Pregnancy with less tubal length

Tubal reversal is the process of reattaching the fallopian tubes that were separated in the tubal ligation process. It is now completely possible to reverse this procedure for those couples who change their mind and decide that they want to have more children. The advancements made in tubal reversal surgery are very good news for those who wanted to have babies again after a tubal ligation.

In tubal ligation, doctors may clip, burn, tie, or cut the fallopian tubes. To adequately counsel the patient and her partner, we must have the detailed previous report of the tubal ligation surgery. Depending on the type of tubal ligation, we can access how many places the tubes are burned, or how much of the fallopian tube was destroyed. If these details are not mentioned, the tubal reversal success rate will not be as accurately determined prior to the surgery. In order to reattach the tubes, there must be some healthy part of fallopian tube for the tubal reversal. The total length of a fallopian tube is normally about 10cm. At least 5 cm of healthy tube on each side is optimal to conceive again with success rate of as high as 80%. Although pregnancies do occasionally occur with tubal lengths as little as 3 cm.

In the burning procedure of a tubal ligation, the normal practice of doctors is burning of three points of 1 cm each on both fallopian tubes. The process can also be performed with burning of tubes from two points. The success rate of a tubal reversal is directly related to the final length of healthy fallopian tube left after the tubal reversal.

Dr. Morice and his team provide the excellent surgical care that maximizes the chances of a successful tubal reversal. Dr. Morice is an experienced expert in performing tubal reversal surgery with Microsurgical Tubal Reanastomosis (MTR) techniques.

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