What is a Tubal Reversal?
Tubal reanastomosis is an outpatient surgical procedure that involves the previously cut fallopian tubes and the attempt in suturing them back together. This is to hopefully allow a woman to again become pregnant by once again allowing the egg (ovum) to unite with the sperm and allow a fertilized egg to pass through into the uterus.
How do I prepare for a tubal reversal?
You will have this procedure in the outpatient surgery center. You will not be able to eat or drink anything after midnight the day before your surgery. This procedure is done laparoscopically. If you are taking any medications, you should discuss these with your doctor to see when you should stop them.
What should I expect during the procedure?
You will be given general anesthesia which will put you to sleep. One incision will be made in the umbilicus (belly button) and three small incisions will be made in the lower abdomen. Gas is pumped into the abdomen in order to help Dr. Hardy see the uterus, ovaries and fallopian tubes. A laparoscope is a telescopic instrument that is used to locate the fallopian tubes. Once the tubes are exposed, Dr. Hardy will attempt to suture the tubes back together again. The skin is closed with sutures that will dissolve and steristrips on the outside that may be removed after 1 week.
What should I expect after the procedure?
You will be moved to the recovery room while the anesthesia is wearing off. Your pain will be controlled with pain medications and any side effects will be addressed. You will be able to go home that day if you were scheduled for an outpatient surgery.
You may experience pain that radiates to your shoulder. This is caused from the gas that was used during the procedure. You may use an electric heating pad, drink warm beverages and walk to help alleviate this pain. You may bathe and shower as usual. You may wash the incision gently with mild unscented soap.
You will be given prescription pain medication to use for 2 to 7 days after the procedure. A stool softener may also help alleviate or prevent constipation. You will be given 2 weeks to recover from the procedure. Avoid sex or exercising until your postoperative appointment. You may resume driving after you are not taking any narcotic pain medication.
What are the risks of the procedure?
Some of the risks associated with a tubal reversal are:
- Inadvertent injury to surrounding structures including the bowel, bladder, uterus, ovaries.
- Infection or bleeding
- Complications from anesthesia
- Allergic reaction to any medications used during and after the procedure
- Higher risks for ectopic pregnancies.
When should I call the office?
Call the office right away if:
- You have heavy bleeding from your uterus (you need more than 1 pad or tampon per hour or the bleeding is heavier than your menstrual flow).
- You develop a fever over 100°F (37.8°C).
- You develop headache unrelieved with Tylenol, ibuprofen or narcotic pain medication, muscle aches, dizziness or a general ill feeling.
- You have severe abdominal pain or abdominal pain that continues even after you take acetaminophen or aspirin.
- You have pain, swelling, redness, drainage or bleeding increases in the surgical area
- You experience nausea, vomiting, constipation or abdominal swelling or other unexplained symptoms.