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Also called microsurgical tubal anastamosis
A surgical procedure during which the segment of the tube that has been tied is removed and the remaining 2 segments are attached together with the aid of an operating microscope.
In many cases it is possible to reverse the ligation on both your right and left tubes.
Occasionally, one side may be heavily scarred from the previous tubal surgery and therefore only the other side is amenable for tubal reversal.
Very rarely both sides are heavily scarred and the operation cannot be performed.
The alternative to tubal ligation reversal is
in vitro fertilization
to "bypass" the tied tubes.
Pregnancy rate after tubal ligation reversal is anywhere from 60% to 80% in women age <35 years, but may decrease with age.
Success depends on the method used to "tie" your tubes
Success rates are higher if the remaining total length of the tube after it has been surgically put back together is more than 4 centimeters (a little less than 2 inches).
Most patients who get pregnant after microsurgical tubal reversal do so in the first 6 months following the surgery, although some patients may take longer to conceive.
If only one tube is successfully untied, the time to pregnancy after surgery may be longer.
The most common method involves a small "bikini line incision", about 5 centimeters in length (or 2 inches).
Sometimes patients can go home that same day, but some may need to stay overnight in the hospital.
Laparoscopic methods
involve 4 very small incisions (half a centimeter each), and most patients go home the same day.
Once childbearing is completed, patients who desire prevention of pregnancy will need a separate form of birth control because their tubes are no longer tied.
Call for information: (573) 817-3101 or
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