Tubal recanalization

Many women in order to prevent conception, opt for tubal ligation as a definitive contraceptive method. But many of them repent of this intervention a few years later, because they have a new partner with whom they want to have more children, they lost a son or their lives gave such a big turn that now they think of being mothers again.

It is believed that between 6 and 8% of women who went through a tubal ligation reconsider their decision over time. Even the numbers may be higher, considering that many couples do not know the process of tubal recanalization, and therefore believe that the previous sterilization is an irreversible process.

Reconstruction of the fallopian tubes through surgery is an effective method. This can be achieved through open surgery, with an incision similar to that used to perform a caesarean section or laparoscopic surgery, which is done by small incisions of 5 millimeters in the abdomen for the introduction of surgical tweezers and a Lens, which connects to a video screen that allows you to see and manipulate the organs inside the pelvis.

The most important thing a couple should know before submitting to a tubal recanalization procedure is that it has a number of conditions to ensure its success. Some of them are:

  • The woman must be less than 37 years old.
  • Tubal ligation must have been practiced less than a decade ago.
  • It should be taken into account what was the method used in the tubal ligation, because in some cases, the Doctor makes a section (or cut) of a large part of the trunk, which makes it very difficult to reconnect both ends of it.

In the hands of skilled and well trained personnel, the possibility of the tubes being permeable and functional again is approximately 50 to 60%. If this is achieved, the chance to get a pregnancy spontaneously is very good.

Sometimes the tubes do not recover good functionality and/or remain obstructed despite the attempt to rebuild. This usually happens when they are very deteriorated as a result of the technique used for ligation, in which a long portion of the tube has been resected or cauterized.

Generally, the process of recanalization of the fallopian tubes is a simple, ambulatory process with minimal risks for the patient and with a fairly rapid recovery.

It should be noted that after tubal reconstruction, there is an increased risk of having an ectopic pregnancy (pregnancy outside the cavity of the uterus) in the fallopian tube, because narrowness may occur in the duct or alterations affecting transport. Of the embryo in its normal route through the fallopian tube, as a result of the healing process.

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