Tubal ligation is one of the most popular forms of contraception. It is has, for many years, been regarded as a form of permanent contraception but advances in surgical practice have proven that indeed this procedure can be reversed. Many women have regained their fertility and have had successful pregnancies. There are a number of things on tubal reversal Louisiana residents should know if they plan on undergoing the procedure.
There are different ligation techniques that can be employed depending on the preference of the surgeon. They include tying of tubes together, sealing using clips and cauterizing (burning) using electric current. Regardless of the option that is used, the results are more or less the same. There are differences, however, in ease of reversal when fertility restoration is desired.
Every patient who wishes to have the reversal is taken through a thorough preoperative work up. The main aim of this exercise is to establish if the surgery is necessary (whether it will restore fertility). Both blood tests and imaging studies are done. A test known as HSG or hysterosalpingogram provides vital information on the patency of remaining tubes and is good predictor of success. The partner should also be evaluated at this point.
The operation itself, a rather minor procedure may be done in an outpatient setting or within a hospital. The latter is preferred because general anesthesia is usually used. Once you are asleep under the influence of the anesthesia, the surgeon has several options; to make a large incision in the lower abdomen and perform an open operation, to use a laparoscope interested in a small incision or to perform the operation using robotic assistance.
The laparoscopic procedure involves minimal access hence the resultant scar is a lot smaller. The associated bleeding and injury to pelvic structures are also minimal. The main disadvantage is that the surgeon may not be comfortable operating in the small space which necessitates the creation of a larger incision. When the tubes have been accessed they will be untied, unblocked or rejoined depending on the technique that was used initially. The operation lasts for two to three hours.
Success rates are determined by a number of factors. Age is one of the most important. The chances of having a successful pregnancy are higher among younger women compared to those who undergo the surgery at an older age. In general, the success of pregnancy is between 40% and 85%. Other important determinants include length of remaining tubes, the skills of your surgeon and the extent of scar tissue within the pelvis.
If the procedure fails to yield results, there are a number of other alternatives that can be considered. Assisted fertility options such as in vitro fertilization (IVF), have had tremendous success. As a matter of fact, a good number of women are opting for this options at the expense of reversal procedures. Ensure that you discuss your possible options with your fertility doctor.
The time needed for recovery depends on the technique that is used for the reversal. When an open procedure is performed, one to three days stay in hospital may be needed. When laparoscopy is used, on the other hand, one can go home on the same day. Some potential risks include bleeding, infection, and injury to pelvic organs. There is also an increased risk of ectopic pregnancies in women who have undergone the surgery.
There are different ligation techniques that can be employed depending on the preference of the surgeon. They include tying of tubes together, sealing using clips and cauterizing (burning) using electric current. Regardless of the option that is used, the results are more or less the same. There are differences, however, in ease of reversal when fertility restoration is desired.
Every patient who wishes to have the reversal is taken through a thorough preoperative work up. The main aim of this exercise is to establish if the surgery is necessary (whether it will restore fertility). Both blood tests and imaging studies are done. A test known as HSG or hysterosalpingogram provides vital information on the patency of remaining tubes and is good predictor of success. The partner should also be evaluated at this point.
The operation itself, a rather minor procedure may be done in an outpatient setting or within a hospital. The latter is preferred because general anesthesia is usually used. Once you are asleep under the influence of the anesthesia, the surgeon has several options; to make a large incision in the lower abdomen and perform an open operation, to use a laparoscope interested in a small incision or to perform the operation using robotic assistance.
The laparoscopic procedure involves minimal access hence the resultant scar is a lot smaller. The associated bleeding and injury to pelvic structures are also minimal. The main disadvantage is that the surgeon may not be comfortable operating in the small space which necessitates the creation of a larger incision. When the tubes have been accessed they will be untied, unblocked or rejoined depending on the technique that was used initially. The operation lasts for two to three hours.
Success rates are determined by a number of factors. Age is one of the most important. The chances of having a successful pregnancy are higher among younger women compared to those who undergo the surgery at an older age. In general, the success of pregnancy is between 40% and 85%. Other important determinants include length of remaining tubes, the skills of your surgeon and the extent of scar tissue within the pelvis.
If the procedure fails to yield results, there are a number of other alternatives that can be considered. Assisted fertility options such as in vitro fertilization (IVF), have had tremendous success. As a matter of fact, a good number of women are opting for this options at the expense of reversal procedures. Ensure that you discuss your possible options with your fertility doctor.
The time needed for recovery depends on the technique that is used for the reversal. When an open procedure is performed, one to three days stay in hospital may be needed. When laparoscopy is used, on the other hand, one can go home on the same day. Some potential risks include bleeding, infection, and injury to pelvic organs. There is also an increased risk of ectopic pregnancies in women who have undergone the surgery.
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