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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%.

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

  1. Rasheeda says:

    My insurance pays for the procedure. I want it done .

    1. Dr. Monteith says:

      If you want insurance to pay for tubal reversal (most will not) then you need to have it done in a hospital. Our patients pay in full at the time of scheduling ($6,400), we are unable to bill insurance for tubal reversal, and some of our patients will submit to their health insurance company after surgery. Some patients will receive partial reimbursement (up to 30%).

  2. Adrian says:

    I’ve gotten my tubes tied four years ago and just found out that they did a tied and cut now we and my fiance want to gave a baby is it possible we still have a chance to so so I’m 28 years old.

    1. Dr. Monteith says:

      Adrian
      We should be able to help you. We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Insurance will not pay for tubal reversal surgery.

      You should send us your tubal ligation records for a free review.

      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. Patients stay in Raleigh a total of 2 nights and 3 days. The consultation is the first day, surgery the second day, and postoperative visit is the third day.

      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. On average, about 2 out of every 3 women become pregnant with tubal reversal surgery.

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

      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

  3. Regrets tubal @ 22 says:

    I had a tubal ligation exactly 7 years ago when I was married & thought I didnt want to have any more children…. I am now divorced & and looking into having another child since I am now looking to get re-married & while I have 2 precious little one the man I want to spend my life wis 34 & desperately wants to have a child as do I. We were working with another fertility place & I had my bloodwork checked & my surgery reports looked over & he had his sperm count checked he has amazing levels however I wasn’t comfortable with the doctors the way I was treated & the service altogether this is a very emotional & delicate situation & I feel like I am running out of time & I fear not being able to conceive is going to cause me to lose the wonderful man I have in my life because we both want a child together more than anything in the world we dont want to have to go through invitro because we both feel strongly against anything other than naturally conceiving on our own the way we feel God intended. After extensive research I found out about Chapel Hill I also heard that the staff is caring & amazing unlike the the 2 fertility clinics we started with and the the price is considerably less inexpensive I also heard that if you have a BMI under a certain amount Chapel Hill offers a discount as well. I really want our family complete & want to be in hands that I trust & I just wonder what general pricing is & how long does it take to conceive after the surgery because I want the surgery done before I turn 30 in about 6 months …. I have never miscarried & the two boys I have been blessed with when I conceived with both of them those were literally the only 2 times before the tubal that protection wasnt used so I dont think it will be hard for me to concieve just wanted some thoughts & feedback because I am nervous I want another child more than anything & want to make sure I am in the best hands possible because I am now ready to go through with the procedure.

    1. Dr. Monteith says:

      Call us and we can talk to you more about reversal. We require a BMI less than 37 but we do not offer discounts (or charge more) based on BMI. Call us next week (919)977-5050 and we can discuss more with you.

  4. Olimpia says:

    Hi,my tube station were cut 17 years ago, now I’m 50 and my husband doesn’t have kids,I have my period every month, I need to know if you still perform a surgery on a 50 years old person.

    1. Dr. Monteith says:

      Olimpia
      It is harder to become pregnant with increasing age but not impossible if you are having regular periods. I would advise you not delay your decision for too long.

      The chance of pregnancy after age 40 and tubal reversal is about 35% to 40%. We do have many patients who become pregnant with tubal reversal after age 40. Most of the women who become pregnant after reversal are between the age of 40 and 43.

      The chance of natural pregnancy at age 50 is less than 1%.

      For more information: Tubal reversal and age

      The surgery at our center should be safe. Pregnancy should be safe as long as you dont have any severe medical conditions. It is harder to become pregnant with increasing age so I would not delay your decision for too long.

      To see more the success stories of older moms visit: Successful tubal reversal after age 40

      Here is a testimonial you may be interested in: “We Had Given Up” Tubal Reversal Mom Age 47

      Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our center.

      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

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