Tubal ligation is a surgical contraception method that has been quite popular due to the convenience that is associated with it. For many years, it was considered a permanent method of family planning. With advances in surgical techniques, it has become possible to reverse the procedure and restore near normal fertility in women. If planning to have tubal reversal Louisiana residents need to understand a number of things.
There are different methods that are used to interrupt the patency of fallopian tubes. They include sealing using a clip, tying them together and burning (cauterizing) using electric current. All these methods are effective in achieving contraception. The main difference is the ease with which they can be reversed if restoration of fertility is desired later on.
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.
This procedure can be performed in the outpatient clinic with ease. Since general anesthesia may be needed in some cases, a number of surgeons prefer to perform it within a hospital. Once the anesthesia has taken effect, the surgeon can access the tubes using a number of approaches. The first involves the creation of a fairly large incision in the lower abdomen. The second involves the use of a tubular instrument known as a laparoscope and the third involves robotic assistance.
Laparoscopic tubal reversal whose popularity has increased markedly in recent times is preferred due to the fact that it is minimally invasive. The resultant scar is much smaller as compared to those that are associated with other techniques. The main downside is the difficulty in operating. In a significant number of cases, it becomes necessary to convert the laparoscopic procedure into an open procedure for ease of access. The operation usually lasts for 2 or 3 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.
In case the surgery fails to result in a pregnancy, one should not lose hope. There are many other alternatives that exist. A number of assisted fertility options have been tremendously successful. Some, such as in vitro fertilization (IVF), appear to be preferred over the reversal procedure. Your fertility doctor will provide you with options that are applicable in your individual case.
The recovery duration varies depending the technique that has been used. When the open technique is employed, one is likely to remain in hospital for one to three days. In the case of the laparoscopic technique, the patient may be discharged home on the same day. There are a number of risks that exist. They include bleeding, surgical site infections and injury to pelvic organs. In addition, persons that have had the reversal procedure are at a high risk of getting ectopic pregnancies.
There are different methods that are used to interrupt the patency of fallopian tubes. They include sealing using a clip, tying them together and burning (cauterizing) using electric current. All these methods are effective in achieving contraception. The main difference is the ease with which they can be reversed if restoration of fertility is desired later on.
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.
This procedure can be performed in the outpatient clinic with ease. Since general anesthesia may be needed in some cases, a number of surgeons prefer to perform it within a hospital. Once the anesthesia has taken effect, the surgeon can access the tubes using a number of approaches. The first involves the creation of a fairly large incision in the lower abdomen. The second involves the use of a tubular instrument known as a laparoscope and the third involves robotic assistance.
Laparoscopic tubal reversal whose popularity has increased markedly in recent times is preferred due to the fact that it is minimally invasive. The resultant scar is much smaller as compared to those that are associated with other techniques. The main downside is the difficulty in operating. In a significant number of cases, it becomes necessary to convert the laparoscopic procedure into an open procedure for ease of access. The operation usually lasts for 2 or 3 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.
In case the surgery fails to result in a pregnancy, one should not lose hope. There are many other alternatives that exist. A number of assisted fertility options have been tremendously successful. Some, such as in vitro fertilization (IVF), appear to be preferred over the reversal procedure. Your fertility doctor will provide you with options that are applicable in your individual case.
The recovery duration varies depending the technique that has been used. When the open technique is employed, one is likely to remain in hospital for one to three days. In the case of the laparoscopic technique, the patient may be discharged home on the same day. There are a number of risks that exist. They include bleeding, surgical site infections and injury to pelvic organs. In addition, persons that have had the reversal procedure are at a high risk of getting ectopic pregnancies.
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