Our technique of Laparoscopic Tubal Reversal is a minimally-invasive surgery, using small, specially-designed instruments to repair and reconnect the fallopian tubes.

After general anesthesia has been administered, we begin by inserting a 10mm (less than ½-inch) tube just at the lower edge of the navel, and a special gas is pumped into the abdomen to create enough space to perform the operation safely and precisely.The laparoscope (a telescope), attached to a camera, is brought into the abdomen through the same tube, and the pelvis and abdomen are thoroughly inspected.The tubes are evaluated and the obstruction (ligation, burn, ring, or clip) is examined.Three small instruments (5mm each) are used to remove the occlusion and prepare the two segments of the tube to be reconnected.

A special instrument (tubal cannulator) is inserted into the uterus (womb) through the cervix, and the tube is threaded with a fine stent. This allows for improved alignment of the tubes, so a much better connection can be accomplished.Tiny sutures (less than a hair in thickness) are carefully and meticulously placed to connect the two segments.

Once the connection (anastomosis) is completed, a blue dye is injected through the cervix, traveling through the uterus and tubes, all the way to the abdomen. This is to make sure the tubes have been aligned properly and that the connection is working well.

All instruments are removed, the air is extracted from the abdomen, and the patient is awakened and taken to the recovery room to be watched and cared for by the nurses, as well as by the anesthesiologist who makes sure the patient is comfortable and without pain.On the average, two to four hours later most patients are ready to be discharged.

Patients from out of town are visited by a nurse at their hotel the next day after surgery, and instructions and medications are reviewed. They are then discharged to the care of their local physician. A copy of the operative report and records will be delivered to the patient's local doctor, generally within a week. Follow-up phone calls, faxes, and e-mail are used to keep in touch.

Local patients are seen between 5-7 days after the operation to look at the small incisions and remove any stitches if necessary. Most of the time, the few stitches that were placed will be under the skin and will be absorbed by the body, without need for removal.

How soon should I try to get pregnant after surgery?

Patients should wait two to three months prior to attempting pregnancy in order to give the tubes a chance to heal completely. Trying to conceive before could result in an increased risk of ectopic pregnancy (pregnancy inside the fallopian tube instead of in the uterus).

All surgeries are performed by certified laparoscopic surgeons with 25 years of experience in laparoscopic surgery, using state-of-the-art equipment and instruments designed by the operators exclusively for this type of surgery.

Dr. Carlos Rotman and associates have pioneered many of the techniques of operative laparoscopy and are visiting surgeons, performing and teaching laparoscopic surgery around the world.