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Senin, 17 Februari 2014

How Tubal Reversal Surgery Benefits Patients

By Daniel Buchanan


Tubal reversal or tubal reanastomosis is the surgical procedure performed to untie, reopen or reconnect the fallopian tubes of a woman who has undergone tubal ligation or female sterilization surgery. Even though tubal ligation is meant to be a permanent birth control option, you may regret your decision and wish to bear children for various reasons including remarrying. In this case, you can undergo the ligation reversal surgery.

The odds of becoming pregnant after reversing female sterilization surgery are high. To determine if this procedure is right for you, your doctor will consider your age, the type of tubal ligation you have, the health of your reproductive system and the length of your remaining fallopian tubes. Your physician will also consider if you had surgery in the past for conditions like fibroids, endometriosis and pelvic inflammatory disease.

The best candidates for ligation reversal are the women who are under forty years of age, had their fallopian tubes blocked using rings or clips, underwent the procedure after childbirth and those who only had a small parts of their fallopian tubes removed. Before patients can undergo this procedure, they are required to undergo a physical exam along with their partners. This requirement ensures that only fertile couples can have their ligation surgery reversed.

During a physical examination, doctors usually take blood tests or use various imaging techniques to ensure that the ovaries of a patient are functioning normally. They also perform a hysterosalpinogram, a test that checks the length and functioning of the remaining fallopian tubes. This test may be done by using dyes and X rays or by using saline and air together with an ultrasound. The male partner is also asked to have his semen analyzed.

The surgical procedure to reverse female sterilization can be done at an outpatient center or hospital. You will be put under general anesthesia during the procedure. The surgeon will place a laparoscope though an incision in your abdominal wall and into the pelvic area so that he or she can look at your fallopian tubes to determine if surgery is possible. If this surgery can be completed successfully, the surgeon will make a small incision close to the pubic hair line.

Certain microscopic instruments attached to the laparoscope enable the surgeon remove the clips or rings that were used to close the fallopian tubes. Afterwards, the surgeon will use small stitches to reconnect your womb with your fallopian tubes. This surgical procedure can be completed within durations of one to three hours.

Recovery time usually depends on the surgical method that a surgeon used to reverse the female sterilization procedure. You may stay in hospital for 1 to 3 days. However, if the procedure was done using microsurgical techniques, you can go home on the same day, typically within 2 to 4 hours after the procedure is completed. You can resume your normal activities within a period of about 2 weeks.

The risks associated with tubal reversal surgery are rare. They include reactions to anesthesia, infection, bleeding and damage to nearby organs. You will also have an increased risk of developing an ectopic pregnancy, which requires immediate medical attention. For the best results, you should hire an experienced surgeon.




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