Tubal Reversal Surgery - Do They Just Untie My Tubes?

You may wonder what happens during tubal reversalInstead repairs will have to be made and things have
surgery. After all, you know that tubal ligation isto be put together.
referred to as tying your tubes. Does the doctor justIn the typical ligation and resection methods such as
go in and untie your tubes? It's not really that simple.the first method above which is called the Pomeroy,
To understand tubal reversal surgery better let'sthe scarred over ends on each fallopian tube will have
discuss how your fallopian tubes are tied when youto be removed. Just how much is removed during
decide you no longer want children.tubal reversal surgery will depend upon how much
First off you should know that the term tying yourscarring there is and how far it extends away from
tubes came about from the original method of tubalthe original cut ends.
ligation where ligatures were used to tie around theThese new fresh ends must then be reunited. This
fallopian tubes in such a way that a loop was made ininvolves sewing (suturing) together the layers. Did
each tube. It's easiest if you think of the ligatures asyou know your fallopian tubes are made up of three
string or thread tied around a tube.layers?
Then two cuts are made in each fallopian tubesHowever the innermost layer is the key to passing
removing the loop. Since the ligature is absorbable itthe egg down to the uterus as it has cilia which
eventually disappears leaving two cut ends on eachperform this function. Since you want this as whole
tube that have grown over with some of the tissueas possible, Dr. Berger, a renowned tubal reversal
in your abdomen. Other methods used can be evendoctor, does not suture this layer. This minimizes
more complicated. For instance, in a fimbriectomy,scarring within the tube.
the fimbrial end of the tube nearest the ovary isHe does stitch the other two layers together in
removed. That becomes more complicated to repairorder to hold the tube ends together so they can
during tubal reversal surgery.heal into one complete tube. Once healed after your
At any rate, this is why it is not a simple thing totubal reversal surgery, you can then try to get
"untie" your tubes. There really is nothing to untie.pregnant which is the goal after all.