Tubal ligation sterilizes you, but thankfully it is a surgery that can be reversed when needed. A tubal reversal surgery is known medically by a variety of names that are specific to the procedure that a surgeon follows. They include tubotubal anastomosis, microsurgical tubal reanastomosis, microsurgical tubal anastomosis, tubal reimplantation, tubouterine implantation, neofimbrioplasty, and several others. These surgeries are performed by almost all tubal reversal surgeons. Just ask your doctor about the surgery he/she is going to perform on you.
There are mainly three types of tubal reversal surgery performed to ensure the re-functioning of your fallopian tube.
If you are looking for an economical option for your surgery, then mini-laparotomy should be your choice. It provides the most affordable surgical option and that is why it is the most common among the surgery procedures.
The mini-laparotomy needs a small 2-4 incision. This incision is done just above the pubic line and below the bathing suit line. This is done to ensure that there is no publicly visible scar, once the cut is healed. The recovery time with mini-laparotomy is at max 2 weeks. Even with the larger incision, most women return to work after a week’s rest. Consult your doctor on the same.
Laparoscopy provides a less invasive method than the mini-laparotomy. In this procedure of surgery, three small incisions are made to allow the insertion of surgical instruments and a microscopic camera. These instruments guide the surgeon throughout the procedure without having to cut open your abdominal area, preventing any major incisions and thus preventing any huge scars.
This new technique of surgery allows even smaller surgical tools to be used in the surgery. The smaller the surgical tools, lesser the recovery time. Robotic surgery is the least invasive surgical procedure for tubal reversal. However, it is also the most expensive one. The surgeon will control the surgical tools, attached to a robotic machine, from a station placed beside the patient’s bed. Robotic surgery ensures for an extreme quality of precised incisions and suturing as they are done with the help of a microscope attached to the robotic machine. Patients who underwent a robotic tubal reversal surgery typically recover fully within just one week.
Using one of the above surgical techniques, a surgeon is able to access the fallopian tubes. The surgeon will then carefully remove the occluded tubal segments, being extremely careful at the same time, not to remove anything extra than the necessary.
Once the surgeon removes the blocked portion, he/she will use the microscope and other surgical tools, inserted through the incisions, to reconnect the remaining parts of the fallopian tubes. The restored tubes are then sutured with extremely thin stitches. These stitches are easily absorbed by the body during the recovery period. The incisions are also sutured with thin stitches as well. A careful and a meticulous surgical procedure allow the surgeon to maintain as much as the original tube as it is possible.