All of our physicians have advanced training in surgical procedures related to reproduction, including tubal reversal. Outpatient procedures are performed in New Jersey at St. Peter’s University Hospital and CARES Ambulatory Surgery in New Brunswick, CentraState Hospital in Freehold, Robert Wood Johnson University Hospital in Hamilton, Overlook Hospital in Summit, and the IVF New Jersey Operative Suite in Somerset.
Our outpatient procedures include laparoscopy, hysteroscopy, tubal reversal, and D and C, performed by the physicians of IVF New Jersey.
These surgeries are useful in the treatment of endometriosis, scarring of fallopian tubes and ovaries, removal of ovarian cysts, reattachment of ligated fallopian tubes, and removal of intrauterine fibroids, polyps, and scar tissue. The patient typically goes home the day the procedure is performed.
Laparotomies, usually performed through a “bikini cut” incision of the lower abdomen, take place at the hospitals named above, and they normally involve a two-to-four day stay. They are necessary to remove large fibroid tumors of the uterus, large ovarian cysts, and dense and extensive scar tissue of the pelvic and abdominal organs.
Tubal ligation is the most common form of birth control used by married couples in the United States. It is highly effective and intended to be permanent. Unfortunately, it is not uncommon for a woman to desire to have more children years after the procedure is performed especially if she is with a new partner. Tubal reversal is offered at IVF New Jersey.
What Is Tubal Reversal?
Tubal reversal (tubal anastomosis) is a surgical procedure that restores the anatomy and function of fallopian tubes that have been previously ligated for sterilization. When tubal reversal is performed by an experienced reproductive endocrinologist such as at IVF New Jersey, tubal patency can be achieved in 80% of women, with pregnancy rates in excess of 60%. It is important that patients considering the tubal reversal option be specifically counseled regarding their individual likelihood of success. In vitro fertilization and egg donation may potentially be better options than tubal reversal in certain couples, particularly in women over forty years of age.
What Are the Advantages of Tubal Reversal Over IVF?
There are two distinct advantages of tubal reversal over IVF. Because no fertility drugs are used, the multiple pregnancy rate with tubal reversal is approximately 2%. The multiple pregnancy rate with in vitro fertilization is usually in excess of 25%. The second advantage of tubal reversal is that once the procedure is performed, a couple can try to have more than one child without having to repeat the tubal reversal at IVF New Jersey. With in vitro fertilization, multiple procedures are needed for each desired pregnancy.
How Is Tubal Reversal Performed?
The tubal reversal procedure is performed in a hospital operating room. A small “bikini cut” incision is made just above the pubic hairline. The segments of both left and right fallopian tubes are then reattached under microscopic view using extremely small suture material.
Patients then return home on the same day or one to two days after the tubal reversal. Tubal reversal is performed by IVF New Jersey physicians at both St. Peters University Hospital and CentraState Hospital.
If you are interested in tubal reversal or our other surgical procedures, contact our fertility specialists in New Jersey today. We would be happy to answer any questions you may have.
What Is Hysteroscopy?
Hysteroscopy is performed in women who may have a defect in the cavity of their uterus such as a polyp, fibroid, or septum. This is usually picked up by an imaging study (i.e. hysterosalpingogram or saline infusion sonogram).
The surgery is done as an outpatient under intravenous sedation (anesthesia). It involves dilating the cervix and inserting a camera called a hysteroscope into the cavity of the uterus. A water-like fluid is passed through the hysteroscope into the uterine cavity which allows the IVF New Jersey physicians to explore the cavity for “filling defects.” If a defect or abnormality is seen it can be removed during the hysteroscopy through the use of electric cautery or very small scissors.
What Is Laparoscopy?
Laparoscopy is performed in women who may have an ovarian cyst, pelvic pain, pelvic adhesions, tubal disease, or endometriosis. It involves placing a camera through a small incision near the belly button into the patient’s abdomen to diagnose any pathology in the pelvic area.
If any abnormalities are seen, laparoscopic instruments can be passed through additional small incisions to correct the defect. This procedure is performed by IVF New Jersey physicians under general anesthesia in an outpatient setting and patients usually go home the same day.