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A Tubal Ligation Reversal is a procedure to restore fertility after a woman has had a tubal ligation — when the fallopian tubes are cut or blocked to permanently prevent pregnancy.
The fallopian tube is a muscular organ extending from the uterus and ending next to the ovary. Sterilization procedures that cause the least amount of damage to the fallopian tubes are the most likely to allow successful tubal ligation reversal. A tubal ligation reversal can allow a woman who had a tubal ligation to get pregnant without further medical assistance.
A tubal ligation reversal is more likely to be successful if there is still a large proportion of healthy tube.
Laparoscopic Tubal Reversal is a minimally-invasive surgical procedure (laparoscopy), using small, specially-designed instruments to repair and reconnect the fallopian tubes. Patients are seen between 5–7 days after the operation to look at the small incisions and remove any stitches if necessary.
Patients should wait two to three months prior to attempting pregnancy in order to give the tubes a chance to heal completely.

When performed by a trained laparoscopic tubal reversal surgeon, laparoscopic tubal reversal combines the success rates of micro-surgical techniques with the advantages of minimally-invasive surgery – namely faster recovery, better healing, less pain, fewer complications, and no large disfiguring scars.
During a tubal ligation reversal, the blocked segments of the fallopian tubes are reconnected to the remainder of the fallopian tubes, allowing eggs to again move through the tubes and sperm to travel up the fallopian tubes to join an egg.
If your fallopian tubes were originally blocked by clips or rings, the tubal ligation reversal is more likely to be successful than if segments of your fallopian tubes were burned in order to close them off (electrocautery).
These include the women's ages, methods of tubal ligation that they had performed, experience of the surgeon and techniques for repairing the tubes, length of follow-up after reversal surgery among other factors.
After general anesthesia has been administered, a 10mm (less than ?-inch) tube (trocar) is inserted just at the lower edge of the navel, and a special gas is pumped into the abdomen to create enough space to perform the operation safely and precisely.
Most of the time, the few stitches that were placed will be under the skin and will be absorbed by the body, without need for removal. Trying to conceive before could result in an increased risk of ectopic pregnancy (pregnancy inside the fallopian tube instead of in the uterus). Because of the way the Essure and Adiana systems seal off the fallopian tubes, it's generally not possible to reopen the fallopian tubes after these procedures. Some types of sterilization, such as the Essure and Adiana systems, are not considered reversible.
The laparoscope (a telescope), attached to a camera, is brought into the abdomen through the same tube, and the pelvis and abdomen are thoroughly inspected.

Hemostasis was achieved by precise electrocoagulation by bipolar cautery and injection of diluted vasopressin to mesosalpinx. These are microscopic hair-like projections that beat in waves that help move the egg or ovum to the uterus in conjunction with muscular contractions of the tube.   The fallopian tube is normally about 10 cm (4 inches) long and consists of several segments.
Even if tubal ligation reversal is successful, it doesn't guarantee that you can become pregnant. The fallopian tubes are evaluated and the obstruction (ligation, burn, ring, or clip) is examined. IVF involves retrieving eggs from the ovary, fertilizing them in a laboratory and implanting them in the uterus. Three small instruments (5mm each, less than ?-inch) are used to remove the occlusion and prepare the two segments of the tube to be reconnected. Once the connection (anastomosis) is completed, a blue dye is injected through the cervix, traveling through the uterus and tubes, all the way to the abdomen. This is to make sure the tubes have been aligned properly and that the connection is working well.

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