Reconstruction Tubal (Ligation of Fallopian)

Reconstruction Tubal (Ligation of Fallopian)

Ligation of Fallopian

Ligation of sterilization is the term used to describe many of the various sterilization procedures or ligating the fallopian tubes.

The reconstruction of the tubal ligation is the process by which reconstruct the fallopian tubes “tied” or obstructed in order to restore fertility after ligation. The reconstruction is the best treatment for most women who want to have children after the fallopian tubes tied. This procedure provides an opportunity to try to conceive naturally every month.

The microsurgical techniques for tubal ligation is an outpatient procedure, an hour and without the need to be hospitalized. Most women return to their normal activities within 7 to 10 days. Compared to the normal time of 2 to 5 days of hospitalization and 4 to 6 weeks of recovery.

After a year and more after surgery, 90% of women had their tubes open, and 70% of them had become pregnant. The percentage of pregnancy varies according to the tubal ligation, the length of the tube after the reconstruction and the age of women.

STUDY OF RECONSTRUCTION TUBAL 
Statistics of pregnancy by age and method ligating.

Percentage of pregnancy after tubal reconstruction.

During the study after surgery for tubal reconstruction, 62% of women reported pregnancies.

Statistics by age pregnancy after tubal reconstruction

Young women have a better percentage of pregnant women who leave the biggest. The percentage of pregnancy after surgery ranges from 71% for women under the age of 30 to 40% for women on the 40 or so years (Table 3).

Tabla 3. Pregnancies age
Age Woman’s number Pregnancies (No.) Pregnancies (%)
<30 220 157 71%
30-34 529 355 67%
35-39 507 293 58%
40 131 52 40%
Total 1387 857 62%

Statistics pregnancy by method

The reconstruction is the most successful tubal after procedures ligating by rings or grampas, followed by coagulation and ligating or triangulation. The rate of pregnancy for the last two methods is much smaller. (Table 4)

Tabla 4. Pregnacies by method ligating
Method Women’s number Pregnacies (No.) Pregnacies (%)
Aros/Grampas 352 240 68%
Ligating/Triangulation 548 320 58%
Coagulation 487 297 61%
Total 1387 857 62%


Statistics of pregnancy by age and method of reconstruction after tubal

The percentage of pregnancy according to age and ligating method is shown in Table 5. The highest percentage (74-78%) was reported by women 39 years of age or younger which is sterilized by the methods of hoops or grampas. Of the two variables (age and method ligating), age seems to be the most important factor in predicting the likelihood of pregnancy after tubal reconstruction.

Tabla 5. Pregnancies by age and method ligating
Age Aros/Grampas Ligating/Triangulation Coagulation
<30 43/58 (74%) 62/89 (70%) 52/73 (70%)
30-34 98/126 (78%) 122/205 (60%) 135/198 (68%)
35-39 84/133 (63%) 118/199 (59%) 91/175 (52%)
40 15/35 (43%) 18/55 (33%) 19/41 (46%)


Tubal Microsurgery for Reconstruction

The ligating tubal need not be permanent 

Ligating tubal is considered a permanent sterilization method Women’s and women who are linked them say that this process is irreversible. Sin embargo, in most cases the reversal of sterilization is possible trough microsurgery.

Technical Microquirúrgica tubal reversal 

Microcirujales techniques are used throughout the operation, starting with a small incision above and parallel to the pubic bone. To minimize the trauma to the abdominal muscles, prevents the use of retractors. To minimize the pain, apply a local anesthetic to the skin, muscles and connective tissues. These steps will lessen tissue wounds, the bleeding, post-operative pain and resulting in the rapid recovery of patients after tubal reconstruction. Most of the patients returned to their hotel or home within 2 hours after the tubal reconstruction.

After the reconstruction Tubal 

Although any operation carries some risk, this careful and precise procedure microcirujal anesthesia and the percentage of post-operative complications after tubal reconstruction is less than 0.1%. The success rate for reopening the tubes is about 90%, and two-thirds of pregnant patients arrive to leave from one year after the procedure.

Patients are discharged from our center plus or minus 2 hours after surgery, and most can resume their normal activities between 5 to 10 days. This is better for patients, before the standard method of tubal reconstruction resulting in hospitalization for several days, with a payback period of 4 to 6 weeks and unnecessary costs of the hospital. 

Anatomy of Tube Fallopian

What is ligating fallopian? 

Ligating tubal is the general term to describe the surgical procedure that blocks fallopian tubes to prevent pregnancy.

Sperm enters the pipe tubes to the uterus and eggs fall on the side of the ovary or fimbrial. When the tubes are blocked, sperm and eggs are kept separate and fertilization is prevented.

Ligating means applying a ligature, tie or tie, and tubal ligating is often called “tying” the tube. Many people believe that tying the pipe tubes is like tying a tie or a knot and only you can unleash to restore fertility. To explain this much better, the normal anatomy of a tube tubes is shown on this page, followed by illustrations of the most common ligating tubal.

Anatomy of Tube Fallopian

The tube fallopian is a muscular body and narrow that leaves the sides of the uterus and ends next to the ovary. The inner liner is full of cilia, hair-like projections microscopic which hit by waves and move the egg to the uterus.

The tube fallopian is about 10 cm (4 inches) long and consists of several segments. Starting with the uterus and according to the ovary, are:

  • Interstitial.- passing through the muscle of the uterus
  • Isthmic.– narrow segment of the uterine muscle
  • Ampullary.– segment or part of the wider center
  • Infundibular.– segment as a way to funnel near the ovary
  • Fimbrial.– segment as hair or cilia that compared with ovary

The ligating tubal procedures described in the following pages are: 

  • Pomeroy Technique (tie or cut)
  • Tubal Rings and Clips (rings or grampas)
  • Monopolar and Bipolar Tubal Coagulation (burn or clotting)
  • Parkland and Irving Procedures (tie “and” cut)
  • Fimbriectomy (cut the tube)

“Anastomosis” Tubal Microquirurgical and Implementation Tubal
Rebuilding ligating tubal microsurgical techniques involves opening and reconnecting segments of pipe tubes that remain after the ligating.

Usually there are two segments of pipe tubes – the next segment that emerges from the womb and the distal segment ending with the fimbria next to the ovary.

The procedure to connect these separate parts of the tube is called “micro surgical anastomoses tubo fallopian”, or “tubal anastomosis” for short. 

Other terms used to describe this procedure are:

  • Microsurgical tubal reanastomosis
  • Microsurgical tubal reversal
  • Microsurgical tubal Repair

Anastomosis “Microquirúrgica Tubal 

After opening segments of tubes that have been closed, a “stent” narrow and flexible enhebra carefully by the internal cavities or lumens and the uterine cavity. This ensures that the pipe tubes is open from the uterine cavity until the fimbria. The new openings in pipes that have been created are approximate and retaining suture is placed in the connective tissue under the tubes tubes. This suture retention avoids the likelihood that segments of tubes can be subsequently set aside. 

Microquirúrgicas Sutures are used to precisely align the muscular portion (muscularis) and the outer layer (serous), avoiding the inner layer (mucosa) of pipe tubes. The “stent” to be used for the purpose of maintaining the open tube was removed carefully by hand fimbrial tube. 

Implantation Microquirurgical Tubal 

In a small percentage of cases, the procedure ligating tubal leaves only the distal segment of the pipe and tubes no part of the next segment. This can happen when coagulation “Monopolar” has been applied to the segment “Isthmic” pipe tubes when there is the uterus. In this situation, a new opening is created by the uterine muscle and the rest of the tube was inserted by the uterine cavity.

Tijuana Baja California

José María Velazco 2524, Zona Urbana Rio Tijuana, 22010 Tijuana, B.C.

Email: recepcion@www.clinicadefertilidadtijuana.com

Phone: +(52) 664 334-0674
+(52) 664 634-0673
+(1)   619 732-7924