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 ligation techniques that can be employed depending on the preference of the surgeon. They include tying of tubes together, sealing using clips and cauterizing (burning) using electric current. Regardless of the option that is used, the results are more or less the same. There are differences, however, in ease of reversal when fertility restoration is desired.
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.
The operation can be done in an outpatient clinic using either general or regional anesthesia. If general anesthesia is deemed necessary then it should be done within a hospital. As soon as the anesthesia has been administered, one of several surgical techniques may be used. The first involves making a fairly large incision in the lower abdomen. The second, involves the use of an instrument known as a laparoscope and the third is robotically assisted surgery.
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.
Age is an important consideration when it comes to the restoration of fertility. The chances of having a successful pregnancy are lower in the older women compared to those that are a bit younger. Generally, the chances of having a pregnancy are anywhere between 40% and 85%. Other determinants of success include amount of scar tissue in the pelvis, length of remaining tubes and the skill of the surgeon.
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 time needed for recovery depends on the technique that is used for the reversal. When an open procedure is performed, one to three days stay in hospital may be needed. When laparoscopy is used, on the other hand, one can go home on the same day. Some potential risks include bleeding, infection, and injury to pelvic organs. There is also an increased risk of ectopic pregnancies in women who have undergone the surgery.
There are different ligation techniques that can be employed depending on the preference of the surgeon. They include tying of tubes together, sealing using clips and cauterizing (burning) using electric current. Regardless of the option that is used, the results are more or less the same. There are differences, however, in ease of reversal when fertility restoration is desired.
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.
The operation can be done in an outpatient clinic using either general or regional anesthesia. If general anesthesia is deemed necessary then it should be done within a hospital. As soon as the anesthesia has been administered, one of several surgical techniques may be used. The first involves making a fairly large incision in the lower abdomen. The second, involves the use of an instrument known as a laparoscope and the third is robotically assisted surgery.
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.
Age is an important consideration when it comes to the restoration of fertility. The chances of having a successful pregnancy are lower in the older women compared to those that are a bit younger. Generally, the chances of having a pregnancy are anywhere between 40% and 85%. Other determinants of success include amount of scar tissue in the pelvis, length of remaining tubes and the skill of the surgeon.
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 time needed for recovery depends on the technique that is used for the reversal. When an open procedure is performed, one to three days stay in hospital may be needed. When laparoscopy is used, on the other hand, one can go home on the same day. Some potential risks include bleeding, infection, and injury to pelvic organs. There is also an increased risk of ectopic pregnancies in women who have undergone the surgery.
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