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.
History, physical examination and investigations are necessary before the doctor decides that surgery can be undertaken. A good rapport should be created between the doctor and the patient so that relevant medical details can be revealed. Any past illnesses involving the genitourinary system should be documented. This could be infection, malignancy, congenital malformations and so on. Any operations done previously should also be taken in to consideration. Common operations that can interfered with reversal include myomectomy, cesarean section, management of an ectopic pregnancy and so on.
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.
The chances of success in the reversal operation depends on a number of factors. Studies have shown that women above the age of forty stand a lower chance of getting pregnant even after reversal surgery. Women who have several previous surgeries tend to have massive adhesions in their pelvic cavities which may result in obstruction. In addition, if there were other unsorted infertility issues, pregnancy may be difficult to achieve. Skill and experience of the surgeon is also counts a major determinant to the overall success.
Infection, blood loss and injury to other structures in the pelvic region are some of the common complications of fallopian tubal ligation reversal surgery. Ultimately, scarves tissue gets deposited in the oviducts again and blocks them. The likelihood of a fetus implanting elsewhere other than the womb is higher after reversal operation.
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.
In conclusion, there is room for reversal even after tubal ligation. The size of the remaining tubes determines whether the procedure will be successful or not. It is done by unclipping the area and suturing together the open ends. Women below the age of forty are more likely to get pregnant after the reversal operation.
History, physical examination and investigations are necessary before the doctor decides that surgery can be undertaken. A good rapport should be created between the doctor and the patient so that relevant medical details can be revealed. Any past illnesses involving the genitourinary system should be documented. This could be infection, malignancy, congenital malformations and so on. Any operations done previously should also be taken in to consideration. Common operations that can interfered with reversal include myomectomy, cesarean section, management of an ectopic pregnancy and so on.
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.
The chances of success in the reversal operation depends on a number of factors. Studies have shown that women above the age of forty stand a lower chance of getting pregnant even after reversal surgery. Women who have several previous surgeries tend to have massive adhesions in their pelvic cavities which may result in obstruction. In addition, if there were other unsorted infertility issues, pregnancy may be difficult to achieve. Skill and experience of the surgeon is also counts a major determinant to the overall success.
Infection, blood loss and injury to other structures in the pelvic region are some of the common complications of fallopian tubal ligation reversal surgery. Ultimately, scarves tissue gets deposited in the oviducts again and blocks them. The likelihood of a fetus implanting elsewhere other than the womb is higher after reversal operation.
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.
In conclusion, there is room for reversal even after tubal ligation. The size of the remaining tubes determines whether the procedure will be successful or not. It is done by unclipping the area and suturing together the open ends. Women below the age of forty are more likely to get pregnant after the reversal operation.
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