For many women who do not want further children, tubal ligation is the preferred procedure. Thankfully with tubal reversal, the women can now counter the process and still have children again. It is a general feeling that tubal ligation means tying the tubes. So do you think tubal reversal is as simple as just untying them? Things are a little more complicated than that. It is meaningful to discuss how fallopian tubes are tied when women do not want any more children.
Tubal ligation is an original method whereby the fallopian tubes are tied around with ligatures giving rise to loops in each tube. The loops are then removed by making two cuts in each fallopian tube. The ligature gets absorbed after some time and finally disappears altogether. Two cut ends on each tube are just left behind. Another method which is used is fimbriectomy in which the fimbrial point of the tube adjacent the ovary is eliminated. Tubal reversal surgery process is relatively difficult to apply in such a case. Hence it is a bit complicated to “untie” your tubes as there is nothing to “untie”. The process then involves making repairs and putting things together.
The scarred around ends on the tubes need to be removed in the method above that is categorized under the typical ligation and resection methods. The amount of scarring and how far it stretches away from the original cut ends determines how much is to be removed during tubal reversal surgery. The fresh ends should then be reconnected by stitching together the layers of the fallopian tubes which number three in total. The layer on the most inner side has cilia which facilitates the passing down of egg to the uterus. It is for this reason that this layer is not stitched by a competent tubal reversal doctor, Dr. Berger. However, he sutures the other two layers to keep the tube ends jointly. This makes the tube ends healed into one complete tube allowing pregnancy to take place.