The Tubal Reversal Procedure
The tubal reversal operation, also called tubal ligation reversal, or tubal reanastamosis, is performed microscopically to reconnect a woman’s fallopian tubes after a tubal ligation.
In all types of tubal ligation, both ends of the tube are blocked and a small piece of the tube is missing. Once Dr. Rosenfeld reads your operative report, he’ll know how much of your tube remains and seems to be healthy for the tubal reversal surgery. The average length of tube before sterilization is 12-13 cm. As long as there are 6-7 cm of healthy tube remaining, this should give you the very best chance but we’ve had success with only 3 cm of tube.
Dr. Rosenfeld has perfected his technique over the past 30 years of performing tubal reversals. He is very proud of his refined technique and his excellent success rate reflects his attention to detail and meticulous, precise approach.
The tubal reversal surgery is performed through a mini-laparotomy incision of 2″ located just at the hair line. The tubes are repaired using a multilayer technique, which experts agree is the most effective way to repair the tubes.
Dr. Rosenfeld performs the tubal reversal surgery using the most expensive sutures available and most commonly used in delicate eye surgery. The ultra fine 10-0 nylon suture is the smallest, finest suture available, which reduces the amount of scar tissue that may develop. It has the smallest needle for decreased trauma to the tissues. These ultra fine sutures require a high degree of technical skill and years of experience but we have found our tubal reversal success rates have increased significantly since using these sutures.
A Hysteroscope is routinely used during the tubal reversal surgery to view the inside of the uterus. This enables Dr. Rosenfeld to identify and remove fibroids or polyps which affect 20-50% of women of reproductive age. These fibroids can impair fertility and cause gynecological problems in the future.
Another essential detail in Dr. Rosenfeld’s tubal reversal surgery is the use of Interceed which was approved by the FDA to help prevent adhesions. Adhesions can happen with any surgery and can decrease the chances for a successful pregnancy.
Once the tubes are reconnected, a dye is injected through the cervix to confirm that the tubes are no longer blocked and they are water tight, indicating a successful surgery. This is never rushed and always performed with exact precision. Dr. Rosenfeld won’t stop until he is100% satisfied with the flow of the dye in the tube. He has an intense drive for surgical perfection and wants your tubal reversal surgery to be as successful as possible.
The entire tubal reversal procedure usually takes approximately two hours. You will be discharged from the outpatient surgery center within two to four hours and can expect to resume normal activities within a week, depending on the physical nature of your job. All of our tubal reversals are performed in a new state-of-the-art outpatient hospital and surgery center connected to a state-of-the-art hospital.
To help you recover from tubal reversal surgery as quickly and pain-free as possible, we offer the On-Q PainBuster pain relief system. It’s a revolutionary method of pain management that enables you to recover comfortably, providing continual and targeted pain relief directly where you need it. Our tubal reversal patients using the On-Q PainBuster. have almost immediate ambulation which decreases the risk for post operative problems. As we all know, after dental work, the pain starts once the local anesthetic wears off. The On-Q PainBuster provides pain relief for three days, keeping the area numb and free from pain.
Links
“About 10% of the women who choose the tubal ligation procedure later regret their decision, and many opt for a surgical procedure to reattach the tubes so that a pregnancy may be possible. ”
Epigee.com Reproductive Health
“Women who have microsurgery done have a slightly higher success rate, with about 90% of women becoming pregnant within one year of the procedure. However, tubal ligation success rates tend to decline with a woman’s age although they are still better than IVF pregnancy rates.”
“During a tubal ligation reversal, the health care provider removes the blocked segment of the fallopian tube and reconnects the remainder of the fallopian tubes to allow pregnancy. If the tubal ligation reversal is successful, eggs are once again able to move to the uterus for fertilization and sperm are able to travel up the fallopian tubes to join the egg.”
More than 650,000 women undergo tubal ligation in the United States annually…What happens when circumstances change and a women decides that she really does want to become pregnant? Approximately six percent of women who originally decided that tubal ligation was the way to end their childbearing years will, within five years, decide that she does indeed want to experience pregnancy and the birth of a new baby.
