A Tubal ligation reversal surgery is an operation to permit someone who has had a tubal ligation to try to get pregnant again. When this procedure is performed, it allows a female egg into the Fallopian tube where possible pregnancy can occur. There are several factors to consider when thinking of undergoing a reverse tubal ligation.
History of Tubal Ligation Reversal Surgery
The first microsurgical reverse tubal ligation procedures were performed in 1977. Prior to then, tubal reversal surgery success rates were low, typically ranging from 20 to 30 percent. Microsurgical advancements, which included the use of magnification, improved surgical instruments, and smaller sutures, enabled surgeons to achieve pregnancy rates better than 50 percent. Tubal reversal surgery still involved a large bikini incision coupled with a four- to five-day hospital stay and a six-week recovery period. Understandably, these factors discouraged many patients from choosing to reverse tubal ligation.
In the years since the advent of microsurgical reanastomosis, reproductive surgeons have further refined and improved this procedure. Current techniques for tubal reversal, which involve a small incision ranging from one-and-a-half to three inches, allow the procedure to be done as an outpatient (no hospital stay involved) with a short recovery period (typically seven to 10 days). The size of the incision is primarily dictated by patient weight.
Success Rate of Tubal Ligation Reversal Surgery
The success rate of tubal ligation reversal surgery is generally good. Women under age 30 have about a 70 percent success rate of becoming pregnant. Those over 35 have a success rate of about 62 percent. Women over 40 have a success rate of about 34 percent.
Tubal Ligation Reversal Surgery Candidates
Even though a woman decides to have Tubal reversal surgery, she might not be able to undergo this surgery due to a few factors. The doctor should decide whether the fallopian tubes can be reversed or not. The surgeon usually performs laparoscopy in order to decide if a woman is suitable for tubal ligation reversal.
The following factors will determine whether or not a woman is a good candidate for tubal ligation reversal:
Whether the fallopian tubes were blocked or surgically cut in the initial tubal ligation surgery
How much of the fallopian tubes remain intact for reattachment
The overall health of the fallopian tube
The age and general health of the woman
Tubal Ligation Surgery Preparation
If you smoke, quit smoking for at least 2 weeks before Abdominoplasty surgery procedure
At your preoperative appointment, you will go over all the instructions your plastic surgeon will give you. He or she may tell you to avoid certain medications before abdominoplasty surgery. The medications you should avoid will mostly be any products that contain aspirin or ibuprofen and any drugs or supplements that might interact badly with anesthesia.
Remember to wear comfortable, loose-fitting clothing on the day of your surgery. Since you will be sedated, it's important to be comfortable for the whole procedure from start to finish.
Tubal Ligation Reversal Surgery Procedure Types
Tubal ligation reversal is a major surgery and is a more complicated procedure than tubal ligation. Usually has to be done under general anesthesia. Newer methods of reversal using microsurgery techniques may be performed under local anesthesia on an outpatient basis. Following are the types of Tubal ligation reversal surgery procedure
The blocked ends of the two tubal stumps are opened.
A stent is passed through the tube and the two ends are brought close together over it.
Sutures are placed on the muscular layer and outer serosal layer so that the tubes are aligned properly but the inner mucosal layer is left untouched.
The stent is withdrawn and the abdomen closed in layers.
Essure or Adiana methods of sterilization need a different type of reversal surgery than what is normally done for reversal of other sterilization methods.
The device (coil or matrix) that is inserted in the tube to achieve sterilization impacts in the uterine end of the fallopian tube and produces scar tissue here as well as in a small part of the overlying uterus.
To bypass the area of scarring, the intrauterine part of the tube together with the scarred portion of the uterus must be removed.
The healthy portion of the tube is then implanted into a newly created opening in the uterus.
This method of reversal is known as tubouterine implantation and is also done in other cases where only the farthest (distal) part of the tube is present.
This is necessary when the fimbrial portion of the tube has been removed to perform tubal sterilization.
Reversal involves opening the tubal end and folding the inner lining outwards and fixing it with sutures so that it does not close back again.
Recovery after Tubal Ligation Reversal Surgery
Most patients are able to return to work and other normal activities within 5 to 10 days. Once your tubal ligation reversal surgery is complete, you will be kept in recovery area until you feel ready to go. It usually takes about and hour for patients to fully wake up from a tubal reversal. Although complications from tubal ligation reversal are very rare, patients occasionally think something is wrong when everything is actually just fine. When this happens, it is usually in the first 24 hours and thereafter patient feels fine.
Advantages of Tubal Ligation Reversal Surgery
Some of the advantages of Tubal ligation reversal surgery include:
Less chance of multiple births
Small surgical scar
Risks of Tubal Ligation Reversal Surgery
While tubal ligation reversal surgery is a fairly common and safe procedure, risks are possible and may include:
Infection at the incision site
Allergic reactions to anesthetic
Increased risk of ectopic pregnancy
Tubal Ligation Reversal Alternative
Even if a woman is not able to have her fallopian tubes reversed, there is an alternative method for her to be able to conceive. This alternative method to get pregnant is in vitro fertilization (IVF). The overall time from the beginning of hormonal therapy and embryo transfer is from one to two months. However, the possibility to become pregnant and give birth to a child is significantly lower, compared to tubal reversal, and varies from 39% to 50%.
Tubal Ligation Reversal Surgery in India
Healthcare tourism in India is gaining advantage and remains the world’s top five medical tourism destinations for medical tourists. India has become a centre of medical excellence due to the following factors:
Healthcare in India excels in treatments relating to cardiothoracic surgery, joint replacement, transplants, orthopedic surgery, ophthalmology, and urology to name a few.
Indian medical institutes offer services ranging from general medicine & surgery for many diseases and complications.
English is widely spoken in India and most physicians and nurses speak English in India. All partner hospitals have interpreters for most languages.
The medical expenses in western countries are too high to a common man. In these situations, the Indian medical centers are welcoming the people with their international quality standards. These centers are approved and licensed by the Ministry of Health. The quality standards in these centers are well established and suitable to your needs.
Tubal ligation reversal surgery in India is available in the following cities:
Cost of Tubal Ligation Reversal Surgery in India
The cost of getting the Tubal ligation reversal surgery done in countries like USA and UK is very expensive whereas in India, this can be done at less than half the cost and the patient gets the best possible treatment available. Significantly low cost of Tubal ligation reversal surgery in India is one of the main reasons why this destination is growing popular. Cost of medical care is a fraction of the cost in the US, Canada or Europe (60 to 80 percent less). The cost difference of Tubal ligation reversal surgery in India and other countries is as mentioned in the table:
Tubal Ligation Reversal Surgery in India- Consult Indian Medguru Group
Indian Medguru Group offers the comprehensive medical services to international patients at low cost. Consult Indian Medguru Group for Tubal ligation reversal surgery in India as it’s one of the the fastest growing medical tourism companies in India. Indian Medguru Group will take care of all the arrangements like travelling, finding a surgeon, accommodation and help in visa procedures too. Patient just has to send a query related to the surgery then Indian Medguru Group’s assistants will contact within 24 hours and they will take care of rest of the procedures.
Some of the common countries from which patients travel to India for surgery are: