Tubal or Uterine Microsurgery is a procedure that involves repair of a woman’s damaged fallopian tubes. Tubal reversal is the most common procedure in tubal microsurgery. Tubal reversal or repair is a microsurgery procedure that helps to reverse the sterilization surgery and unblock the fallopian tubes. A successful reversal operation gives a woman a chance to conceive and experience the happiness of having a child of her own.
Once the surgery is done, the patients can go home and resume their daily activities after few days of rest.
Why Tubal Microsurgery is Recommended?
Any woman who has undergone tubal litigation and desires to become pregnant naturally can opt for a tubal reversal procedure. The woman will need to have a normal uterus; good ovarian reserves and the man will need to have normal semen parameters. It acts as a perfect alternative to IVF.
How is Tubal Reversal Done?
Tubal reversal procedure involves use of microsurgical techniques which are used to open and reconnect a woman’s fallopian tubes that may remain after performing tubal ligation. There are two segments of the fallopian tubes that remain –the proximal tubal segment that runs from the uterus and the distal tubal segment which ends in the fimbria near the ovary.
The procedure performed to reconnect the separated parts of the fallopian tubes is known as microsurgical tubotubal anastomosis or simply the tubal reversal.
Is Tubal Reversal Safe?
Just like any other surgical procedure, risks of infection, anesthesia and bleeding exist, but they are minimal in tubal reanastomosis. Microsurgical skills are used to prevent any bleeding and ensure the procedure is successful. Antibiotic prophylaxis is administered at the beginning of the procedure to reduce the risks of infections. The operation is scheduled to take about 75 minutes thus reducing the risk of infections due to much exposure.
What do I expect from Tubal Microsurgery?
In a normal tubal surgery procedure, a minilaparotomy is performed where a small incision is done on the lower abdomen (if a scar from previous surgery exists, the same point will be used). Four small incisions are introduced into the abdomen in a robotically-assisted laparoscopic tubal repair that offers faster recovery period because of its minimally-invasive nature.
How do I prepare for Tubal Microsurgery?
Before the procedure, the patient will need to consult the doctor and discuss in details the benefits, risks, outcomes, potential complications and alternatives for this procedure. Ensure you understand all information on these before you start the procedure. A semen analysis is crucial as abnormal semen might affect the tubal reversal decision significantly.
Once the procedure is successful and you become the pregnant, inform your doctor to identify the nature of the pregnancy as soon as possible since tubal pregnancies are highly risky in women who have earlier undergone tubal ligation.
What are the benefits of Tubal Microsurgery?
Tubal microsurgery have the following advantages:
- Tubal surgery restores the fully functionality of your fallopian tubes even in situations where they may have clipped fulgurated/cauterized (burned), tied or cut during tubal litigation.
- Those with only one repairable tube can also benefit from reanastomisis procedure. The chances of having a baby after the surgery remains the same as those who have had both fallopian tubes repaired.
- A tubal reanastomosis can still be done even when the final length is at 4cm.
How Well does Tubal Microsurgery Works?
A successful Tubal reversal surgery will depend on the nature of blockage extent, the location and the presence or absence of other fertility problems.
Similarly, a successful sterilization reversal process will depend on the litigation method used, how soon the ligation was performed, the length of the fallopian tubes and the age of the patient.
A professional fertility doctor in Southern California will be able to carry out the procedure perfectly and ensure that the patient gets better healing, faster recovery, few complications, less disfiguring scars and less pain. Pacific Reproductive Center offers tubal reversal surgery with exceptional success rates at several locations including a Top Los Angeles IVF center and other centers in Irvine, Corona and Torrance. Call us today!