Tubal reversal surgery- Precautions and the necessary tests for ensuring success

Tubal reversal surgery seems to be an effective solution for women who desire to overturn their previous decision of getting their tubes tied. However, just expressing the desire doesn’t qualify a woman to undergo the aforesaid surgery. The surgeon will first evaluate the woman via a series of examinations. After assessing the reports, if the surgeon assesses the woman as an ideal candidate, then only she can commence thinking of getting pregnant future. But that is not all, both before and after tubal ligation reversal surgery, the woman needs to follow a wide array of safety precautions. In this article, we will highlight all the above-mentioned details for your convenience.

Medical history check

To start off, the surgeon would review the medical history of the aspiring candidate. It is necessary to evaluate the pre-existing medical conditions, previous surgeries, allergies, and if she is currently taking any medicines. The background check helps the surgeon identify any potential risks and customize the treatment accordingly.

Physical examination

A thorough physical examination is also mandatory for assessing the overall health of the patient. It helps the surgeon to get an idea of whether the prospective candidate has any potential health conditions. The area of prime importance is the abdominal and pelvis regions. The presence of abnormalities in these areas can have negative effects after the surgery.

Evaluating the reproductive health

Now, the aforementioned procedure involves examining the reproductive health of the woman. Since the primary aim of tubal reversal is restoring fertility, the surgeon needs to be sure whether the woman can efficiently become pregnant and deliver later. Here are the evaluation tests that are necessary for evaluation:

• Ovarian reserve tests: Determining beforehand the quantity and quality of the patient’s eggs is one of the most crucial factors. Usually, it involves conducting blood tests like FSH (follicle-stimulating hormone), AMH (anti-Müllerian hormone), and antral follicle count via ultrasound. The aforesaid examination also helps in determining the response of the patient to hormonal stimulation.

• Hysterosalpingogram (HSG): The surgeon makes use of a dye for assessing the condition of the fallopian tubes along with the uterine cavity. The test also helps in identifying the presence of blockages or any other abnormalities that might prove detrimental after tubal reversal surgery.
• Semen analysis: Well, for a successful pregnancy, the male partner also needs to be in sound health. Thus, the surgeon will also require assessing semen quality. A semen analysis test identifies sperm count, motility, and morphology of sperm. If the male partner has any issues, then treatment becomes necessary. If he is fit and fine in terms of sperm health then the chances of achieving pregnancy after tubal reversal increase remarkably.

• Screening for infectious diseases: Before proceeding with tubal reversal surgery, the surgeon or doctor will also screen the patient for infectious diseases. Some of the common tests include HIV, Hepatitis B and C, and some other STD infections.
• Assessing the uterine: Deformities present in the uterine cavity can impact the chance of future pregnancies, Thus, the surgeon will need to conduct a transvaginal ultrasound, also known as hysteroscopy. It lets the doctor visualize the inside of the uterus precisely.

• Evaluation of BMI: The body mass index (BMI) is also an essential factor and an assessment is obligatory. The surgeon may suggest the patient try and practice weight loss methods if the BMI reading is found to be high. Apart from this test, some doctors also prioritize assessing other health aspects like blood pressure, and glucose levels. The bottom line, before going to the operation theater, the patient must be in the best of health.

Safety precautions for a smooth experience

Now, that you know how the surgeon evaluates their prospective patients, it is time to focus on the precautionary measures. Of course, the preoperative evaluation also comes in the aforesaid category. Here are the rest of them:

Select a skilled surgeon: The success of tubal reversal surgery depends largely on the experience of the surgeon. Everyone who aspires to meet a tubal reversal surgeon for further discussion should know, not all of them have the expertise to conduct the operation. Although it is a minimally invasive surgery, it requires high skills and finesse. Therefore, research the qualifications, experience, and track record of the doctor before finalizing the decision.

Understanding the pros and cons: One of the prime elements related to patient safety understands the potential risks and benefits. The onus is on the surgeon to explain the patient. The patient must understand what is in store, and accordingly decide whether the procedure will work for them or not.

Preparation before operation: Following the guidelines of the surgeon should be of foremost importance for the patient. The procedure can include details on preoperative fasting, medication management, and other pre-surgery instructions. By adhering to these guidelines, a patient can minimize the risk of complications and emerge successful after the surgery.

Sterilization and infection control: For minimizing the chances of infection, a sterile surgical environment is essential. The surgeon along with the team must be well-equipped with the basic sterilization protocols. The surgery room should also be properly sanitized and well-maintained. All these factors reduce the likelihood of infection post-surgery significantly.

Care after surgery: After the surgery is over, the postoperative period is equally important. It is the time when a patient might encounter potential side effects. Therefore, the doctor must monitor the progress in detail. Usually, the best surgeons will provide clear instructions on postoperative care to the patient to lessen the chances of complications.

Wrapping it up

So, there you go, we have covered all the essential points related to tubal reversal surgery an aspiring candidate should know. Hopefully, it helps the cause of all the women who are desperate to turn the tide and restore their fertility. The encouraging success rate of tubal reversal surgery surely makes it one of the best choices for women who had tubal ligation earlier.