Reverse Tubal Ligation Damage to Fallopian Tubes

Can the damage to fallopian tubes from tubal ligation be reversed? What is the success of a reverse tubal ligation surgery?
For many years, medical professionals have been practicing to reverse tubal ligation. They've come up with some pretty effective methods even some that approach 90% effectiveness within certain categories. Tubal ligation is the process by which a surgeon ties off and blocks the fallopian tubes. Since there are so many different ways to perform the sterilization, there are several ways to reverse it as well.

For whatever reason, a woman that has had her tubes tied may decide that she wants children again after all. The reason is immaterial. What matters is that the surgery is accomplished. Only a doctor with the right training should be chosen to perform the reversal surgery. The first thing to consider is the condition of the fallopian tubes. The more damage that has been done, the less effective the surgery will be. However, overall, about 75% of patients are successful in getting pregnant less than a year after the reversal.

One popular method of ligation involves using a ring or a clip to put a kink in the fallopian tubes. After tying them off, the surgeon will sever them completely, rendering it ineffective. In this case, it is relatively simple to reverse tubal ligation. The severed ends are cleaned up (scar tissue removed) and reattached to each other. The clip (or whatever device was used) is then removed and the fallopian tubes are repaired.

Another method to reverse tubal ligation is a little bit more complicated. It follows a fimbriectomy, in which the fimbrial end of the fallopian tubes is removed and sutured closed. The fimbrial end is closest to the ovary and is responsible for catching the egg as it is released. To reverse this procedure, the surgeon will remove the scar tissue on the ends, then turn the newly exposed tube inside out at the end to create a new fimbrial end.

A third method of sterilization requires a bit more in depth work than even those first two. A device has been introduced on the market called the Essure device. This is basically a plug that your doctor inserts into the fallopian tubes where they meet the uterus. This causes enough damage to the tubes that scar tissue forms over the device and seals the uterus off from the fallopian tubes. Steps to reverse tubal ligation using the Essure device include removing all of the scar tissue as well as the device itself. This requires disconnecting the tubes from the uterus and reattaching them at a new location.

All in all, you can see that whatever damage has been done to the fallopian tubes, a surgery to reverse tubal ligation can be performed. It's just a matter of finding the best qualified and most experienced tubal surgeon to do the reverse tubal ligation surgery.

To find the best tubal surgeon to reverse tubal ligation damage to your fallopian tubes, visit the Chapel Hill Tubal Reversal Center website and learn more from the resources and the forum available there.

By Sandra Wilson
Published: 3/4/2009
 
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