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Tied And Cut Tubes: Tying Tubes Explained

Ligation means to ‘tie’ and resection means to ‘cut’. Ligation and resection is by far the most common way to perform a tubal ligation procedure.

Tubes are never just tied to prevent pregnancy.Many people mistakenly believe when a tube is tied with a suture that if the suture comes undone or if the suture is removed then the tube will be normal and natural pregnancy can happen. Unfortunately this is incorrect and reversing tied and cut tubes is not as simple as just removing the suture.

The sutures are placed to prevent bleeding. The the tube is then cut and a segment is removed. The suture eventually dissolves and the tubal ends will be both separated and closed.

Ligation and resection tubal ligations are most often performed during a c-searean delivery or soon after a vaginal delivery.

There are many variations to this type of tubal ligation and these procedures are named after the doctor who first described the procedure: Parkland, Pomeroy, Irving, and Uchida.

Although there are differences in these procedures they all involve similar steps: tying the tube to prevent bleeding and cutting a portion of the tube to further reduce the risk of tubal ligation failure.

In our experience, all of these methods can usually be reversed and the chance of becoming pregnant after reversal of any of these methods is approximately 60 to 70%.

Parkland tubal ligation

Parkland Tubal Ligation
Parkland-tubal-ligation-can-be-reversed.

Parkland procedure involves tying two sutures around the fallopian tube in the middle of the fallopian tube cutting out the tubal segment between the two sutures.

When the sutures dissolve the ends of the tube will be closed and pregnancy will not occur.

The Parkland tubal ligation is a variation of a ligation and resection type of tubal ligation.

Approximately 60 to 70% of our patients will become pregnant after a reversal of a Parkland tubal ligation.

Pomeroy tubal ligation

Pomeroy Tubal Ligation
Pomeroy-tubal-ligation-can-be-reversed.
Cut-and-tied-tubes-are-reversible

The Pomeroy procedure is also a ligation and resection type of tubal ligation.

The Pomeroy procedure involves forming a loop in the middle of the fallopian tube, tying a segment of the looped fallopian tube with a suture, and removing a segment of the loop.

Pomeroy tubal ligation technique  typically leaves two healthy segments of fallopian tube that can be rejoined through tubal ligation microsurgical reversal surgery.

The Pomeroy tubal ligation is a variation of cutting and tying a tube. As with all of these procedures the technique will cause permanent closure of the tubal ends and prevention of pregnancy.

As with all of these types of tubal ligations the majority of these procedures can be reversed.

Approximately 60 to 70% of our patients will become pregnant after a reversal of a Pomeroy tubal ligation.

Irving and Uchida tubal ligation

Irving tubal ligation is also a ligation and resection type of tubal ligation.

Irving Tubal Ligation
Irving-and-Uchida-tubal-ligations-can-be-reversed

Tubal ligation by the Irving method starts by placing two sutures around the fallopian tube in the middle of the tube and removing the small segment of tube between the two sutures. The tied end of the segment of fallopian tube attached to the uterus is sutured into the back side of the uterus and the other tied end is buried in the connective tissue underlying the fallopian tube.

As with other ligation/resection methods, the Irving technique leaves behind two healthy tubal segments that can be rejoined through tubal reversal microsurgery.

Although the Uchida tubal ligation is not illustrated here it is a variation of the Irving technique and the Uchida procedure is also reversible.

The pregnancy rates after reversal of Irving and Uchida tubal ligations is approximately 60-70%.

70 thoughts on “Tied And Cut Tubes: Tying Tubes Explained”

  1. Von says:

    In 2012 I had a c-section I’m 36 now I had a pomeroy technique done with both sides double tied and each were cauterized would I be able to have them reversed

    1. Dr. Monteith says:

      We should be able to help you. We can reverse most tubal ligation procedures.

      You should send us your tubal ligation reports for a free review and we can let you know if you are a candidate for reversal surgery. Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question:

      Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  2. Christine says:

    Cost

    1. Dr. Monteith says:

      Christine
      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question:

      Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  3. Anonymous says:

    If I had a bilateral partial sailingotomy and my age is 43 can I still have a tubal reversal?

    1. Dr. Monteith says:

      Bilateral partial salpingectomy is tubal ligation. Bilateral means both sides. Partial means not all…usually a small piece. Salpingectomy…removal of the Fallopian tube.

      We should be able to help you. We can reverse most tubal ligation procedures.

      You should send us your tubal ligation reports for a free review and we can let you know if you are a candidate for reversal surgery. Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question:

      Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  4. Stephanie says:

    Hello I had my TL back in 2011 and recently this year in March I had my TR I was told that the left tube was not able to be saved because it was too scarred but the right tube is 4 CM…. Am I able to conceive without a HSG? or my tubes may be blocked? and if so do the HSG help?

    1. Dr. Monteith says:

      If you were our patient give us a call and we can discuss. If you had surgery elsewhere you need to call your tubal reversal surgeon to discuss.

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