Tubal ligation is a popular contraception method offered to women. It is, for practical purposes, regarded a permanent method of family planning. The advances that have taken place in surgical practice in recent times have made it possible to reverse it and restore the fertility of women that underwent it in the past. If they intend to have tubal reversal Louisiana residents need to be aware of 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.
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.
If the procedure fails to yield results, there are a number of other alternatives that can be considered. Assisted fertility options such as in vitro fertilization (IVF), have had tremendous success. As a matter of fact, a good number of women are opting for this options at the expense of reversal procedures. Ensure that you discuss your possible options with your fertility doctor.
The time needed for recovery from the operation is dependent on the method of reversal that has been used. If the open technique is employed, the patient is likely to be retained in hospital for between one and three days. When the laparoscopic technique has been used, on the other hand, you can go home on the same day. Complications include bleeding, infections and an increased risk of having 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.
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.
If the procedure fails to yield results, there are a number of other alternatives that can be considered. Assisted fertility options such as in vitro fertilization (IVF), have had tremendous success. As a matter of fact, a good number of women are opting for this options at the expense of reversal procedures. Ensure that you discuss your possible options with your fertility doctor.
The time needed for recovery from the operation is dependent on the method of reversal that has been used. If the open technique is employed, the patient is likely to be retained in hospital for between one and three days. When the laparoscopic technique has been used, on the other hand, you can go home on the same day. Complications include bleeding, infections and an increased risk of having ectopic pregnancies.
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