Treatment Guides

Tubal Ligation Reversal

Tubal ligation reversal surgery, also known as tubal reanastomosis, is performed in order to reverse a tubal ligation surgery. A tubal ligation or having your ‘tubes tied’ is a sterilisation procedure that is performed by cutting, clamping or blocking fallopian tubes.

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quick details
  • Women looking to reverse their tubal ligation surgery. Your eligibility will be heavily influenced by the following factors: Age, BMI, the method of your tubal ligation, such as cauterization or clips and the amount of damage to your fallopian tubes
  • Most often the surgery is performed as an outpatient procedure. In some cases you may be asked to stay in the hospital for another day. You can expect to make a full recovery within a few days to a few weeks depending on your health status, and the kind of surgery that was performed.
  • Between 45-85%, depending on the pre-surgery state of your fallopian tubes, the type of ligation surgery that was performed, your age, and your health, amongst others.
  • 2-3 hours
  • Infection
  • Bleeding
  • Pain
  • Ectopic pregnancy
  • Formation of scar tissue on the reproductive organs
  • Injury to other internal organs
  • Adverse effects to anaesthesia

How does tubal ligation reversal surgery work?

Before undergoing a surgery, you will have a brief consultation. Your surgeon will talk you through the details of the procedure, explain risks and discuss alternative options in case you are not eligible for the surgery. Your doctor will check the state of your fallopian tubes, by passing a laparoscopic camera through your abdomen. This is also done to make sure that your fallopian tube is healthy enough to perform the reversal.

If you are eligible, a tubal ligation reversal proceeds as follows:

1. Anaesthesia
You will be placed under general anaesthesia.
2. Incision
The surgeon will use laparoscopic or robotic surgical equipment (depending on the clinic), to make what is known as a ‘bikini cut’, a cut that is about one inch long near your pubic hair line.
3. Reversal
Through this cut, the surgeon insert a laparoscope and small instruments that will reach your tubes. Then using this apparatus, he/she will remove any clips that were used to tie them together. The damaged portions of the tubes will also be removed. Following this, he/she will stitch the two ends of the fallopian tubes together with very small stitches. To make sure the tubes were successfully reattached, your surgeon will inject a dye into each end of your tubes and observe if any leakage occurs.

Another option is to perform a minilaparotomy. This procedure differs from laparoscopic one, by the length of the incision made. A 4-6 cm incision is made on your abdomen, through which the surgeon can reach your fallopian tubes. Then similarly, the tubes are unblocked, damaged parts are removed and the remaining tubes are stitched together.

What should I expect from this procedure?

Before undergoing the procedure, make sure to consult with your surgeon to determine your eligibility and discuss all possible alternative options. It is important to keep in mind that the reversal does not guarantee a successful pregnancy, and is influenced by many factors. If you have not been able to get pregnant for over a year, set up a follow-up appointment with you surgeon to undergo further testing and decide on a future plan of action. Lastly, please make sure to follow all post-op guidelines and attend any follow-up appointments as needed.

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