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Tubal reversal
is the process of reattaching the fallopian tubes that were separated
in the tubal ligation process. It is now completely possible to reverse
this procedure for those couples who change their mind and decide that
they want to have more children. The advancements made in tubal reversal surgery are very good news for those who wanted to have babies again after a tubal ligation.
In
tubal ligation, doctors may clip, burn, tie, or cut the fallopian
tubes. To adequately counsel the patient and her partner, we must have
the detailed previous report of the tubal ligation surgery. Depending
on the type of tubal ligation, we can access how many places the tubes
are burned, or how much of the fallopian tube was destroyed. If these
details are not mentioned, the tubal reversal
success rate will not be as accurately determined prior to the surgery.
In order to reattach the tubes, there must be some healthy part of
fallopian tube for the tubal reversal.
The total length of a fallopian tube is normally about 10cm. At least 5
cm of healthy tube on each side is optimal to conceive again with
success rate of as high as 80%. Although pregnancies do occasionally
occur with tubal lengths as little as 3 cm.
In
the burning procedure of a tubal ligation, the normal practice of
doctors is burning of three points of 1 cm each on both fallopian
tubes. The process can also be performed with burning of tubes from two
points. The success rate of a tubal reversal is directly related to the
final length of healthy fallopian tube left after the tubal reversal.
Dr.
Morice and his team provide the excellent surgical care that maximizes
the chances of a successful tubal reversal. Dr. Morice is an
experienced expert in performing tubal reversal surgery with Microsurgical Tubal Reanastomosis (MTR) techniques.
tubal reversal
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