Tubal Ligation Reversal in India
Tubal ligation reversal in India is a surgical procedure conducted in women to restore their fertility. During a course of her reproductive life, a woman may decide to temporarily disrupt her fertility by getting her Fallopian tubes cut and tied. It is known as tubal ligation and is a form of a temporary birth control method.
Tubal ligation reversal in India is just the opposite of tubal ligation. During this procedure, the tied Fallopian tubes are untied surgically and joined again to restore the functioning of the normal reproductive tract. After the joining of the Fallopian tubes, the woman is able to conceive again as any other normal woman.
The best hospitals for tubal ligation reversal in India offer comprehensive care and services to patients from within India and abroad. Women from abroad who are looking forward to restoring their fertility can undergo tubal ligation reversal in India at an extremely affordable cost.
India is globally renowned for its surgical services offered in the field of gynecology and obstetrics. A patient traveling from abroad can avail the highest quality of treatment services at some of the best hospitals at an extremely affordable cost.
The cost of tubal ligation reversal in India is just a fraction of what it costs in other countries, especially the Western nations. It is estimated that a patient from abroad saves more than half of their money by choosing to travel to India for tubal ligation reversal surgery over other countries.
Tubal ligation reversal in India is conducted by a team of highly experienced and skilled gynecology surgeons. The success rate of tubal ligation reversal in India is excellent. It is estimated that the procedure is successful in more than 90 percent of the women aged under 35 and 70 percent of women aged over 35.
The top tubal ligation reversal hospitals in India make use of the most advanced techniques for the procedure. The use of microsurgical technology allows surgeons to conduct the procedure with an extreme precision and without the need to make an incision longer than two inches.
Tubal ligation Reversal Hospitals in India
The best tubal ligation reversal hospitals in India are globally renowned for their state-of-the-art facilities and advanced infrastructure. In fact, the infrastructure maintained at the top tubal ligation reversal hospitals in India is at par, if not better, with some of the best hospitals for gynecology procedures in the world.
A majority of hospitals for tubal ligation reversal in India are accredited by national and international agencies, including the Joint Commission International (JCI) and National Accreditation Board for Hospitals and Healthcare Providers (NABH). The certification is a proof that these hospitals maintain the highest standard and quality of care and services offered to the patients.
The certification boards conduct a re-assessment of the quality levels maintained at the tubal ligation reversal hospitals in India at regular intervals. If the quality levels have degraded and are not up to the mandatory standards, then the body can even cancel their certification, making them apply for it again after a few years. This is the reason why the best tubal ligation reversal hospitals in India maintain high standards of services and patient satisfaction to remain quality certified.
The top hospitals for tubal ligation reversal in India are located in different parts of the country. A patient from abroad can approach any metropolitan city in India, including Delhi, Noida, Gurgaon, Chennai, Bangalore, and Hyderabad, to seek treatment at a renowned hospital.
Some of the renowned hospitals for tubal ligation reversal in India offer attractive packages to patients from abroad that often prove economical to them. These packages include the cost of the procedure, hospital stay, medications, food, and other consumables.
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Best Tubal ligation Reversal Hospitals
Some of the best hospitals for Tubal ligation Reversal in India include the following:
Tubal ligation Reversal Cost in India
The cost of tubal ligation reversal in India is one of the lowest in the world. It is estimated that a patient from abroad saves around 60 to 70 percent of their money by opting to undergo tubal ligation reversal in India over any other country.
Tubal ligation reversal is an expensive procedure worldwide because of the complexities involved and the need for it to be conducted by an extremely skilled and experienced surgeon. This is especially true about the Western countries such as the US and the UK.
The total cost of tubal ligation reversal in India, however, depends on several factors. One of the major factors that dictate tubal ligation reversal cost in India is the use of technology.
Tubal ligation reversal in India is mostly conducted with the help of microsurgical or minimally invasive technology. This technology ensures faster recovery and minimal hospital stay. Thus, a majority of patients are not even required to stay overnight at the hospital because it is an outpatient procedure. However, the use of this technology comes at an additional cost.
Some patients may still be needed to stay at the hospital for a day or two. Thus, the cost of tubal ligation reversal varies from patient to patient and hospital to hospital. Certain other factors that determine the total tubal ligation reversal cost in India include the cost of consumables and diagnostic tests, surgeon’s fees, hospital charges, and anesthesia cost.
The average cost of tubal ligation reversal in India is around $1100. The robotic procedure may cost around $2000. Even though the cost varies from one city to the other, it is still considerably less than the cost of tubal ligation reversal in the Western countries.
Tubal ligation Reversal Surgeons in India
The best surgeons for tubal ligation in India are renowned globally for their surgical expertise and experience. Surgeons from other countries look forward to guidance and support from Indian surgeons in complicated cases.
Tubal ligation reversal surgery in India is conducted by a team of highly skilled surgeons. The procedure itself is a sensitive one and the success rate of tubal ligation reversal surgery largely depends on how well or precisely it has been conducted by the surgeon.
The top tubal ligation reversal specialists in India are known for their skills that ensure successful restoration of fertility in women. They have conducted thousands of such surgeries so far and their precision and accuracy in joining the Fallopian tubes and making them functional again are what they are famous for.
The best doctors for tubal ligation reversal in India are mostly educated and trained from abroad. They hold degrees from some of the most prestigious medical institutions in the world and they widen their pool of knowledge by attending several conferences and seminars around the year.
Tubal Ligation Reversal: An Overview
Tubal ligation reversal is a surgical procedure opted by a woman to restore her fertility. This is possible in women who have had a tubal ligation earlier in life. Tubal ligation reversal is done by reopening, untying, or reconnecting the Fallopian tubes of the woman.
Although tubal ligation reversal is conducted so that women with ligated Fallopian tubes can conceive again, the procedure may also be used to correct post tubal ligation syndrome. It is a condition that may affect women after tubal ligation reversal and is characterized by discomforting and potentially damaging symptoms.
Pregnancy and Tubal Ligation Reversal
Successful pregnancy after tubal ligation reversal depends on several factors. Some of these may include the following:
- Age of the woman
- Type of surgery used for tying Fallopian tubes
- Location of the stitches where the Fallopian tubes were tied
- The presence of pelvic abnormalities such as endometriosis and fibroid tumor
- Ovulatory function in the body
- Weight of the patient
- Overall health of the ovaries, uterus, and the Fallopian tubes (especially their length)
Good Candidates for Tubal Ligation Reversal
An individual who fulfills the following conditions is considered to be a good candidate for the tubal ligation reversal:
- The Fallopian tube coming out of the uterus is no more than one inch
- The residual tube is at least two and a half inch long with a normal fimbriated end towards the tube
- A suitable number of eggs in the ovaries are available
- Sufficient number and quality sperms of the male partner are available
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Tubal Ligation Reversal Procedures
The most successful tubal ligation reversal procedures involve the use of microscopic techniques so that the tubal ends are visible clearly and stitches are placed properly. The following surgical procedures are used to perform tubal ligation reversal:
Tubotubal anastomosis: Tubal ligation surgery leaves the Fallopian tubes with two segments – the proximal segment emerging from the uterus and a distal segment ending into the fimbria next to the ovary. The blocked ends of the remaining tubal segments are opened to recreate a functional tube with the help of different microsurgical techniques. The newly formed tubal openings are brought closer and sutures are placed in the connective tissue lying below the Fallopian tubes. The retention suture prevents the tubal segments from getting pulled apart during the course of healing of the tube.
Tubal re-implantation: In a few cases, only the distal segment of the Fallopian tube is left after the tubal ligation surgery. It can happen if the tubal ligation is applied at the isthmic portion of the Fallopian tube as it emerges from the uterus.
A new opening is created through the uterine muscle in women who do not have the proximal tubal segment. The remaining part of the tubal segment after creating the new opening is inserted into the uterine cavity. This microsurgical procedure is known as tubal re-implantation.
Neofimbrioplasty: Tubal ligation may also be performed by removing the fimbria of the Fallopian tube (fimbriectomy) but in rare cases. Fimbriectomy leaves only the tubal segment attached to the uterus. Neofimbrioplasty can be used to reverse the tubal ligation if the remaining tubal segment is long enough to open the tube and to create a new fimbria. The newly created fimbria is actually the cilia from the inner portion of the Fallopian tube. The tubal end is opened and folded back so that it remains open keeping the internal line of the tube exposed.
Mini-laparotomy tubal reversal: This surgical procedure for the reversal of tubal ligation is conducted by making tiny incisions of size ranging from 2 to 4 inches. The incision is placed just above the pubic bone, which leaves the scar almost invisible after healing. Local anesthesia is administered to minimize the post-operative pain and make the surgical procedure complacent. Recovery time is reduced greatly with this procedure and the patient can get back to work after one week of the surgery.
Laparoscopic tubal reversal: It is a minimally invasive procedure which involves the creation of an incision in the abdomen of the patient. The patient is administered anesthesia before the procedure. A camera is inserted through the base of the navel to get live images on a computer.
The Fallopian tubes of the patient are examined and evaluated for any obstruction, which is removed with the help of three small instruments. The two segments of the Fallopian tube are prepared to be reconnected. A blue dye is injected through the cervix of the patient after completing the connection to confirm the proper alignment of the tubes.
Robot-assisted tubal reversal: Robot-assisted surgery enables the surgeons to use even smaller instruments, which results in a faster recovery. It is the least invasive technique for tubal reversal surgery but is quite expensive also. Robot-assisted tubal ligation reversal uses the same technique with smaller incisions as used in the traditional laparotomy tubal reversal surgery.
Robot-assistance helps the surgeon achieve higher dexterity and a greater range of motion. This procedure takes longer but it also ensures several advantages such as shorter hospital duration and faster recovery with quick return to daily routine activities.
Essure sterilization reversal: Essure surgery uses a small camera, which is inserted into the uterine cavity through the cervix of the woman. Two metallic coils are introduced into the isthmic portion of the Fallopian tube to block it. To reverse the Essure sterilization procedure, the blocked isthmic portion is bypassed. This is done by using the tubal re-implantation technique as mentioned above.
Risks Involved with Tubal Ligation Reversal
Even though tubal ligation reversal procedure is completed safe and highly successful, pregnancy is not guaranteed.
There is a chance of pregnancy to be ectopic – where the fertilized egg gets implanted outside the uterus, probably in a Fallopian tube.
Risk of infection and injury to the nearby organs may result.
Risks arising out of anesthesia use.