The simple answer is no. We do our tubal reversals through a 2 -3 inch mini incision right at the pubic hair line. People sometimes ask if we can do them laparoscopicaly, but if you add the length of the 5 short incisions to do it that way it would be a wider total incision. Very few people will attempt to do a tubal reversal through a laparoscope because almost half of the attempts result in an open incision after failure to be able to do it with the scope. The reported fertility rates are not as good as with a mini incision. The same is true with robotic surgery and both are much more expensive.
If you have had a cesarean section we often will use just the middle of that scar to do your tubal reversal. The reason we can do tubal reversals through such a small incision is that we use head mounted loupes. Some people thing the stationary operating microscope is better, but the incision has to be much wider than with loupes. Those surgeons that can hold their heads still for a long time usually use loupes; it’s not easy, but the narrow incision is important for patient recovery. A wider incision means more discomfort and a longer recovery. Many of our patients come from out of state or even other countries, so they have a pretty good trip home the next day. So a small incision has a practical advantage for comfortable travel.
We do not use mechanical retractors to hold the incision open. The tubal reversal technique we use is to gently move the skin towards the tube and the tube towards the skin. Gentle technique contributes a lot to post operative comfort. Another thing we think is important is to bury the skin sutures so after your tubal reversal there are no clips to take out or sutures to remove.