Tubal ligation recanalization

With the opening of the two-child policy, many families have considered having a second child. At the same time, we know that the country implemented family planning before this, and many women in their childbearing period had ligation for various reasons. Therefore, only by undergoing tubal ligation and recanalization could they become pregnant again. Based on this, this article mainly discusses the issues related to tubal ligation and recanalization, hoping to provide some help to women who are planning to have children.

1. The role of tubal ligation and recanalization

Because female infertility is mainly caused by ovarian ovulation disorder, followed by fallopian tube dysfunction. Older women who have undergone tubal ligation and are remarried have no choice but to seek help from obstetricians and gynecologists to "restart their lives." Therefore, the problem of tubal recanalization after tubal ligation has gradually become a social problem. There are currently two main methods of tubal ligation. One is to "seek a way out", which means undergoing microsurgical reconnection of the fallopian tubes. Due to tubal ligation, many people mistakenly believe that they can restore the ability to conceive naturally by simply "loosening" the fallopian tubes. This is a wrong perception. A normal fallopian tube is about 8 to 10 centimeters long from the uterine end to the fimbria, and the diameter ranges from the thinnest 0.1 centimeters to 1.0 centimeters. Because the ligation surgery will first tie the fallopian tube with silk thread, cut it and use electric cautery to destroy the inner diameter and stop bleeding, or even remove the entire fallopian tube. Therefore, whether the fallopian tubes can be restored after ligation depends on the extent of the operation.

If it is a small-scale tubal ligation surgery, laparoscopy can be performed to assess the feasibility of surgery before the recanalization surgery. If the fallopian tube is severely edematous and deformed and is less than 4 cm long or the fimbria has been removed, microscopic reconnection of the fallopian tube must be abandoned. When the doctor performs tubal ligation recanalization surgery, he first removes the two ends of the fallopian tube at the ligation site, then aligns the inner tubes on both sides, and then sews them together with 4 to 8 very fine sutures. In addition, the location of tubal ligation, the degree of edema and damage, the diameter of the fallopian tubes at both ends, the remaining length of the fallopian tube, and the surgeon's ability to perform microsurgery are the key factors that affect the success of the operation. Patients should undergo regular tubal examinations after tubal ligation reversal surgery. If the examination still shows tubal edema or blockage, they should seek in vitro fertilization to try to get pregnant.

2. What are the precautions?

In order to better perform tubal ligation recanalization and ensure its safety, female friends should understand the entire operation before the operation, especially to understand the suitable population for tubal ligation recanalization, so as to avoid adverse effects of the operation on themselves. What should I pay attention to before fallopian tube recanalization? Suitable populations and indications for surgery include:

1. A woman’s menstruation must be regular and her ovarian ovulation function must be good before she can consider tubal ligation recanalization.

2. In addition, the patient must also pay attention to his/her physical health during the surgery, and should not have any heart, liver, kidney or severe hypertension diseases that are not suitable for pregnancy.

3. Those who wish to have another child for various special reasons after tubal ligation can undergo tubal ligation recanalization.

4. Women who want to undergo tubal ligation recanalization must be under 40 years old. This is also one of the things to note before tubal recanalization.