"Tubal Reversal," also called
"Tubal Sterilization Reversal," or
"Tubal Ligation Reversal," or
"Microsurgical Tubal Reanastomosis- " is a surgical procedure that can restore fertility to women after a tubal ligation. By rejoining the separated segments of the fallopian tube, tubal reversal can give women the chance to become pregnant again. In some cases, however, the separated segments cannot actually be reattached to each other.
Laparoscopic Tubal Reversal is a minimally-invasive surgical procedure (laparoscopy), using small, specially-designed instruments to repair and reconnect the fallopian tubes.
Recovery tends to be fast for most patients. WITH LAPAROSCOPY postoperative pain tends to be mild and recovery tends to be rapid. Therefore, most patients are on their feet within 6 hours of the procedure, and most regular daily activities can be resumed within 2 days of the tubal reversal surgery. The average time for returning back to work is 2-4 days
When performed by a trained laparoscopic tubal reversal surgeon, laparoscopic tubal reversal combines the success rates of micro-surgical techniques with the advantages of minimally-invasive surgery - namely faster recovery, better healing, less pain, fewer complications, and no large disfiguring scars.
Laparoscopic surgery can be a little more expensive than an open surgery using a 4-5 inches incision because it requires additional surgical equipment.
The best chance of success is with the first surgical operation; therefore, you need to go to a specialized centre. The chances of success will depend upon the extent of tubal damage and also on the skill of the surgeon. The best chance of achieving a pregnancy is in the surgeon. The best chance of achieving a pregnancy is in the first few months after surgery, and most women who are going to get pregnant after tubal surgery will conceive within this time. Some doctors believe that using ovulation induction and / or intrauterine insemination after tubal surgery helps to maximize the chances of a pregnancy.
microsurgical technique using laparoscopy in experienced hands for reversal of sterilization can provide better results than conventional surgery.
it is important to understand that age is an important factor in predicting success following a tubal reversal procedure. Highest success is achieved when a tubal reversal is performed in women who are under the age of 40. . The risk of having an ectopic (tubal) pregnancy is increased following tubal surgery. (7-9%) .
LAPAROSCOPIC TUBAL RECANALISATION SEEMS TO BE THE GOLD STANDARD METHOD FOR TREATING COUPLE WITH INFERTILITY DUE TO TUBAL STERILISATION.
microsurgical technique using laparoscopy for reversal of sterilization can provide better results than conventional surgery. Although microsurgical reversal achieved 100% patency rate certain factors, like duration of sterilization, technique of sterilization, and the length of the tube remaining after reversal, played a crucial role in deciding the pregnancy rate. Besides the magnification and atraumatic technique, tubal length > 4cm and time interval between sterilization and reversal of < 5 years resulted in better pregnancy rate. Although the microsurgical technique has its own limitations, its proper application has brought a ray of hope to women seeking sterilization reversal or in case of death of one child or women opting for childbirth from second spouse.
Women who could not have Pregnancy after recanalisation can still have a hope with advanced fertility options like IVF or test tube baby or embryo donation or ovum donation or surrogacy or adoption