How Is Tubal Reversal Performed?

Both John E. Nichols, MD, John F. Payne, MD and Travis C. McCoy, MD of Piedmont Reproductive Endocrinology Group (PREG) perform tubal reversals. A tubal reversal (also called microsurgical tubal anastomosis or tubal reanastomosis) involves microsurgical techniques to open and reconnect the fallopian tube segments that have been previously ligated. After opening the blocked ends of the remaining tubal segments, the newly created tubal openings are then placed together with a retention suture in the connective tissue (mesosalpinx) that lies beneath the fallopian tubes. The retention suture prevents the tubal segments from pulling apart. Microsurgical sutures (very fine sutures that are thinner than a human hair) are then used to precisely align the muscular portion (muscularis) and outer layer (serosa), while avoiding the inner layer (mucosa), of the fallopian tube. During this part magnifying glasses (operating eye-loops) are used to magnify the operative site and allow accurate alignment of the tubal segments.

In order to minimize post-op discomfort, reduce formation of scar tissue, and shorten your recovery time, we perform your tubal reversal through a small incision right above the pubic hair line that is 3-5 inches long (bikini-incision). Gentle tissue handling and not using mechanical retractors also help to minimize your post-op recovery pain and increase your chances for pregnancy success.

The tubal reversal procedure generally takes 2-3 hours and is performed in our fully accredited Piedmont Reproductive Endocrinology Group Surgery Center located in Greenville, SC. This out-patient procedure does NOT require a hospital stay or hospital expense. Most women return to their normal activities within 5 to 10 days, compared with the standard 2 to 5 day hospital stay and 4 to 6 weeks recovery period after in-patient tubal reversal surgery.