Tubal ligation retrieval is a procedure performed to restore the ability to fertilize women who have had their fallopian tubes closed or blocked to prevent pregnancy.
During the tubal ligation retrieval operation, the blocked fallopian tubes are reconnected to each other, allowing the sperm passing through the fallopian tubes to reach the ovaries.
Tubal ligation surgery is much more likely to be successful, as operations to the fallopian tubes via tube clips or rings cause less damage. If the Essure and Adiana systems close the fallopian tubes, it is not possible to open these pathways with tubal ligation. In such cases, the in vitro fertilization (IVF) method may be an option. With the IVF method, eggs taken from the ovary can be fertilized in the laboratory and placed in the uterus.
Why is Tubal Ligation Reversal Done?
Tubal ligation retrieval operation enables women who have previously had tubal ligation to become pregnant again without the need for any medical support. You may regret the tubal ligation operation for many reasons:
Being very young at the time of the operation
Having an operation in a year of birth
Marriage
Lack of knowledge about tubal ligation and different birth control methods
Having undergone an operation with peer pressure due to health problems
Tubal reattachment may not be suitable for everyone. By considering the following situations, your doctor will determine whether tubal ligation retrieval is suitable for you and whether it will be successful:
Your age and body mass index
Tubal ligation type
Damage to the fallopian tubes
Remaining tubal length
Other fertility factors such as sperm and ovary quality
The retrieval operation can only take place if most of the tubes are healthy. If your fallopian tubes are blocked with a method such as a clip or ring, the operation has a much greater chance of being successful than the technique of closure by burning. Tubal ligation techniques such as Essure and Adiana techniques are irreversible.
What are the risks?
Even if the retrieval operation was successful, it will not guarantee that you will get pregnant. The rate of getting pregnant in people who have undergone the operation varies between 30 and 85 percent, depending on age and other factors.
Since the retrieval operation is a surgical operation, it may cause problems such as infection, bleeding, damage to nearby organs, as well as problems arising from anesthesia.
If you have concerns after tubal ligation retrieval, there is a 2 to 7 percent chance of an ectopic pregnancy. In an ectopic pregnancy, the pregnancy develops outside the womb, often in the fallopian tube.
How do you prepare?
Before tubal ligation retrieval surgery, your doctor may:
It will explain the details of the procedure
It will talk about your chances of being successful and getting pregnant after the procedure.
He or she will discuss other methods of pregnancy, such as IVF, with you.
What can you expect?
After tubal ligation retrieval, you have the choice of staying in the hospital or being discharged. The operation takes an average of 1-3 hours.
During the procedure
During a retrieval operation, small incisions are made in your abdomen (minilaprotomy) to expose your uterus, fallopian tubes, and ovaries. The fallopian tubes are joined with small sutures at microscopic levels and the blocked pieces are removed. Remember, it may not be possible to join all of your fallopian tubes that were closed during the tubal ligation operation.
After the procedure
The recovery period may take several weeks after the surgery.
After the operation, you should avoid the use of aspirin as it may cause bleeding. After the operation, you should protect the area from squeezing and rubbing. You can wash 48 hours after the operation. After showering, you need to dry the area.
Avoid sexual intercourse and lifting weights for two weeks. Once you start to feel better, you can return to your daily activities. Your stitches will dissolve without the need for removal. Make an appointment with your doctor one week after surgery. So you can be sure that you are healing properly.
