Tubal Reversal Photos

At the start of the operation, there are two blocked ends on each side. These ends must be prepared and opened with great skill and caution in order for the operation to proceed well. This photo shows a perfectly prepared proximal (near the uterus) portion of the tube with a (now) normal opening. It will be delicately attached to the corresponding opening on the distal (near the ovary) portion of the tube.

A large suture is passed below each segment of tube, bringing the two ends in close approximation so that a tension-free anastomosis can be performed.
The two ends have been brought nicely together, and the openings are ready to be re-connected.
Under high magnification the inner layer of tube containing the passageways are sutured together. Error of as little as one millimeter can cause falure of the operation.
The opening is sometimes probed to make certain that the suture placement is precise.
The two lumens (openings) are perfectly aligned.

The first layer has now been completed, re-establishing a complete communication from the uterus to the ovary.
A second layer has been placed to protect and strengthen the first. The tube once again is normal !!
The entire length of the tube is measured. Longer tubes generally allow pregnancy to occur more frequently and quickly.
After six weeks, healing will be complete, and this tube will be 'ready and waiting' !
I actually think that this photo is the best.  You can clearly see the repaired tube, and the fimbriated end next to the ovary.  How incredible is that??  And the best part?  The chance to have a baby and be relieved of PTLS!
These pics come from the Southeastern Fertility Center.