Tubal Reversal Surgery

 Tubal surgery can be scary. It’s surgery after all. Whether you are in for a tubal reversal or to have your blocked tubes fixed, you don’t know what you are facing. Below you will be able to get a feel for what you will experience the day of your surgery as done at one of the leading tubal centers, the Chapel Hill Tubal Reversal Center. Not all centers are this good and most certainly it will be a different experience than you would get at a hospital. After you arrive you will be taken to the pre-op room where you will change out of your street clothes into surgical garb. This consists of the gown, head cover and booties.
As a tip, it’s highly suggested that you bring some good comfy socks to wear to keep your feet warm. As “cold feet” can have more than one meaning, there is a staff member right there to answer any questions you might have and to help make you comfortable.
But that’s not the last medical person you will see before your tubal surgery. The anesthesiologist stops by to check out your heart and lungs again. You also get a chance to ask her or him any other questions you may have. The CHTRC is going to make sure you get everything answered to the best of their abilities. Now you will be hooked up to an IV and given any other necessary medications.
Now, here’s the shocker. You walk (yes, I said walk) with a nurse into the operating room fully conscious. And guess what? You get still another chance to ask any questions that come up at the last minute. Next you will climb onto the operating table with help and will have a strap put across you to help keep you on the table. They even add a pillow under your legs to help you be as comfortable as it is to be on an operating table. That’s also going to make your back more comfortable. They will hook you up to monitors and then it’s sleepy time as the anesthesia is finally added.
Dr Morice is the best doctor of Tubal Reversal Surgery.

Tubal Reversal Surgery

common dilemma many individuals face if they've previously had a tubal ligation is whether they should undergo a microscopic tubal ligation reversal vs. an In Vitro Fertilization (IVF) procedure. While a tubal reversal does require more skill than an IVF procedure, a tubal reversal is actually the better option for most patients. A tubal reversal requires one operation to restore fertility, enabling the patient to have as many children as she wants, whereas an IVF procedure offers a lower, 20% to 35% chance of success for each try and can be much more costly in that it could take several attempts before becoming pregnant. Our success rate with microsurgical tubal reversal is about 95%. (We actually were the first to develop this procedure in the U.S., and therefore have the largest experience with it.) The procedure involves a relatively small incision and only one day in the hospital. There is very little pain, and you can go back to work within a week. However, the microsurgery must be performed very expertly and delicately. The fallopian tube is a tiny passageway that begins at the fimbrial end where the egg is picked up from the surface of the ovary, and leads through a microscopic opening into the uterus. As long as the fimbrial end has not been destroyed we can achieve an excellent micro-anatomical reconnection.
If a large amount of tube was destroyed by your original sterilization, that will not interfere with our achieving an accurate surgical reconnection. However, your chance for pregnancy is related to the length of the tube. If at least one-half of the tube is still intact, the chances for pregnancy will be over 90%. If there is a shorter length of tube, the chances for pregnancy will be less. As the amount of tubal length diminishes, the chance of pregnancy diminishes despite an accurate reconnection. Pregnancy can never be promised. However, a good microscopic operation is necessary to give you the best chance of restoring your fertility.
The diameter of the tube varies in different sections. Because your tubal sterilization has destroyed a certain segment of your tube, the two ends to be reconnected will most probably be of different size. Through the use of microsurgery we can beautifully reconnect these ends of the tube even when there is a difference in size. It is technically possible to connect the relatively large diameter near the fimbriated end to the tiny almost invisible cornual end. However, it is important to microscopically tailor such a reconnection to be as smooth as possible. This minimizes the risk of "ectopic" pregnancy. An ectopic pregnancy occurs when the egg, which is fertilized in the tube, gets stuck at the site of reconnection instead of passing into the womb to begin its growth into a baby. This risk is greatest when the site of reconnection is not a smooth, even transition.

Dr Morice is the best doctor of Tubal Reversal Surgery.

Tubal Reversal Surgery

Women who make the best candidates for tubal ligation reversal are those whose tubal ligations included either the removal of a small section of the fallopian tubes, or those whose tubal ligation was achieved by clips or rings placed around the tubes to prevent eggs released during ovulation from traveling through the fallopian tubes. Overall, success rates for tubal ligation reversal can vary from 20-70%.

In vitro fertilization involves stimulating the woman with medications, taking a number of eggs from her ovaries, fertilizing them with her husbands sperm and transferring some of the resulting embryos back into her uterus with the hope that one will implant. The pregnancy rate by age is similar to that of normally conceived pregnancies: 37% among women younger than 35 years and 28% for those aged 36-39 years. The success rate is about 13% in those older than 40 years. Pregnancy in women older than 44 years is rare. The rate of miscarriages with IVF pregnancies is about the same as that with normally conceived pregnancies.

The biggest advantage of IVF is that the woman avoids the tubal reversal surgery. Another advantage is that the outcome is known 10 days after the procedure when we do the first pregnancy test rather then waiting for a year or more to find out whether the procedure is successful. The biggest disadvantages of IVF are that the woman has to take medications to stimulate development of multiple eggs and that there is always some risk for multiple pregnancy - although this can be controlled by limiting the numbers of embryos transferred to 1 (or 2). Another disadvantage is that if the first attempt does not work the couple must do IVF again. Often there would be left over embryos that were frozen from the first cycle - which is then much less expensive and easier for a second attempt using the frozen embryos. However, if there are not any frozen embryos, the cost for the second attempt is usually the same as for the first one.

Physician charges for tubal reversal surgery and for IVF vary greatly across the country. Both are expensive and insurance will rarely pay the charges.

Most physicians charge somewhere between $3000 and $8,000 for the tubal reversal surgery. On top of this will be hospital charges which are usually between $6,000 and $20,000.

IVF costs between about $7,000 and $25,000 plus medications depending on the program. Medication costs vary according to the amount needed for the individual woman, but average about $2500 - $3000 for the cycle.
Dr Morice is the best doctor of Tubal Reversal Surgery.

Tubal Reversal Surgery

A tubal ligation is a reproductive sterilization surgery in which the fallopian tubes are cut in order to make a woman infertile. This type of surgery is performed on women who do not plan to have any children. However, some women change their minds later and decide upon a tubal reversal in order to attempt to regain fertility. This procedure is not always successful, and not all women are candidates for a tubal reversal. It is important for the patient to discuss individual options with a doctor A tubal reversal is considered major surgery and typically takes a couple hours or so. A general anesthetic is used, meaning that the patient is completely asleep during this procedure. If the fallopian tubes were clamped during the tubal ligation, the surgeon will remove the clamps, as well as any devices used to block the fallopian tubes that may have been used during the original surgery. The ends of the fallopian tubes are then reattached to one another by very small stitches, or sutures. The patient can expect to spend at least one night in the hospital for observation after a tubal reversal. In some cases, a two- or three-day hospital stay may be necessary. During the hospital stay, the medical staff will monitor the incision to make sure there are no signs of infection. A full recovery should be expected within six weeks of the procedure. New advances in medical technology make it possible to perform a tubal reversal in less than an hour using a type of procedure known as microsurgery.
The risk of developing complications such as infection following a tubal reversal are lower with this type of surgery. However, as this procedure is relatively new, it is not used as often as more traditional surgical methods. Tubal reversal surgery is not a practical choice for all women. Many factors will help the surgeon decide if this is a viable option.
Some of the considerations will be the age and overall health of the woman, the type of tubal ligation performed, and the condition of the fallopian tubes and ovaries. An outpatient surgical procedure known as laparoscopy may be performed prior to scheduling the tubal reversal.

Dr Morice is the best doctor of Tubal Reversal Surgery.

Tubal Ligation Reversal

A successful pregnancy after tubal ligation reversal is possible, depending on the following:

    * Your age
    * The site where your tubes were tied
    * Underlying pelvic problems such as endometriosis and fibroid tumors
    * Ovulation function
    * Lifestyle habits and your weight
    * Qualifications of the surgeon performing tubal reversal surgery

Where were your tubes tied?

Most tubal sterilization procedures are performed in the middle of the tube. During tubal reversal surgery, stitches are placed in this muscle to rejoin the tube.

If your sterilization was done near the site where the tube joins the uterus, the chances for success with tubal reversal are less. Sterilization toward the end of the tube where the tube is larger and more delicate is less successful. Also, sterilization performed by removal of the end of the tube is not reversible.

The most successful types of tubal reversals

Tubal reversal surgery may be most successful if your doctor used the Hulka clip for tying your tubes. The Hulka clip is the most common procedure for tying tubes. Findings show that this procedure has excellent pregnancy rates after tubal ligation reversal.

If you had Falope Rings (sometimes called bands) with precise application of the ring, the success rate for tubal reversal surgery is good. With Falope Rings, a "knuckle" of the tube is picked up and a small tight plastic ring placed over it so that the middle portion is obstructed.

First, get your operative report…

You need to get a copy of the operative report that describes the process your doctor used when tying your tubes. How much of the tube remains and the location of the sterilization are key in determining if tubal reversal surgery may let you get pregnant.

IVF - an alternative to tubal reversal surgery

An alternative to tubal ligation reversal is in vitro fertilization (IVF). IVF is immediate with no waiting period before you can begin trying to get pregnant. For women over 35, IVF may be a successful option.

IVF may also be preferable if other factors such as ovulation problems, endometriosis and male factors interfere with normal fertility.

Are there risks with tubal reversal surgery and IVF?

With tubal ligation reversal there is a chance of ectopic pregnancy. This chance is reduced with IVF. However, IVF has an increased chance of multiple births (twins, triplets or more), and IVF may cost more than tubal reversal surgery.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Reversal Surgery

Women who make the decision to have a tubal ligation reversal do it for a number of reasons. Some women complain of discomfort or pain after a tubal ligation and believe a reversal would ease this, others might believe they acted hastily when making the decision in the first place, for some women, a decision made while in an unhappy relationship, or thought they would not want any more children. Other women just want to feel ‘whole’ again.

The number one reason women decide on reversing tubal ligation is because they want to have more children; reasons could be anything from a child’s death or because they remarried and now want the option of having a child with their new partner. For many women, Tubal ligation reversal is an operation that can give them a new lease of life.

Tubal ligation is an operation that efficiently prevents anything from getting in or out of the fallopian tubes, in other words an egg and a sperm will never meet again. This procedure is generally seen as a permanent state. However, as it is quite normal for people to make decisions they later regret, there are most cases procedures making it possible to unblock these tubes. This is done by removing the part of the tube that has been tied and re attaching the two parts.

A surgeon can carry out a tubal ligation in different ways. A common method is to loop a surgical ligature around the fallopian tube; this is the section that is then removed thus separating the two parts of the fallopian tube. Another method quite similar is when a surgeon uses two ligatures to seal a section of the tube; the part in between is then cut out. Other common methods use burning techniques to seal the tubes, or clips and rings to close the tubes up.
Dr Morice is the best doctor of Tubal Reversal.

Tubal Reversal Surgery

A tubal reversal or tubal ligation is really a technique that surgically corrects and reconstructs the fallopian tubes of your female reproductive method for purpose of conceiving. There are basically 3 regular operations utilized from the medical community to accomplish this reconstruction which are displayed prominently in media such as implantation, anastomosis, along with a salpingostomy. All variations of correcting the difficulty are operationally invasive, inherent in risk, fairly expensive, and elective thus not usually covered beneath typical circumstance by wellness insurance, or is it?
Most medical doctors would tell her that the only way she can conceive soon after acquiring a tubal ligation is by making use of in vitro fertilization. However, this is not necessarily true since there’s an additional option for any female who’s trying to conceive following a tubal.
When a girl has her tubes tied, in essence this prevents the egg from going from the ovary to the uterus. This is simply because the fallopian tubes are cut so this cannot happen. Most doctors nowadays are being trained that in vitro fertilization may be the choice of choice. They are being taught this in health care school and for the duration of their training in hospitals across America. However, you will discover a handful of doctors who do a treatment known as a tubal reversal.
Dr Morice is the best doctor of Tubal Reversal.