A tubal reversal is a procedure to reconnect the fallopian tubes in a woman who has previously undergone surgical sterilization, known as tubal ligation. In a tubal reversal operation, the surgeon removes the portion of each fallopian tube that has been blocked or cut. Once the damaged portion has been removed, the tubes are reconnected to form a complete, open fallopian tube. The fallopian tubes are the passageway through which the released eggs travel and meet with a man's sperm and become fertilized.
A tubal reversal, also known as tubal reanastomosis, is usually performed when a woman wants to try to achieve pregnancy after undergoing a tubal ligation. In many cases, surgery for tubal reversal is successful. However, a number of factors can affect the success of the procedure. Estimates vary, but health experts approximate somewhere between 50 to 75 percent of tubal reversals are successful in reopening the fallopian tubes. However, the success rate may be much lower.
?Adequate tubal segments remaining
?No other significant fertility problems such as non-viable eggs or ovulation dysfunction
?A partner whose sperm analysis is normal
A woman considering a tubal reversal must first determine if she is eligible for the procedure. In some cases, the initial sterilization may have prevented any hope of reversal. For example, a sterilization technique known as fimbriectomy involves removal of the end of the fallopian tube. This type of sterilization generally cannot be reversed. In addition, reversal may be difficult if sterilization was achieved through cauterization (using electric heat). This type of sterilization may damage more of the fallopian tubes, resulting in a greater difficulty with reconnection.
?Minilaparotomy. A small incision (1 to 3 inches long) is made below the navel and the physician raises a portion of each fallopian tube to repair it.
?Laparoscopy. The patient's abdomen is inflated with gas (carbon dioxide), which helps the surgeon locate the fallopian tubes. A small incision is made below the navel, and a laparoscope is inserted into the abdomen. Instruments are inserted into the same incision or a separate incision and the tubes are repaired.
Magnification and microsurgical techniques are used to repair the fallopian tubes. The ends of the tubes are cut to expose the inner, open space of the tube, called the lumen. These openings are then fused using a microscope and very fine suture material. The size of these sutures is smaller than the width of a human hair. After the tubes have been reattached, the outer covering (serosa) of tubes is sutured together over the top of the inner tube.
Low Cost Tubal Reversal
You've probably seen a least several commercials or print advertisements for birth control. It is one of those things that a sexually active woman has to deal with on a regular basis. While some women welcome the opportunity to become pregnant, others don't, so some of them initially undergo a surgical procedure to block their fallopian tubes.
Some of these women might have a change of heart down the line, and thus will elect to have tubal reversal surgery. However, before the topic of tubal reversal can be considered, the initial procedure in which the fallopian tubes are blocked should be discussed.
The actual conception process happens when the sperm fertilizes the egg – this much everyone knows. But, in order for an egg to be released in the first place, it has to be released from the fallopian tubes and into the uterus.
A woman's menstruation cycle happens when an egg is released from the fallopian tubes, is unfertilized, and becomes expelled by the body. When the fallopian tubes are blocked, an egg cannot be released, and the sperm cannot reach the egg. The reasons why women choose to have the initial procedure to block the fallopian tubes varies. However, it is usually because they are not at a point in their lives emotionally or financially where they want the added stress of having a child.
But then, things change. The woman might be at a point in her career where she feels financially secure. Or, she might be happily married to a guy that she knows will make an excellent father. Whatever the reason, she feels that the time is right to become a mother, and thus elects to have the tubal reversal procedure done.
In a tubal reversal procedure, the woman's fallopian tubes are unblocked (in the first procedure, there is usually a material that is placed within the tubes to block them from functioning to their full fertile potential). Thus, a woman will begin menstruating again, and be able to conceive.
Of course, this is only an example of the best case scenario. When a woman first gets her fallopian tubes blocked, she has to agree to the fact that there is a chance that the process might not be able to be undone. If a woman suddenly decides in her forties that she wants to have children, she is generally out of luck because of the extra risks involved.
However, if the woman is in her late twenties and early thirties, the chances of her having a successful outcome are much better. Before any of this can happen, however, she will need to find an excellent, certified, surgeon. Ideally, the surgeon should be a specialist in this area. When selecting the surgeon, it is important to review the success the surgeon has had with other patients. What the woman will need to look for is the amount of successful pregnancies that have occurred (obviously, the higher the better) after this surgeon has done the procedure.
Both Dr. Troy Drewitz, M.d. & Beth Munoz are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Dr. Troy Drewitz, M.d. has sinced written about articles on various topics from Tubal Reversal. Dr. Troy Drewitz, M.D. grew up in Metairie, Louisiana and went to college at Loyola University in New Orleans. He then went to LSU Medical School in Shreveport, Louisiana where he received his Medical Degree. After medical school, Dr. Drewitz completed h. Dr. Troy Drewitz, M.d.'s top article generates over 720 views. to your Favourites.
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