The Female Reversal Operation

What Happens in a Female Sterilisation Reversal Operation?

 

Just so that we can be sure we all understand, a sterilisation is when the fallopian tubes are cut, tied or clipped which prevents the egg travelling from the ovary down the fallopian tube into the womb. This means that it is impossible to become pregnant by natural means. The uterus is a walnut shaped organ with a tube coming out of the left and the right side, each of which lead to an ovary. Every month, an ovary releases an egg which then passes down the fallopian tube into the uterus. During the sterilisation operation, clips or cauterisation (cutting)  cause a blockage in the fallopian tubes so the egg, although released by the ovary, is not able to reach the uterus.

Female Sterilisation Reversals – Let Us Explain

The aim of the female reversal operation is to rejoin the fallopian tubes.

Under a general anaesthetic, Mr Pickles makes a bikini line incision approximately 10-12cm in length across your lower abdomen (tummy), around where a Caesarian scar might be found. Through this small cut or incision, Mr Pickles will find where the fallopian tubes have been cut, tied or clipped and he will rejoin them with tiny stitches or sutures, finer than a hair using magnification to enable adequate vision.

The wound is closed in layers, a single stitch will be placed along the skin wound which is dissolvable so no stitches will need to be removed. You should be able to get back to normal activities within a month or two.

 

The pictures below give an idea of how the surgery is performed in the female reversal operation:

 

Here the Fallopian tube is occluded (closed) by the “clip” places across it.

the female reversal operation

 

 

 

 

 

 

 

 

The clip is removed and the ends of the tube are opened.

 

 

 

 

 

 

 

 

A nylon thread is “run” through the tube as a guide-wire and the tube is stitched together with very fine stitches.

 

 

 

 

 

 

 

 

 

This leaves the tube open, finally the “guide-wire” is removed.

 

 

 

 

 

 

 

 

Occasionally it is only feasible to do the operation to one tube.

The wound is closed in layers, a single skin stitch will be removed after 5 days.You should be able to get back to normal activities within a month.

 

How Long Does Female Sterilisation Reversal Surgery Take?

The whole operation takes around an hour or so to complete. The actual stay in hospital can be one to two nights depending upon the time of surgery.  You will need someone to drive you home. You will need Ibruprofen and Paracetamol to keep you comfortable at home. These can be bought over the counter. You should take the first week at home very easy and then gradually get back to normal activities.

 

Possible Complications

With any surgery there are always possible complications. These may include bruising around the wound which is common and does not need treatment. Occasionally infection occurs in the wound and you may need antibiotics. These can be readily obtained from your GP.