Tubal Recanalisation Surgery (Laparoscopic / Open)
Tubal recanalisation surgery is a procedure performed to restore fertility in women who have previously undergone tubal sterilization (tubal ligation) or have blocked fallopian tubes due to infection, endometriosis, or previous surgeries.
This surgery aims to reopen (reconnect) the fallopian tubes, allowing natural conception to occur by enabling the egg and sperm to meet.
Laparoscopic Tubal Recanalisation
In the laparoscopic (minimally invasive) approach, small incisions are made in the abdomen to insert a camera and delicate surgical instruments. The surgeon carefully locates the site of tubal blockage or previous ligation and performs precise microsurgical techniques to restore tubal continuity.
Advantages:
- Smaller incisions and minimal scarring
- Less post-operative pain
- Shorter hospital stay
- Faster recovery and quicker return to daily activities
Laparoscopic recanalisation is suitable for women with good overall health and when the blocked segment is short.
Open Tubal Recanalisation
Open (abdominal) tubal recanalisation is performed through a larger incision in the lower abdomen. It is often recommended in cases where:
- There are long or multiple tubal blockages
- The fallopian tubes were tied or cut using methods that are harder to reverse
- There is a need for more extensive pelvic surgery
While recovery takes slightly longer than with laparoscopy, this approach offers excellent results in carefully selected patients.
Success Rates & Considerations
- Success depends on the type of previous sterilization, the length and health of the remaining tubes, and the patient’s age and fertility health.
- Tubal recanalisation is a potential alternative to IVF for selected women who wish to conceive naturally.
- A thorough evaluation, including imaging and fertility assessment, is done before recommending the surgery.
