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What is tubal ligation reversal or tubal reversal?
A tubal ligation reversal is an operation to permit someone who has had
a tubal
ligation to try to get pregnant again. There are two parts; how you
get into the pelvis to the tubes and what you do once you are in there to
restore the patient's fertility.
To minimize post-op discomfort and to speed up recovery, we perform your
tubal reversal
through a small incision, usually about 3 inches long, right above the pubic
hair line. Normally in surgery, mechanical retractors are used to hold the
skin apart. These retractors are not used in mini-laparotomies and this
reduces post-op pain dramatically. The idea is to gently move the skin over
the tube being worked on rather than opening a wide incision that exposes
both tubes at once. Our doctors have over 60 years of surgical experience.
Our medical director Dr. Greene was one of the first surgeons anywhere to
do major pelvic surgery through a mini-laparotomy incision.
The second part of the tubal reversal is to rejoin the separated ends of
the fallopian tubes. The fallopian tubes have to be located, released from
adhesions that stick them to surrounding structures, trimmed of any scar
tissue and then rejoined
with tiny sutures. During this part magnifying glasses are used to magnify
the operative site. The sutures are finer than the finest hair. Great care
is taken to be very gentle with your tissues; this minimizes post-op pain
and makes successful pregnancy more likely.
You should be fine to travel the day after surgery and able to work 3-4
days later unless you do very heavy physical work. Serious problems are
very rare; one doctor has reported doing almost 300 cases with no serious
problems. We have never had to transfuse anyone at our center. We have never
had to admit anyone to the nearby hospital with complications although we
have a transfer agreement if we ever do. All this doesn't mean you are guaranteed
not to have problems; just that it is very unlikely.
See Also:
 Tubal
or Ectopic Pregnancy and Tubal Ligation Reversal
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"A tubal ligation reversal is an operation to permit someone who
has had a tubal ligation to try to get pregnant again."
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