A woman has two fallopian tubes, one on each side that can carry the sperm to the ovary to fertilize the egg and the fertilized egg back to the womb. When a woman has her tubes tied, they’re not actually tied. A portion of the tube on each side is interrupted by a clip, band, surgical suture or a burn. An outpatient tubal ligation reversal is an operation done in a doctor’s office or a licensed and accredited surgical center like ours, which reconnects the two separated parts of the fallopian tubes back together. This allows the man’s sperm to get to the end of the fallopian tube and fertilize the egg. The fertilized egg can get back to the womb to grow into a baby. When this operation is done in a hospital it can cost more than $25,000. There are several outpatient facilities in the U.S. that do this procedure for between $6,000-$9,000.
The restoring of the tubes normal activity has to be done under high magnification, because the structures are very small. The incision in an outpatient tubal reversal has to be small because the patient does not stay in the facility overnight. With tubal reversal through a smaller incision, recovery is quicker and postoperative discomfort is less. The tubal ligation reversal operation is at once technically very easy and very difficult. We don’t have to go deep into the body near vital structures; the incision is only 2 inches wide so we pull the tubes up to the surface to work on them. The difficult part is the joining of the two parts of each tube that were separated during the tubal ligation. It depends on what part of the tube is involved, but the opening can be the size of the ball in a ball point pen. To do a tubal reversal you need to join this tiny opening to another to hook the tube back up.
Lakeshore Surgical Center is not the only facility in the U.S. doing outpatient tubal ligation reversals, but as far as we know, we are the only accredited surgical center doing outpatient tubal ligation reversals and the only accredited one doing exclusively outpatient tubal ligation reversals.