The fallopian tubes is one of the critical parts of the female reproductive system. It provides a platform for ovum and sperm to merge and the end product to be transported to the uterus for implantation. When these tubes are tied on either side, the women may not be able to conceive because the reproductive anatomy has been interfered with. Tubal reversal surgery helps to counteract infertility for most women in the reproductive age group.
Not every woman with ligated tubes is fit for this kind of operation. A thorough evaluation is usually needed before any major decisions are made. The doctor will ask the patient a number questions in a bid to determine their reproductive history and to establish why the process is necessary. A history of previous pelvic operations is particularly important. Such operations are necessitated by conditions such as ectopic pregnancies, pelvic inflammatory disease and even operative deliveries.
The doctor needs to do a focused physical examination to determine the stability of the patient for the planned operation. Certain investigations including blood tests and imaging studies are also required just as is the case with many other operations. The commonest imaging technique utilized is a pelvic ultrasound. A pelvic radiographic film with contrast enables the gynecologist to know the remaining size of oviducts and whether or not they can be modified to start working normally again.
Either laparoscopy or open operation is employed during this operation. Even though it has a high learning curve, , laparoscopy enjoys the advantage of being less invasive and shorter in duration. The operation unties the ligatures and join back the tubes. The patient is put under general anaesthesia to facilitate a painless procedure.
One of the common factors that may render the operation useless is age. Women below the age of forty stand a better chance of conceiving than those above. A history past pelvic operations causes and increase in adhesion formation which may end up clogging the tube again. Moreover, couples with other underlying issues with their fertility have very little chance of success in pregnancy if these are not sorted out.
Complications of ligation reversal surgery are bound to happen, just like in any other surgical procedure. During the intra operative period, the patient may bleed excessively. Apart from bleeding, damage to surrounding structures is also a possibility. Infection may come later on during the recovery period. Formation of scar tissue is another bother as it may result in tubes getting blocked again. The chances of getting ectopic pregnancies after reversal are very high.
Infection can be prevented by use of antibiotics prior to surgery. Also, the healthcare team needs to be diligent in maintain cleanliness during and after the operation. A full hemogram is normally done to check the fitness of the patient for the procedure. If they have reduced blood volume, they need to be transfused first in anticipation of bleeding that occurs intraoperatively.
Tubal restoration operation is a procedure that has restored the hope of many who wish to have more children after surgical contraception . However, certain factors including old age, and complications of previous surgeries reduce the chances of success. Technical errors also lower success rates. Reversal can be done directly using the open method or through the use of keyhole surgeries.
Not every woman with ligated tubes is fit for this kind of operation. A thorough evaluation is usually needed before any major decisions are made. The doctor will ask the patient a number questions in a bid to determine their reproductive history and to establish why the process is necessary. A history of previous pelvic operations is particularly important. Such operations are necessitated by conditions such as ectopic pregnancies, pelvic inflammatory disease and even operative deliveries.
The doctor needs to do a focused physical examination to determine the stability of the patient for the planned operation. Certain investigations including blood tests and imaging studies are also required just as is the case with many other operations. The commonest imaging technique utilized is a pelvic ultrasound. A pelvic radiographic film with contrast enables the gynecologist to know the remaining size of oviducts and whether or not they can be modified to start working normally again.
Either laparoscopy or open operation is employed during this operation. Even though it has a high learning curve, , laparoscopy enjoys the advantage of being less invasive and shorter in duration. The operation unties the ligatures and join back the tubes. The patient is put under general anaesthesia to facilitate a painless procedure.
One of the common factors that may render the operation useless is age. Women below the age of forty stand a better chance of conceiving than those above. A history past pelvic operations causes and increase in adhesion formation which may end up clogging the tube again. Moreover, couples with other underlying issues with their fertility have very little chance of success in pregnancy if these are not sorted out.
Complications of ligation reversal surgery are bound to happen, just like in any other surgical procedure. During the intra operative period, the patient may bleed excessively. Apart from bleeding, damage to surrounding structures is also a possibility. Infection may come later on during the recovery period. Formation of scar tissue is another bother as it may result in tubes getting blocked again. The chances of getting ectopic pregnancies after reversal are very high.
Infection can be prevented by use of antibiotics prior to surgery. Also, the healthcare team needs to be diligent in maintain cleanliness during and after the operation. A full hemogram is normally done to check the fitness of the patient for the procedure. If they have reduced blood volume, they need to be transfused first in anticipation of bleeding that occurs intraoperatively.
Tubal restoration operation is a procedure that has restored the hope of many who wish to have more children after surgical contraception . However, certain factors including old age, and complications of previous surgeries reduce the chances of success. Technical errors also lower success rates. Reversal can be done directly using the open method or through the use of keyhole surgeries.
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