Monday, June 25, 2018

A Few Essentials On Tubal Reversal Surgery

By Karen Morris

The fallopian tubes is one of the critical parts of the female reproductive system. It provides a platform for ovum and sperm to merge and the end product to be transported to the uterus for implantation. When these tubes are tied on either side, the women may not be able to conceive because the reproductive anatomy has been interfered with. Tubal reversal surgery helps to counteract infertility for most women in the reproductive age group.

Not every woman with ligated tubes is fit for this kind of operation. A thorough evaluation is usually needed before any major decisions are made. The doctor will ask the patient a number questions in a bid to determine their reproductive history and to establish why the process is necessary. A history of previous pelvic operations is particularly important. Such operations are necessitated by conditions such as ectopic pregnancies, pelvic inflammatory disease and even operative deliveries.

A focused physical examination is necessary in ruling out other causes of infertility such as an intact hymen or an incompetent cervix. Examination also helps to pick up any existing infections which need to be treated first before operation. Some of the priority investigations performed following physical examination include a pelvic ultrasound and a special procedure called a hysterosalpingogram (HSG). These two combined help determine the status of the oviducts in terms of length and functionality.

Pinhole surgery is an alternative to open method for reversal. The only disadvantage of this method is that it takes times to be mastered. The good thing about it is that it is of short duration and does not invade the tissues too much. The patient is put to sleep through anaesthesia to ensure they are not traumatized by the procedure.

The chances of success in the reversal operation depends on a number of factors. Studies have shown that women above the age of forty stand a lower chance of getting pregnant even after reversal surgery. Women who have several previous surgeries tend to have massive adhesions in their pelvic cavities which may result in obstruction. In addition, if there were other unsorted infertility issues, pregnancy may be difficult to achieve. Skill and experience of the surgeon is also counts a major determinant to the overall success.

Comparable to other surgeries, reversal surgery can complicated with excessive blood loss, neighbouring soft tissue injury and infection which may develop later on. In the long run, fibrous tissue may form causing obstruction again. Ectopic pregnancies are also much more among women who have had their tubes untied.

Infection can be prevented by use of antibiotics prior to surgery. Also, the healthcare team needs to be diligent in maintain cleanliness during and after the operation. A full hemogram is normally done to check the fitness of the patient for the procedure. If they have reduced blood volume, they need to be transfused first in anticipation of bleeding that occurs intraoperatively.

Tubal restoration operation is a procedure that has restored the hope of many who wish to have more children after surgical contraception . However, certain factors including old age, and complications of previous surgeries reduce the chances of success. Technical errors also lower success rates. Reversal can be done directly using the open method or through the use of keyhole surgeries.

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