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Tubal Reversal

Tubal reversal (anastomosis) offers couples the opportunity to naturally conceive a child after a tubal ligation procedure.  The alternative is to undergo one or multiple cycles of IVF (in vitro fertilization). Here at JCRM, we are excited to offer the highest quality surgical procedure available anywhere worldwide at the lowest cost available. We have taken the exact technique that was performed with a large open incision and a microscope, and converted it to the much more tolerable laparoscopic approach.  Many women had the ligation done with laparoscopy in the first place and understand its benefit over what is essentially a C-section scar.  This approach dramatically reduces recovery time and discomfort with most patients back at work in an average of 3-4 days.  We continue to use 8 – O suture, finer than human hair, to rebuild the tube.  Many who have tried laparoscopic anastomosis have used short cuts such as larger suture to make it easier to tie for the surgeon, or using fewer sutures to hold the tube together often using only one verses 3 or four to carefully re-align the tube for healing as was done in the older open surgery approach.   The short cut procedures universally have shown lower pregnancy rates compared to open surgery but many surgeons opted for this to gain the benefit of laparoscopy.  Some have tried robotics to help with suturing but still use larger suture and the robot has larger unsightly incision scars compared to traditional laparoscopy.  At JCRM, we can achieve open tubes in nearly 100% of our cases and have a very high pregnancy rate.  This is a very affordable option for couples facing this problem and a recent Fertility and Sterilitypublication supports tubal reversal surgery as the more cost effective option when compared to the expense of IVF.  For more information contact our office for an appointment.
Michael D. Fox, MD
Jacksonville Center
Reproductive Medicine