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.
As part of the preparation, your doctor will examine you and take you through a number of investigations. The importance of this step is to establish whether you are fit to have the operation and whether or not it will be beneficial. Both imaging studies and blood tests are usually needed. Among the most important investigation is a test known as hysterosalpingogram (HSG) that is used to check the patency of the remaining tube segments.
The procedure can be safely performed in an outpatient department or fertility clinic. This is because a majority of the cases only require the administration of local or regional (spinal) anesthesia. General anesthesia may be used when complications are expected in which case, inpatient management will be needed. The scar used for ligation is usually used to access the abdomen once more. Other options include laparoscopic surgery and robotic assisted surgery.
One of the main benefits of the laparoscopic procedure is that it results in smaller scars compared to those that are seen with open procedures. Other advantages are that the likelihood of injuring pelvic organs is less and the risk of excessive blood loss is also lower. The main disadvantage is that the space may be too small such that there is a need to 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.
As part of the preparation, your doctor will examine you and take you through a number of investigations. The importance of this step is to establish whether you are fit to have the operation and whether or not it will be beneficial. Both imaging studies and blood tests are usually needed. Among the most important investigation is a test known as hysterosalpingogram (HSG) that is used to check the patency of the remaining tube segments.
The procedure can be safely performed in an outpatient department or fertility clinic. This is because a majority of the cases only require the administration of local or regional (spinal) anesthesia. General anesthesia may be used when complications are expected in which case, inpatient management will be needed. The scar used for ligation is usually used to access the abdomen once more. Other options include laparoscopic surgery and robotic assisted surgery.
One of the main benefits of the laparoscopic procedure is that it results in smaller scars compared to those that are seen with open procedures. Other advantages are that the likelihood of injuring pelvic organs is less and the risk of excessive blood loss is also lower. The main disadvantage is that the space may be too small such that there is a need to 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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