Women who do not want to have children again, together with their spouses, may decide to connect their tubes. Binding of the tubes can be performed open or closed. Although the ligation of the tubes is the most accurate method in terms of protection, it should be kept in mind that pregnancy may occur very rarely depending on the technique applied after this procedure with different techniques.

Women who do not want to have children again, together with their spouses, may decide to connect their tubes. Binding of the tubes can be performed open or closed.

Although the ligation of the tubes is the most accurate method in terms of protection, it should be kept in mind that pregnancy may occur very rarely depending on the technique applied after this procedure with different techniques.

RE-OPENING OF CONNECTED TUBES

Women over the age of 30 with 2 or 3 children who no longer wish to have children
Elderly women who cannot use other methods of protection or use other methods due to health problems
Pregnant women, although protected by other means
It is an existing chronic disease and is not recommended to conceive (heart, sugar, blood pressure, etc.)
Women who are never recommended again because of severe health problems during pregnancy (Placenta previa, Ablation placenta, Preeclampsia)
Women with a genetic disease in the family who do not want to carry it to the next generation

Laparoscopic Tubal Recanalization | Opening the Tubes with Closed Surgery

Connecting the tubes may be an operation performed solely for this purpose, but it is usually a pre-operative procedure planned for another reason such as caesarean section and ovarian cyst removal.

As I mentioned above, the connection of the tubes can be done open or closed. Whether open or closed, different techniques are used to cut the connection between the ovaries and the uterus. In the meantime, the entire tube can also be removed, the end of the tube holding the discarded egg can also be removed, parts of different lengths can be removed from the tube, or the tube is cut by connecting only two points close to each other without removing any parts.

Sometimes couples want to have children again and regret the connection of the tubes. General characteristics of these pairs;

Couples who want to have children again as a result of the death of one or more of their children
Stem cells from the sibling that are born as a result of the emergence of an important disease (leukemia, etc.) in the present child or children are very important (very rare).
Couple separated and the woman remarried and the newly-wed wife to ask for a child
Couples who regret their decisions and want children again or
Couples who regret their decision psychologically for no reason

Couples who want to have children again have two options in front of this stage. Either the tubes need to be reopened or they have to have an IVF. Both have their own advantages and disadvantages. The couple’s fertility should be well evaluated and the most appropriate method should be proposed.

The reopening of the connected tubes can be performed in two ways;

Closed surgery ie with laparoscopy
Open surgery with microsurgery

The most important thing to know is the 100% chance of success in these surgeries. It is also possible that the tubes cannot be opened due to the previously made tube binding technique, and this is evident only during surgery. It is not possible to say that it cannot be opened or opened beforehand. Secondly, during the postoperative repair of the body, the tubes may become clogged again, or even if they are not, their function may be impaired compared to a normal healthy tube, and ectopic pregnancy is more common in these patients than in normal patients.

Closed surgery (laparoscopic surgery) is our preferred form of surgery. Because the patient’s recovery process is much shorter. In the laparoscopy operations, the inside of the abdomen is inflated with carbon dioxide gas and after the incision of 1 cm from the navel and 0.5 cm from the groin areas, the procedure is performed by touching the abdomen with suitable instruments.

In open surgeries, the procedure is performed by entering the abdomen with a 4-5 cm incision made from the caesarean section. The operation performed here is a type of ros microsurgery ”.

Both types of surgery are special surgeries that require surgical experience.