No. If you come to our surgical center your reversal will be done through a 2 to 3 inch incision right at your hair line. We do not use mechanical retractors to stretch the skin and we inject a long-acting anesthetic in the skin before you wake up. I was the first person that I know of to do major gynecologic surgery through a Mini-Laparotomy incision. About 12 years ago I first did a hysterectomy this way. Because we do not use an operating microscope your incision is smaller and that means less postoperative pain. The actual area that is involved in the tube is maybe 1/8 of an inch so not much is disturbed inside of you. Some patients will have menstrual-like cramps right after surgery but they are over in an hour or so. The cramps are due to the internal manipulation of your tubes. Some patients will have soreness in the shoulder area which is due to opening the abdomen and letting air in. Tubal reversals are microsurgical procedures.
We believe that gentle technique and a small as possible incision not only help with the discomfort but improve your chance of getting pregnant. Some people use an operating microscope to do tubal reversals but if you can hold you head still for an hour or so I think the loupes are better. If you ask around, you will find those that say a microscope is better for tubal reversal, but I don’t think that’s true. The people who can use loupes to do tubal reversals do use them.
We use a special solution to minimize the exposure of you internal organs to air this helps with post-op discomfort and reduces the development of adhesions. People want to know what adhesions are and I tell them that if you ever have played with super glue you know what adhesions look like. The stringy lines that you get when you put a drop of super glue on one finger and touch it to something and pull back look just like adhesions. Some people call adhesions scar tissue. Everyone is different and what be a little discomfort to one may be a lot to another. If when you had your tubes tied, it was done as an outpatient, you will almost certainly have less pain with tubal reversal. We recommend you do not do strenuous activity for a week. You should be up and around in 2 days. There is no normal activity that you can do that will affect your reversal or your incision. If you do too much you will be uncomfortable longer. If you need some extra TLC we are anxious to give it.