In Essure reversals, surgeons cut the Essure devices away before connecting and suturing the fallopian tubes to new openings, while in tubal ligation, surgeons open the blocked fallopian tubes, create new openings, and draw and suture them together, according to A Personal Choice. Surgeons can perform Essure reversals as outpatient surgery under general anesthesia in less than 90 minutes.
A surgeon may use microsurgical salpingostomy to reverse a fimbfiectomy, which is a rare method of tubal ligation, explains A Personal Choice. The reversal technique requires a surgeon to open the closed end of a fallopian tube and fold it back to expose and extend the endothelial lining. The procedure allows the tube to function as it did before the fimbfiectomy.
In Essure reversals, a surgeon makes up to a 5-inch public hairline incision to gain access to the Essure devices, notes A Personal Choice. The surgeon makes incisions into the fallopian tube and over the Essure devices' ends, and then cuts the devices and surrounding scar tissue away from the uterus. After inserting the healthy fallopian tubes into the new openings, the surgeon permanently sutures the tubes to secure them. Patients who become pregnant generally do so within 12 months after their surgeries. The primary risk is that during pregnancy, the uterus may rupture at the point of a previous Cesarean section incision.