Tubal ligation is considered a permanent form of contraception for women. The procedure entails the interruption of Fallopian tube continuity which effectively prevents the interaction between the sperm and the ovum. In rare circumstances, a number of people rescind their decision to have the procedure due to one reason or the other and request that it be reversed. If they find themselves in such a situation, there are a number of things on tubal reversal Louisiana residents should know.
There are several methods used in interrupting Fallopian tube patency. Some of the most commonly used techniques in Morgan city include burning with electric current (also known as cauterization), tying of the tubes together, and the use of clips. While the results are more or less the same regardless of the technique used, one should remember than some techniques are more challenging to reverse than others.
During the preparation stage, you will be taken through a full medical checkup. This is to ascertain that you are indeed fit to undergo the procedure. It also gives the surgeon an opportunity to determine whether the procedure will be beneficial. You may be taken through a number of investigations that include radiological images as well as blood tests. The hysterosalpingogram is one of the most important images that are used.
The reversal procedure is typically performed in the outpatient setting (fertility clinic). Local or regional anesthesia are usually used but general anesthesia may be required if complications are anticipated. The same incision used to perform the ligation procedure is used to access the pelvic cavity once more. The current trend is to use a laparoscopic approach involving the use of small incisions. Another option that may be used is robotic assisted surgery.
There are a number of advantages that the laparoscopic and robotic approaches have over the open procedures. One of them is the fact that since the required incision is small, the resultant scars are also small. Other advantages include less bleeding and a lower risk of damage to pelvic structures. The major disadvantage is that the space is at times too small for some surgeons such that they have to significantly increase the size of incision.
While age is not a determinant of successful reversal, it does affect fertility. The earlier one undergoes the corrective procedure, the higher the chances of success. Young women have a success rate of about 85% while the rate on older women is as low as 40%. Another important determinant is the duration of time between ligation and reverse. The longer the time, the lower the rate of success. Other factors include the length of tubes and amount of scar tissue in the pelvis.
There are a number options that one can consider if the procedure fails to restore fertility. The options are generally referred to as assisted reproduction techniques. Among the most commonly used options is in vitro fertilization, IVF. It refers to the fertilization of an egg outside the body and the subsequent implantation into the uterus artificially.
The time that one needs to recover from the procedure depends on a number of factors. These include the technique and the type of anesthesia used. In case of general anesthesia, you may be retained in hospital for about 24 hours before being discharged. In case of the laparoscopic technique (and regional anesthesia), one can go home on the same day.
There are several methods used in interrupting Fallopian tube patency. Some of the most commonly used techniques in Morgan city include burning with electric current (also known as cauterization), tying of the tubes together, and the use of clips. While the results are more or less the same regardless of the technique used, one should remember than some techniques are more challenging to reverse than others.
During the preparation stage, you will be taken through a full medical checkup. This is to ascertain that you are indeed fit to undergo the procedure. It also gives the surgeon an opportunity to determine whether the procedure will be beneficial. You may be taken through a number of investigations that include radiological images as well as blood tests. The hysterosalpingogram is one of the most important images that are used.
The reversal procedure is typically performed in the outpatient setting (fertility clinic). Local or regional anesthesia are usually used but general anesthesia may be required if complications are anticipated. The same incision used to perform the ligation procedure is used to access the pelvic cavity once more. The current trend is to use a laparoscopic approach involving the use of small incisions. Another option that may be used is robotic assisted surgery.
There are a number of advantages that the laparoscopic and robotic approaches have over the open procedures. One of them is the fact that since the required incision is small, the resultant scars are also small. Other advantages include less bleeding and a lower risk of damage to pelvic structures. The major disadvantage is that the space is at times too small for some surgeons such that they have to significantly increase the size of incision.
While age is not a determinant of successful reversal, it does affect fertility. The earlier one undergoes the corrective procedure, the higher the chances of success. Young women have a success rate of about 85% while the rate on older women is as low as 40%. Another important determinant is the duration of time between ligation and reverse. The longer the time, the lower the rate of success. Other factors include the length of tubes and amount of scar tissue in the pelvis.
There are a number options that one can consider if the procedure fails to restore fertility. The options are generally referred to as assisted reproduction techniques. Among the most commonly used options is in vitro fertilization, IVF. It refers to the fertilization of an egg outside the body and the subsequent implantation into the uterus artificially.
The time that one needs to recover from the procedure depends on a number of factors. These include the technique and the type of anesthesia used. In case of general anesthesia, you may be retained in hospital for about 24 hours before being discharged. In case of the laparoscopic technique (and regional anesthesia), one can go home on the same day.
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