The Center for Tubal Reversal performs all tubal reversal procedures in accredited (JCAHO = Joint Commission on Accreditation of Health Care Organizations) state-of-the-art outpatient surgical facilities. 

Because of the microsurgical nature of a tubal reversal and the need to prevent patient movement, the procedure requires general anesthesia. The Center for Tubal Reversal employs only Board Certified anesthesiologists with extensive experience in administering general anesthesia to ensure patient safety. Furthermore, our anesthesiologists will ensure that your postoperative course in the recovery is free of pain and nausea. 

Your surgery will last between one to three hours. Prior abdominal surgery and/or pelvic scarring (adhesions), and an obese body type, may prolong the tubal reversal, however, the great majority of standard tubal reversal procedures are completed in less than two hours, while the majority of robotically-assisted laparoscopic tubal reversal are completed in less than three hours. Keeping surgery time short is important as means of minimizing the risk for infectious morbidity and anesthesia related complications, and shortening the recovery period. The physicians at the Center for Tubal Reversal are vastly experienced microsurgeons having performed thousands of tubal reversals, with operative skills and techniques aimed at optimizing success rates and minimizing operative time. 

The Center for Tubal Reversal specializes in performing tubal reversals via both theminilaparotomy (“open”) method, and the robotically-assisted laparoscopic method. Despite requiring an abdominal incision in order to access the pelvic organs, the incision in a standard minilaparotomy “open” tubal reversal is quite small, approximately 5-7 cm (2-2.5 inches), which means that recovery is relatively fast (achieving semi-normal activities such as desk work, driving, shopping, and common household chores within 3-4 days of the procedure), allowing the procedure to be performed on an outpatient basis. With robotically-assisted laparoscopic tubal reversal, several (typically 4) small incisions (typically <1 cm each) are made in various locations in the abdomen (normally the umbilicus, the mid-abdomen on both sides of the umbilicus, and the upper right abdomen), which means recovery time from the procedure is even faster than the standard “open” tubal reversal procedure (typically 1/3 to 1/5 the time), with full recovery to normalactivity often achieved within 2-3 days of the procedure. As with the standard “open” procedure, robotically-assisted laparoscopic tubal reversal is also performed on an outpatient basis. This means that with both methods of tubal reversal patients go home several hours after the procedure on the day of surgery. The average time spent in the recovery room prior to discharge home is one hour. Our dedicated team of anesthesiologists and nurses make sure patients are in a comfortable and stable condition before being discharged. 

Abdominal incision(s) (in both the standard “open” and robotically-assisted laparoscopic tubal reversal procedures) are closed with a special technique called a subcuticular closure. In this method a fine hidden stitch is placed under the skin, holding the incision together. The stitch dissolves within several weeks of placement and does not require any removal. Unlike other abdominal closures, this type of closure produces optimal cosmetic results with often minimal abdominal scarring. 

Patients are discharged home with pain medications, but should expect some degree of discomfort along the abdominal incision(s) for approximately one week following surgery. This discomfort tends to be minimal along the small incisions used with the robotically-assisted laparoscopic approach. The majority of patients can resume some daily activities/work within 72-96 hours of the standard “open” minilaparotomy procedure and often complete recovery to normal activities within 48-72 hours of the robotically-assisted laparoscopic tubal reversal. The Center for Tubal Reversal offers a postoperative evaluation within one week of surgery to examine the abdominal incision and to ensure that patients are recovering as expected (included in the tubal reversal fees).