This is a very common question. It’s usually one of the first things a patient’s husband asks when the couple comes for tubal reversal. The answer is one to one and a half hours. Because we never do more than 3 reversals a day we can take whatever time it takes for your particular case. If we find things that we did not expect at time of your tubal reversal we will fix them at no extra cost to you, if it is safe to do. It is a very small (2 inch) incision so we don’t see a lot and we are not looking for trouble. Sometimes during reversing a tubal ligation we will see a cyst, a small benign tumor or adhesions that we know are likely to cause problems down the road so we fix them.
The way we do tubal reversals takes longer but we feel it gives a better result. Closing the tube in layers not only sews the tube together but sews it open. Dye testing is both time consuming and expensive but it confirms the tubes are open and properly sewn together. The tube has an inner muscular layer that has an important function. When we rejoin the two halves of your tubes that have been separated when your tubes were tied we sew inner muscle to inner muscle restoring the natural relationship between the two layers. The suturing technique that was developed in our surgery center was published in the International Journal of Surgical Technology. It is not known at this time if our technique is better than just sewing the outside of the tube but we noticed that when we started doing it this way the flow of the dye was obviously better.