Pomeroy tubal ligation is reversible?
Why yes it is. I had the Pomeroy and had it 17 years ago and just this March of 09 had them reversed.Dr. saved both my tubes, they weren't long, but saved both and now in November of 09 I am 6 weeks pregnant.So YES, it is reversable.
Reversing this type of tubal ligation often results in an excellent final tubal length. Unfortunately, reversing this type of tubal ligation is not as simple as removal of the clip(s), since the clipped portion of the tube is densely scarred and damaged. Band application - application of a small rubber band (called a Fallope ring) around a loop of the middle portion of the tube.
The loop is not cut however, the tube is foreshortened by approximately 2-3 cm. As in the clip application, reversing this type of tubal ligation is more complex than simply removing the rubber band, since the banded portion of the tube is densely scarred and damaged. Fimbriectomy - removal of the distal end of the tube, the fimbria.
With this technique the tube is unable to pick up the egg because it is missing the finger-like projections which specialize in this task. Reversing this type of tubal ligation is challenging but possible, requiring a microsurgical technique called a fimbriectomy reversal where new distal tubal projections are created. Salpingectomy - removal of the entire tube.
This type of tubal ligation is not reversible. When a minilaparotomy is performed, a small incision, typically approximately 5-7 cm (2-3 inches) is made side-to-side in the middle of the lower abdomen (just below the pubic hair line). Most commonly, the tubes are next tied using the Pomeroy method (see above).
However, any of the above methods used in laparoscopic tubal ligations (see above), may also be employed. Additionally, more complex types of tubal ligations involving cutting of the tube and "burying" of the proximal and/or distal segments within adjacent tissue (Irving method, Uchida method), may also be performed. With the advent of laparoscopy, over 20 years ago, performing a minilaparotomy (considered a more invasive procedure) has fallen out of favor and is, today, quite uncommon.
Irrespective of the approach, laparoscopy or minilaparotomy, the vast majority of tubal ligations are reversible.
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