Most procedures we perform are done at our ambulatory surgical center, located next to the Beverly Hills office. Some of the procedures included would be tubal reversal, tubal cannulation, hysteroscopy, and laparoscopy. Reproductive surgery and diagnostic procedures such as laparoscopy and hysteroscopy, can help Dr. Najmabadi diagnose possible causes of infertility during a fertility work-up, and he can also use reproductive surgical techniques to correct tubal obstruction, uterine fibroids, endometriosis, and scarring.
Minimally Invasive Surgery- Diagnostic Laparoscopy
During laparoscopy, a telescope-like instrument is inserted into the abdomen through a small incision so the doctor can visualize the abdominal cavity. During the procedure, the surgeon asks himself several questions, including:
- Do the tubes pass dye easily without becoming swollen?
- Is the tubal wall structure normal?
- Is there evidence of scar tissue?
- Does the tube appear normal, and does it make contact with the ovary?
- Are there adhesions between the tube and the ovary?
- Is there evidence of endometriosis?
Tubal ligation, or “tube tying,” is a common form of contraception; however, life circumstances change, and many women wish to become pregnant again. Fortunately, tubal reversal surgery can help a woman regain her fertility and gives her the chance of achieving the pregnancy she desires.
Tubal reversal can be performed through laparoscopy (placing a small scope through the naval) or through a small incision (mini-laparotomy) just above the pubic bone. In most cases, a laparoscopy is done first to evaluate the tubes’ reversibility. If the conditions of the tubes are appropriate, the tubal reversal will be performed by laparoscopy. If not, a small incision is made just above the bikini line and the separated ends of the fallopian tubes are rejoined with fine suture material. The tubal reversal procedure takes two to three hours and can be performed under general anesthesia. Most patients are able to return to normal activities within two weeks of the tubal reversal procedure.
There are several factors that determine the success of the tubal reversal surgery, including the length and health of the fallopian tube sections to be rejoined, the woman’s age at the time of tubal reversal, and pelvic scar tissue.
There are risks associated with every surgery, and tubal reversal is no exception. Complications of the tubal reversal surgery include bleeding, infection, or damage to surrounding organs. However, these risks are extremely rare, and most patients are satisfied with the procedure. In addition, it is important to note that the risk of ectopic pregnancy, or tubal pregnancy, increases from 1 in 100 to 5 in 100 pregnancies after tubal reversal.