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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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:
You will be placed under general anaesthesia.
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.
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.
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.