This procedure is also known as a tubal reversal. A woman who has had a previous tubal ligation by clips, rings, or fulguration may be a candidate for a tubal reanastomosis. In this procedure an incision is made into the abdomen to gain access to the fallopian tubes. The ends of the fallopian tubes are then incised to expose the lumen, or opening of the tube. The two lumens of the tube are then carefully reattached under the microscope. Once the tubes themselves are reattached, the outer covering, or serosa, of the tubes are brought together over the top of the inner portion of the tube. Colored dye is then used to test the repair and patency of the fallopian tube.
Pregnancy rates with reanastomosis procedures depend on several factors. The fallopian tubes must remain open, or patent. The next factor is based on a woman's age and other factors that may affect overall fertility. More than 75% of women will be able to conceive following a successful reanastomosis. This number may be higher or lower depending on your individual circumstances. Peak pregnancy rates occur within several months following tubal reversal procedures. An HSG may be used 6 months or more after a reanastomosis to test the tubes to be sure they are still open.
The procedure usually involves an overnight stay. If the admission is below 24 hours, the stay can be called a 23 hour observation and usually represents a significant cost savings. Dr. Zeringue has extensive experience performing tubal reversals. Since 1995, he has been helping women get pregnant through microsurgery. While serving in the Air Force, Dr. Zeringue performed tubal reversals on women from across the United States and even overseas. His perfected technique results in a very high success rate for both completion of surgery and subsequent pregnancy rates. This success combined with minimal discomfort makes tubal reversal an excellent alternative to IVF for many women.
If you would like to discuss your options for tubal reanastomosis or would like to compare reanastomosis to IVF please contact the appointments office to schedule a meeting with one of our physicians. We can answer any questions you may have about your individual situation and help you to decide what your best option may be. If possible, bring copies of operative reports, pathology reports, or any HSG done after the tubal procedure. We can assist you in obtaining these documents if you are uncertain how to obtain them.