A tubal ligation reversal is a corrective procedure that is useful in restoring fertility in a woman who has undergone a tubal ligation procedure previously. This surgery aims to restore the connectivity in the blocked/cut fallopian tubes by reconnecting the blocked portion of the fallopian tubes to the remainder of the healthy fallopian tubes.
This corrective procedure allows the eggs to again move along the fallopian tubes and provide a passageway for the sperm to travel from the fallopian tubes to the eggs in the ovary.
This surgery is effective in reversing the tubal ligation procedures performed by sterilization techniques that allow for least amount of damage to the fallopian tubes, such as the tubal clips or tubal rings.
Why is a Tubal Ligation Reversal procedure required?
A tubal ligation reversal surgery is mainly aimed to restore fertility in woman who has undergone a tubal ligation surgery previously due to any reason. This surgery is affective in reversing tubal ligation procedures that were performed using least-damaging techniques on the fallopian tubes.
A tubal ligation reversal could be required for a large number of reasons, being able to conceive is one of the main reasons for getting this procedure. A tubal ligation is not considered an ideal procedure for every individual. The doctor/specialist will determine if you are an ideal candidate for a tubal ligation reversal procedure based on several factors such as:
- BMI (body mass index)
- Type of tubal ligation
- Extent of damage to fallopian tubes
- Remaining length of fallopian tube
- Other fertility factors
A tubal ligation reversal is likely to be more successful if the remainder of the healthy (unblocked) fallopian tube is considerable in length. A tubal ligation reversal becomes more successful if the ligation was done using fallopian clips or rings.
How is a Tubal Ligation Reversal procedure performed?
A tubal ligation reversal is performed usually as an outpatient procedure under general anesthesia. This procedure is performed using the laparoscopic method.
The surgeon will make a few very small (keyhole) incisions in the abdomen and insert a laparoscope with a light-source and video camera into the abdominal cavity through the belly button. This allows the surgeon to view the fallopian tubes and decide the best way to reconnect the severed tubes.
In case the ligation can be reversed the surgeon will make another small ‘bikini-cut’ along the pubic hairline. The surgeon will use specialized tiny instruments attached to the laparoscope to unblock the fallopian tubes and reconnect the unblocked tubes to the remaining fallopian tubes attached to the uterus. The surgeon reconnects the severed/blocked fallopian tubes using very fine sutures.
This minimally invasive surgical procedure for reversal of a fallopian tube ligation is one of the most efficient and advanced tubal ligation reversal procedures available today.
What are the risks associated with a Tubal Ligation Reversal procedure?
A tubal ligation reversal procedure does not guarantee the advent of pregnancy even if the reversal procedure was successful. The woman’s age and other factors are the deciding factors for conceiving after a reversal surgery.
As is seen in any type of abdominal surgery the tubal ligation reversal surgery also carries certain risks of infection at the incision site, pain, bleeding, organ injury, nerve damage as well as anesthetic reaction.