectopic pregnancy is a medical emergency that has to be attended to by your physician.

What Is the Recovery Time of Laparoscopic Tubal Ligation Reversal

Most people get back to their regular routines after a week or two. To be sure, confirm with your fertility physician.

How Successful Is Laparoscopic Tubal Ligation Reversal

Most women who undergo tubal ligation reversal go on to have healthy pregnancies—between 50 and 80 percent.

Among the elements influencing the outcome are:

1. The amount and caliber of sperm in your partner: If neither you nor your spouse have any infertility concerns, your chances of conceiving successfully increase.
2. The remaining healthy portion of the fallopian tube: You have a higher chance of becoming pregnant if your tubal ligation causes less damage to your fallopian tubes.
3. Pelvic scar tissue is present: Your chances of becoming pregnant may be impacted by scar tissue from prior pelvic procedures.
4. Kind of sterilization: Following the reversal, women who underwent ring or clip sterilization are more likely to become pregnant.

When To See the Doctor

A week or two after surgery, your surgeon will schedule a follow-up appointment. Before that appointment, you will receive instructions on when to call in case you have any issues. As soon as your pregnancy test results are positive, you should contact to be checked for a potential tubal pregnancy. A few months following your treatment, your provider could arrange an X-ray dye test (HSG) to ensure that your fallopian tubes stay open.