The fallopian tubes form a vital part of the female reproductive system. It links the ovaries on either side to the uterus. Eggs released from the ovaries find their way to the fallopian tubes where they meet with sperms for fertilization. Tying the fallopian tubes bilaterally interferes with the natural conception process. Tubal reversal surgery is ideal for women whose tubes may have been tied accidentally or those who change their minds regarding this method of family planning.
Not every woman with ligated tubes is fit for this kind of operation. A thorough evaluation is usually needed before any major decisions are made. The doctor will ask the patient a number questions in a bid to determine their reproductive history and to establish why the process is necessary. A history of previous pelvic operations is particularly important. Such operations are necessitated by conditions such as ectopic pregnancies, pelvic inflammatory disease and even operative deliveries.
Following history taking is physical examination to rule out any signs of infection or other condition that may impact negatively on reversal surgery. Blood tests and imaging relevant to the case in question are also carried out. Typically, ultrasound is done to examine the status of the reproductive system and whether the tubes can be salvaged.
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.
Women whose age is above forty stand minimally chances of pregnancy after reversal of fallopian tubes ligation. The presence of too many adhesions, as occurs after performing surgeries, impairs the ability of a woman to conceive even after the tubes have been untied. Underlying fertility problems may also work against a couple trying to have a child.
Comparable to other surgeries, reversal surgery can complicated with excessive blood loss, neighbouring soft tissue injury and infection which may develop later on. In the long run, fibrous tissue may form causing obstruction again. Ectopic pregnancies are also much more among women who have had their tubes untied.
Some of these complications can be minimized by observing certain measures including administration of prophylactic antibiotics and observing sterility when handling the internal environment of the body. In addition, blood tests should be done before the operation to ensure the hemoglobin levels are within normal to cater for blood loss during surgery.
Tubal restoration operation is a procedure that has restored the hope of many who wish to have more children after surgical contraception . However, certain factors including old age, and complications of previous surgeries reduce the chances of success. Technical errors also lower success rates. Reversal can be done directly using the open method or through the use of keyhole surgeries.
Not every woman with ligated tubes is fit for this kind of operation. A thorough evaluation is usually needed before any major decisions are made. The doctor will ask the patient a number questions in a bid to determine their reproductive history and to establish why the process is necessary. A history of previous pelvic operations is particularly important. Such operations are necessitated by conditions such as ectopic pregnancies, pelvic inflammatory disease and even operative deliveries.
Following history taking is physical examination to rule out any signs of infection or other condition that may impact negatively on reversal surgery. Blood tests and imaging relevant to the case in question are also carried out. Typically, ultrasound is done to examine the status of the reproductive system and whether the tubes can be salvaged.
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.
Women whose age is above forty stand minimally chances of pregnancy after reversal of fallopian tubes ligation. The presence of too many adhesions, as occurs after performing surgeries, impairs the ability of a woman to conceive even after the tubes have been untied. Underlying fertility problems may also work against a couple trying to have a child.
Comparable to other surgeries, reversal surgery can complicated with excessive blood loss, neighbouring soft tissue injury and infection which may develop later on. In the long run, fibrous tissue may form causing obstruction again. Ectopic pregnancies are also much more among women who have had their tubes untied.
Some of these complications can be minimized by observing certain measures including administration of prophylactic antibiotics and observing sterility when handling the internal environment of the body. In addition, blood tests should be done before the operation to ensure the hemoglobin levels are within normal to cater for blood loss during surgery.
Tubal restoration operation is a procedure that has restored the hope of many who wish to have more children after surgical contraception . However, certain factors including old age, and complications of previous surgeries reduce the chances of success. Technical errors also lower success rates. Reversal can be done directly using the open method or through the use of keyhole surgeries.
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