Tubal Recanalization, alternative for a new pregnancy
For what type of cases is Tubal Recanalization used?
The Tubal Recanalization It is a surgical procedure used to reverse the Surgical sterilizationwhich is defined as Uterine Tubal Ligation and It is a definitive contraceptive method. This procedure is performed when you want to have a pregnancy after having had your tubal ligation performed.
How are the chances of success of this procedure determined?
The patients with better prognosis To undergo this surgery are those under 38 years of age where it is known that they have a good ovarian reserve that will allow pregnancy and who are also less than 10 years old since tubal ligation.
The specialist will be evaluated at the first consultation with a thorough medical history and complete physical examinationaccompanied by a Transvaginal Ultrasound that rules out other ovarian and uterine pathologies, since the tubes cannot be seen through conventional ultrasound, unless they are extremely diseased with dilation, fluid or pus inside.
How is the surgery performed?
The surgery is performed in the operating room, under anesthesia through Laparoscopy or a small 5 cm incision. at the level of the pelvis, as if it were a mini cesarean section.
In this way, the organs are visualized and the surgical technique is performed. Subsequently, the sutures are made with very thin material, similar to that used in ophthalmic surgeries, and permeability is checked through the passage of blue liquid.
It is advisable to record a small video showing the repair, because after this procedure it will depend on the healing capacity which is individual for each person.
Like any intervention, The risks are similar to those of other surgeries, such as bleeding or infection. As for the chances of successhe 80% of patients who perform this surgery, who meet the necessary conditions, achieve pregnancy in 1 year, that is, they recover their fertility. However, this procedure may cause a small increase in the rate of Ectopic Pregnancy to 3% compared to 1.5% in the general population.
What care should the patient take after the procedure is performed?
Between the recommended care physical rest is relative, while sexual rest must be absolute. Medications indicated for pain, inflammation, etc. should be taken. It is important to clean the wound and reevaluate it to remove the stitches.