How Is Tubal Ligation Reversal Performed?
Depending on the method of tubal ligation that was used previously, it may be necessary to perform a laparoscopy first to assure that adequate tubal length is present for reversal. Laparoscopy requires a small, approximately one-centimeter, incision in the navel through which a lighted telescope can be placed to view the uterus, tubes, and ovaries. Performing a laparoscopy can add ten to twenty minutes to the tubal ligation reversal procedure. Microsurgical tubal reanastomosis is usually performed using a procedure called a mini laparotomy. If adequate tubal length is present to be reconnected, a four centimeter (approximately 2″) “bikini” incision is made just below the pubic hairline and above the pubic bone. Using magnification to enlarge the image of the fallopian tubes, the blocked ends are reopened surgically. The tubes are precisely realigned using a stent, then reconnected using microsurgical sutures. The abdominal incision is closed with stitches, and the patient is discharged
