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Wednesday 4 May 2016

Basics Relating To Tubal Reversal Louisiana Residents Should Understand


By Pamela Jones


One of the most effective forms of contraception that exists today is tubal ligation. It is achieved through a procedure that involves the blockage or cutting of both fallopian tubes. The result of this is that there is interruption in the interaction between the sperm cell and the ovum and consequently, fertilization cannot take place. Some women who have had the procedure may request that it be reversed in a bid to restore their fertility. There are some things related to tubal reversal Louisiana clients need to know.

There are several techniques that can be employed in achieving tubal ligation. Those that are commonly used in Morgan city include sealing using clips, tying using surgical sutures and cauterizing using an electric current. The method that is employed is mainly determined by the preference of the surgeon and the patient. It is important to bear in mind that some techniques are easier to reverse than others.

As part of the preparation, your doctor will examine you and take you through a number of investigations. The importance of this step is to establish whether you are fit to have the operation and whether or not it will be beneficial. Both imaging studies and blood tests are usually needed. Among the most important investigation is a test known as hysterosalpingogram (HSG) that is used to check the patency of the remaining tube segments.

The reversal procedure is typically performed in the outpatient setting (fertility clinic). Local or regional anesthesia are usually used but general anesthesia may be required if complications are anticipated. The same incision used to perform the ligation procedure is used to access the pelvic cavity once more. The current trend is to use a laparoscopic approach involving the use of small incisions. Another option that may be used is robotic assisted surgery.

One of the major advantages of the laparoscopic and robotic techniques over the open procedure is that the resultant scar is smaller. Others are that there is minimal bleeding and the risk of pelvic organ damage is lower. The main downside is that there is a small space through which to operate which may necessitate an enlargement of the incision. The average time for the operation is between two and three hours.

Although age does not directly affect the success of this operation, it has an influence on the fertility in general. The chances of having a pregnancy after the operation are higher in younger women (about 85%) compared to older women (about 40%). The success rate is also influenced by the length of time between the ligation and the reversal. The longer one waits, the less likely they are to succeed.

There are a number of options that can be considered if the procedure fails to yield the required results. In vitro fertilization, IVF, is a form of assisted reproduction that can be considered by persons who have Fallopian tube problems. In this technique, the sperm and the egg undergo fertilization outside the body and the embryo is then artificially introduced into the uterus.

One can go home on the same day that they are operated but an overnight stay is usually needed in case general anesthesia is used. A few days are required for one to recover from the effects of the operation. The exact time depends on the technique that was used. Long term complications include infections and an increased risk of ectopic pregnancies.




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