Very few tubal reversals can be done by laparoscopy. Those few doctors that will attempt to do a tubal reversal by laparoscope and will always warn patients that they may have to open the patient if laparoscopic reversal cannot be done. The reported operative times are 2 ½ to 3 hours as opposed to Mini-Laparotomy averaging 1hour and 15 minutes. It is even worse for robotic surgery. If someone urges you to have a tubal reversal by laparoscopy or robot they just told you they don’t do very many surgeries. Those facilities that have reported their success with laparoscopy say that more than half of their cases could not be done without abandoning the laparoscopic approach and doing an abdominal incision.
The total length for laparoscopic surgery is about 3 inches. You have to have an incision in your belly –button, 2 in the sides of your abdomen and 2 at your hair line. The total length of these incisions is 3 inches as opposed to 2 inches with our Mini-Laparotomy incision.
The recovery from Mini-Laparotomy tubal reversal should be easier than the recovery from tubal ligation.I has done a lot of laparoscopic surgeries in the past, but never have done a tubal reversal with a laparoscope.