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OK. The normal fallopian tube is about 8 to 10 cm long from the end of the uterus to the umbrella, and the diameter of the tubal is from the thinnest cm to the thinnest cm. The ligation surgery involves tying the fallopian tubes with silk threads, cutting them off and using electrocautery to destroy the inner diameter and stop the bleeding, or even remove the entire fallopian tube.
Therefore, whether the fallopian tubes can be recanalized after ligation depends on the size of the operation.
During tubal ligation and reversal surgery, the doctor removes the fallopian tubes at both ends of the ligation site, aligns the inner tubes on both sides, and sews 4 to 8 stitches with very fine sutures. In addition, the location of tubal ligation, the degree of edema destruction, the diameter of the fallopian tubes at both ends, the length of the remaining fallopian tubes, and the ability of the surgeon to perform microsurgery are the main factors affecting the success of the operation.
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If you want to have another child after tubal ligation surgery, you first have to go to the local family planning department to issue a relevant certificate, and then go to the obstetrics and gynecology department of the local regular hospital for treatment. Now that the second child is fully open, it is much easier to go to the family planning department to get this kind of certificate. The doctor will first examine your body, arrange for hospitalization, and perform a tubal anastomosis for you.
In this operation, the abdomen must be opened again, and the incision must be made at the same place where the fallopian tube was ligated, and the incision should be opened a little longer than the ligation, about 5-7 cm, and the direction of the incision should be the same as that of the scar of the previous ligation. That is, the original incision is transverse at the time of ligation, and the doctor will generally make a transverse incision, and vice versa. The anesthesia will be a little deeper than when ligated, and the surgery will be less painful. After the doctor cuts the abdominal wall layer by layer into the peritoneal cavity, he will use the retractor to stretch the incision on the stomach left and right, fully exposing the surgical field, and then gently push your crooked small intestine into the upper abdomen with a gauze pad, and he will carefully explore your uterus, ovaries and left and right fallopian tubes.
Then the left and right fallopian tubes that have been ligated are pulled out, and the two fallopian tubes are repaired and connected separately and put back into the abdominal cavity. If you are found to have small cysts, fibroids, etc., the doctor will also remove them for you. Finally, check all the organs in the abdominal cavity, there must be no bleeding spots, see that there is no inflammation of the appendix, take out the gauze pad, return the intestine to its original position, take inventory and check, there is indeed no gauze cotton ball or anything like left in your abdominal cavity, and start to suture the abdominal wall layer by layer.
The surgery takes about an hour. The success rate of the surgery is 30-50. In larger hospitals, the success rate of doctors with better skills will be higher.
For obstetricians and gynecologists, this is a minor operation, and the probability of surgical errors is still relatively low, at most, the fallopian tubes are still blocked after the operation, and the operation is done in vain, and there are very few cases of damage to the intestine or other abdominal organs during the operation, so its safety is still very high. Local anesthesia for surgery, the doctor dissects the stomach layer by layer, stretches the mouth to both sides, stretches the forceps into the belly, rummages between the intestines to explore the uterus, ovaries and other organs, so that the tube is pulled out to repair the sutures, etc., you will feel it, at this time, some people may be a little uncomfortable, but there is no pain, if so, you don't be afraid, don't panic, you must try to relax the abdominal muscles, don't move the body, keep your breathing steady, and prevent the intestine from bulging out of the belly incision. Affect the operation of doctors. The cost of inpatient surgery in a general regular hospital** is about 10,000 yuan.
Alternatively, you can opt for laparoscopic tubal anastomosis, but under general anesthesia and 3 holes in the stomach for the operation, which is very expensive. This operation must be done in a regular hospital, open the stomach, go to the black clinic although don't make a certificate, in case his skills are not in place, and break the intestines, uterus and the like in your belly a little bit, isn't that a matter of human life?
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If you want to get pregnant again, you need to take out the ligation to help the fallopian tubes to get pregnant again. It is recommended that you go to a regular hospital for ligation and reversal, and then get pregnant after 3 months of reversal.
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Yes, most women have to have their fallopian tubes ligated, and if they want to have their fallopian tubes reversed, they can do it after ligation. If you want to get pregnant again after ligation, you can have a tubal anastomosis to recanalize the fallopian tubes. However, since each person has a different method of performing ligation surgery, it is determined according to each person's situation.
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If you are ready to have a child again, you can choose to do a fluid test after reversal to see how the fallopian tubes are patencious, and then determine whether you can get pregnant. The specific cost is not easy to determine, this is also considered an operation, so the cost may be more expensive, and the specific charges will be different in different places and different hospitals, so you can consult the local hospital for specific costs.
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Hello! Tubal reversal surgery is actually also called tubal anastomosis, before tubal reversal you need to clear your menstrual rules, ovarian ovulation effect is good, good health, no heart, liver, kidney or severe hypertension and other symptoms are appropriate, the specific situation is still to be decided by your own situation, it is recommended to go to the approved regular hospital for a detailed examination and diagnosis, I wish you all the best as soon as possible.
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If the patient wants to have a child for various reasons after ligation, in this case, he needs to go to the hospital for reversal surgery, which can be performed surgically, either laparotomy or laparoscopic surgery.
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After tubal ligation, if a woman wants to have another child, she can choose tubal reversal surgery, also called tubal anastomosis. There are two surgical methods: 1. Laparotomy method.
It is recommended that the surgery be performed within 3 to 7 days after the menstrual period is cleaned, hospitalization** is required, the relevant laboratory tests are improved, the tubal ligation site is found after laparotomy, the blocked part of the fallopian tube is removed, and then the broken end anastomosis, and then the fluid passage surgery is performed to determine whether the anastomosis is successful. 2. Laparoscopic minimally invasive tubal reversal.
The cost of ligation surgery is different, because each hospital adopts different surgical methods, and the charging standard is also different, if you choose to cut the fallopian tube and ligate the ring, the cost of the operation is generally about 900 yuan. If you choose to cut the fallopian tubes through laparoscopic bipolar electrocoagulation, the cost is about 4,000 yuan.
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