Laparoscopic Tubal Reanastomosis

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Now more than ever, couples who have previously had a surgical sterilisation are opting to have the procedure reversed, in an effort to start a family with a new partner or have another baby later in life.

Laparoscopic Tubal Reanastomosis (reversal of Tubal Sterilisation) is the procedure performed on women to re-join separated or clipped uterine (Fallopian) tubes. Many couples who have been surgically sterilised think that IVF is their best hope for starting a family, however there are a lot of benefits to a reversal. For anyone over the age of 40, the success rates for IVF are much lower than if you were younger. With reversal of tubal ligation, studies have shown reversal of tubal sterilisation to be more successful, with a higher cumulative pregnancy rate. The procedure can also be more affordable than IVF.

All tubal sterilisation reversal procedures at Eve Health are performed by experienced laparoscopic surgeons, under general anaesthetic. They are generally performed laparoscopically, meaning you’ll be left with small incisions similar to when the original sterilisation was done. In most cases, patients can go home on the same day. The tubal remnants, which are about the thickness of a strand of spaghetti are reopposed and repaired in layers with sutures (less thick than the size of a human hair), utilising either a magnified laparoscopic view or an operating microscope.

The chance of conception after this procedure is reported as four out of five (80%), but this depends on your age and the condition of the tube. The risk of ectopic (tubal) pregnancy after a reversal procedure is reported at around one in twenty cases (4%). Some women may not be suitable for the procedure as most or all of the tubes may have been removed in the sterilisation procedure.

Your Eve Health Gynaecologist will request a copy of your previous sterilisation operation to ascertain if you are suitable candidate for a reversal procedure.