dimanche 1 mai 2016

Basics Relating To Tubal Reversal Louisiana Residents Should Understand

By Pamela Jones


Tubal ligation is considered a permanent form of contraception for women. The procedure entails the interruption of Fallopian tube continuity which effectively prevents the interaction between the sperm and the ovum. In rare circumstances, a number of people rescind their decision to have the procedure due to one reason or the other and request that it be reversed. If they find themselves in such a situation, there are a number of things on tubal reversal Louisiana residents should know.

Different techniques can be used to achieve ligation of Fallopian tubes in Morgan city. Examples include tying then together, sealing using a clip, cauterization (using electric current) and so on. The choice of technique is determined by surgeon and patient preference. Since some of the techniques are more difficult to reverse than others, you may need to discuss with your gynecologist on what would best apply in your case.

As part of the preparation, your doctor will examine you and take you through a number of investigations. The importance of this step is to establish whether you are fit to have the operation and whether or not it will be beneficial. Both imaging studies and blood tests are usually needed. Among the most important investigation is a test known as hysterosalpingogram (HSG) that is used to check the patency of the remaining tube segments.

The procedure can be safely performed in an outpatient department or fertility clinic. This is because a majority of the cases only require the administration of local or regional (spinal) anesthesia. General anesthesia may be used when complications are expected in which case, inpatient management will be needed. The scar used for ligation is usually used to access the abdomen once more. Other options include laparoscopic surgery and robotic assisted surgery.

There are a number of advantages that the laparoscopic and robotic approaches have over the open procedures. One of them is the fact that since the required incision is small, the resultant scars are also small. Other advantages include less bleeding and a lower risk of damage to pelvic structures. The major disadvantage is that the space is at times too small for some surgeons such that they have to significantly increase the size of incision.

Although age does not directly affect the success of this operation, it has an influence on the fertility in general. The chances of having a pregnancy after the operation are higher in younger women (about 85%) compared to older women (about 40%). The success rate is also influenced by the length of time between the ligation and the reversal. The longer one waits, the less likely they are to succeed.

There are a number options that one can consider if the procedure fails to restore fertility. The options are generally referred to as assisted reproduction techniques. Among the most commonly used options is in vitro fertilization, IVF. It refers to the fertilization of an egg outside the body and the subsequent implantation into the uterus artificially.

In the absence of major complications, a few days are adequate for recovery. The exact time will vary depending on the technique and the type of anesthesia used. Recovery after the open technique takes generally longer than the laparoscopic technique. Long term complications that you need to be aware of include infections and an increased risk of ectopic pregnancies.




About the Author:



Aucun commentaire:

Enregistrer un commentaire