How is a Tubal Ligation Reversal performed at Hospital de la Familia?
The surgery is performed under Regional Blockage and IV sedation and usually takes 1 hour. General anesthesia is also available. The surgery starts by sanitizing your surgical areas and using a small incision ( 8 cm approx ) in your belly button. The incision might be larger depending on your weight. We use a laparoscope initially to see if there are any adherencies visually before making the incision. The incision is approximately 8 cm long in your pelvic ( bikini line area ). If you've had C-sections previously we could use the same scar line to avoid a new incision. Microscopic instruments are used to facilitate the observations and reversal techniques used during the surgery. Once either the Clips are removed, tube re-attached or untied, we do a Blue Dye test to make sure liquid gets through the tube and the tubes are unblocked. Surgery is then finalized by cleaning the area and closing the incision, mostly with Monocryl ( Dissolvable stitches ). Surgery is then concluded and patients are sent to the recovery room.
Next Steps
Step 1 - It’s highly recommended for you to get an anti-mullerian test ( Ovulation test ) to see if you have enough eggs to obtain a probability of a natural pregnancy. You can get this test with your local gynecologist or fertility center. The test is usually a blood test on Day 3 of your cycle. Your partner should do a Sperm count test as well to make sure everything is well from his end.
Step 2 - We need to receive your Tubal Ligation report that your doctor or hospital should have in their records. Please call them and let us know if you can get the records. If you need us to step in let us know, but your approval is needed considering medical records are private and are not disclosed without patient authorization. Then scan, email or fax it to us so we get your approval.
Step 3 - With the report, we will be able to determine the technique that was used during your surgery as well as the length of your tubes. This information will tell us if you qualify for Tubal Ligation Reversal together with your Medical Questionaire.
Step 4 - It’s important that you fill out the Medical Questionnaire Form from us. Your Case Manager will provide you with this form and you can fill it out via email. It should not take more than 5 minutes to complete.
Step 5 - At this point, your Case Manager should have your Tubal Ligation report as well as your Medical Intake Form. Your case manager will discuss your case with your doctor and get back to you with your approval and suggestions.
Step 6 - If you are approved by us, we will notify you so you can start the process. The next step is to answer any other questions and purchase your airfare! Once you purchase your airfare, please send us the information so we can create an itinerary of your entire trip.
Step 7 - Once you have purchased your airfare, you will receive an itinerary with your travel and surgical details. Please read it carefully and let us know if there are any discrepancies so we can correct them.
After Surgery Indications
-Take your medications prescribed by your surgeon.
-Do not exercise for two months. After the third-week walks are recommended.
-Sexual abstinence for 3 weeks.
-In case of bleeding, nausea, vomiting, fever or excessive pain you should contact your surgeon.
-Total repose for 10 days
- It is normally a little bleeding from the incision in the first couple of days. Avoid smoking for the first 2 weeks.
FAQ’S
1. Will the surgery be performed under General Anesthesia?
Partial, from the waist down
2. What are my probabilities of getting pregnant again?
Between 20-80%, It all depends on your age, the technique used, the overall health of ovaries, and life habits
if you are under 40 years old; her odds are higher.
3. How big is the incision?
Usually between 8 to 10 centimeters, but depend on the patients’ size ( BMI ), it might be longer.
4. How soon should I start trying to get pregnant after surgery?
Doctors recommend 3 months to avoid Tubal Pregnancy.
5. What are the complications that can occur during surgery?
Like all surgeries, there are a series of risks that take place. Contact your case manager for more details.
Complications post-surgery are highly uncommon but common complications may be an infection in the incision area excess bleeding, or seroma fluids.
6. How do I arrive at Family Hospital?
Depending on where the patient is coming from, the hospital can accommodate ground transportation
from San Diego CA or Yuma AZ, Palm Springs CA or Calexico CA ( Roundtrip ). Otherwise, you can arrive
on your own. The hospital is located in Mexicali BC Mexico right next to US border entry II. ( East Gate )
7. What if I am not getting pregnant?
If it's been 8-12 months of trying and still no luck, what you should do is get a Hysterosalpingogram Xray test and see your fallopian tubes. The tubes can get blocked or disconnected after Tubal Ligation Reversal surgery.
If that is the case, we can unblock them or re-attach them, but the probabilities at a 2nd attempt are lower than 1st attempt due to scar tissue. In-vitro might be the best option. If the tubes are attached or unblocked and you are still not getting pregnant, you might need to contact your Fertility Doctor and find a treatment that can help you get pregnant.
8. Do you offer refunds if the tubes got blocked or disconnected?
No, but we can provide discounts for IVF or a 2nd attempt Tubal Ligation Reversal.
We will try and help you with all your options to help you get pregnant!
