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.
Preoperative preparation entails taking a good history to be able to medically know the patient better. Simple things like the name, age, residence and whether they are married or not should not be assumed. Obstetric and gynecological history is also key. The patient should tell doctor how many deliveries they have had and whether they were done vaginally or through an operation. In addition, information regarding how many pregnancies have been lost is important. In light of this, the doctor striking and good rapport with the woman goes a long way in getting detailed medical information.
The doctor needs to do a focused physical examination to determine the stability of the patient for the planned operation. Certain investigations including blood tests and imaging studies are also required just as is the case with many other operations. The commonest imaging technique utilized is a pelvic ultrasound. A pelvic radiographic film with contrast enables the gynecologist to know the remaining size of oviducts and whether or not they can be modified to start working normally again.
Surgery can be performed in two main ways; laparoscopic or open. Laparoscopy has the advantage of being both diagnostic and therapeutic. It also takes a shorter time to perform and is less invasive. The aim of surgery is to unclip the tied tubes and to reconnect the open ends. General anaesthesia is needed for this surgical procedure to occur without pain and muscle spasms.
One of the common factors that may render the operation useless is age. Women below the age of forty stand a better chance of conceiving than those above. A history past pelvic operations causes and increase in adhesion formation which may end up clogging the tube again. Moreover, couples with other underlying issues with their fertility have very little chance of success in pregnancy if these are not sorted out.
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.
Preoperative preparation entails taking a good history to be able to medically know the patient better. Simple things like the name, age, residence and whether they are married or not should not be assumed. Obstetric and gynecological history is also key. The patient should tell doctor how many deliveries they have had and whether they were done vaginally or through an operation. In addition, information regarding how many pregnancies have been lost is important. In light of this, the doctor striking and good rapport with the woman goes a long way in getting detailed medical information.
The doctor needs to do a focused physical examination to determine the stability of the patient for the planned operation. Certain investigations including blood tests and imaging studies are also required just as is the case with many other operations. The commonest imaging technique utilized is a pelvic ultrasound. A pelvic radiographic film with contrast enables the gynecologist to know the remaining size of oviducts and whether or not they can be modified to start working normally again.
Surgery can be performed in two main ways; laparoscopic or open. Laparoscopy has the advantage of being both diagnostic and therapeutic. It also takes a shorter time to perform and is less invasive. The aim of surgery is to unclip the tied tubes and to reconnect the open ends. General anaesthesia is needed for this surgical procedure to occur without pain and muscle spasms.
One of the common factors that may render the operation useless is age. Women below the age of forty stand a better chance of conceiving than those above. A history past pelvic operations causes and increase in adhesion formation which may end up clogging the tube again. Moreover, couples with other underlying issues with their fertility have very little chance of success in pregnancy if these are not sorted out.
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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