Tubal Ligation Reversal

Tubal Ligation Reversal Surgery in India - Step-by-Step Procedure

Tubal ligation reversal is a procedure to restore fertility after a previous sterilisation operation. This short explains the surgical steps involved in reconnecting the fallopian tubes.

The goal of the surgery

The aim of a tubal reversal is to allow you to become pregnant naturally again.

• Restore fertility. The surgery reconnects the fallopian tubes so that an egg can travel from the ovary to the uterus.
• Reverse the ligation. The surgeon removes any clips, rings, or blocked segments from the original procedure.
• Enable natural conception. A successful reversal allows sperm to meet the egg in the fallopian tube, which is where conception normally happens.

The surgical procedure

The operation is a delicate microsurgery performed under general anaesthesia.

• Making an incision. The surgeon usually makes a small horizontal incision in the lower abdomen, often called a 'bikini cut', to access the reproductive organs.
• Preparing the tubes. The surgeon examines the fallopian tubes, removes any clips or rings, and trims away any scarred or damaged tissue from the blocked ends.
• Reconnecting the ends. Using very fine, dissolvable stitches, the surgeon carefully sews the healthy ends of the fallopian tube back together.
• Confirming the repair. A dye may be passed through the tubes to ensure they are open and that there are no leaks before the incision is closed.

Factors affecting success

The chance of becoming pregnant after a reversal depends on several factors.

• Your age. Age is a key factor in female fertility, both with and without surgery.
• The original procedure. The type of tubal ligation you had is important. Reversals are often more successful if less of the tube was damaged or removed.
• Remaining tube length. The length and health of the fallopian tubes after they are reconnected will influence the chances of success.
• Other fertility factors. Your overall reproductive health, and that of your partner, also play a role.

Suitability for tubal ligation reversal is decided on a case-by-case basis. A specialist can advise on your individual chances of success after reviewing your medical history, the details of your original procedure, and recent test results.