| Tubal ligation is a sterilization surgery done to create | | | | undamaged tubal segments as possible because the |
| blocked tubes. This procedure is for women who | | | | longer the joined tube is the better the chances of |
| have decided that they do not want any more | | | | the patient becoming pregnant after the surgery. |
| children. However, there is a percentage of women | | | | In a fimbriectomy, the surgeon will also have to |
| who have gone through this surgery who eventually | | | | rebuild the fimbrial end of the tube. This is the part of |
| decide they want to have another child. The way to | | | | the tubes nearest the ovary which "catches" the egg |
| reverse the blocked tubes is by tubal ligation reversal | | | | as it is released and sends it down the tubes. In a |
| surgery. | | | | fimbriectomy, the end is removed and sutured shut |
| Tubal ligation reversal is a surgical procedure whereby | | | | creating the blocked tubes. The tubal ligation reversal |
| the damage done to the fallopian tubes is repaired. | | | | procedure not only must remove this tubal blockage, |
| Simply put, the damaged portion of the blocked | | | | it must create a new fimbrial end by, essentially, very |
| tubes is removed and then the remaining good | | | | carefully turning the fallopian tube inside out so the |
| segments of the fallopian tubes are then sutured | | | | cilia inside is now on the outside giving it a better |
| together. | | | | chance of catching the eggs. |
| In practice, it is a bit more complicated than that. | | | | When the Essure device is used, it is inserted into |
| First off there are different forms of tubal ligation. | | | | the fallopian tube where it connects to the uterus |
| These forms include coagulation/cauterization, rings | | | | with part sticking out in the uterus. The aim of the |
| and clips, ligature techniques, fimbriectomy, and even | | | | device is to create blocked tubes with the scar |
| the newer Essure method. Each of these involves | | | | material formed around the device. To do a tubal |
| different types of damage to the fallopian tubes. In | | | | ligation reversal here, the device and all the scarring |
| the case of the Essure method, the uterus is | | | | must be removed, the area sewn up and then the |
| unfortunately involved as well. | | | | part of the fallopian tubes remaining must then be |
| Whatever the form of damage, however, the tubal | | | | connected to the uterus through a new opening. |
| ligation reversal surgeon has to determine the extent | | | | There have only been a couple tubal ligation reversal |
| of the damage caused by the blocked tubes. The | | | | procedures done on the Essure device as it is a |
| effort is made to leave as much of the remaining, | | | | relatively new sterilization method. |