Surgical Procedures -

Repair of Previous Tubal Sterilization

Since the discovery of the function of the uterine tubes, it became obvious that a closure of this conduit would prevent unwanted pregnancies. Various surgical techniques were developed to accomplish that.

After tubal sterilization, in some situations family circumstances change and repair of tubal closure and recanallization of at least one of the tubes becomes desired.

Results of surgery to reopen the tubes depend on how much of the tube was removed - that is, how much of the tube remains and is usable - as well as on the surgical skills of the operating surgeon. Significant improvements in results have been noticed since the early 70's, when an operating microscope started to be used in the reconstruction of the tube. Introduction of the microscope demanded the development of special microsurgical instruments and techniques. Infertility microsurgery was born, and the Society of Reproductive Surgeons, in which our director Dr. Jaroslav Marik is a charter member, was formed shortly after that.

The surgeons of the Tyler Medical Clinic were the first to use and teach microsurgery in this part of the country. In their hands pregnancy happened in over 80% of patients they operated on. That is double the rate of In Vitro Fertilization or GIFT procedures. If desired, another pregnancy can be achieved without any other complicated procedure.

Surgical Procedures