Fallopian Tube Reconstruction
Reconstructing the fallopian tubes may be necessary if you have previously damaged them. The most common cause of this damage is an intentional tubal ligation.
Tubal ligation is a permanent sterilization done via surgery. During tubal ligation, the fallopian tubes on both the right and left side of the uterus are separated in one of several manners. The goal of fallopian tube reconstruction, or tubal anastomosis, is to repair the tubes so that you once again have the possibility of conceiving. This is done using surgery to gain access to your fallopian tubes. It may be possible to use either a laparoscope or a laparotomy procedure for your repair. Then the ends of the damaged tubes on both sides are reconstructed and repaired with materials that will dissolve. Once this part of the surgery is done, your tubes will be tested to make sure that they are open, or “patent.”
You should always talk to your care providers about their experiences with this surgery. Their success rates may vary, but the average success rate is about a 70 percent pregnancy rate. The goal of this surgery is to prevent the need for other procedures — so if this surgery is successful, you won't need to repeat this if you want to have more than one pregnancy.
When you achieve a pregnancy after a previous tubal ligation or after the repair, you are at an increased risk of having a tubal pregnancy because of minute scarring in the tubes. Be sure to report your pregnancy immediately to your care provider so that you can be screened for signs of tubal pregnancy.
If you are over forty, your doctor may advise you to skip the tubal repair and just do in vitro fertilization. This is also an option if your surgeon is unable to help you achieve patent fallopian tubes.