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