Laparoscopic Tubal Anastomosis (Tubal Reversal)


Cause / Condition
Previously desired sterilization by electrocautery, clips, loops, or tying.



About the Procedure
The rejoining of sterilized fallopian tubes, known as tubal anastomosis, should be performed by microsurgery. This means the use of sutures as fine as the human hair.


Drs. Charles Koh and Grace Janik pioneered the technique of microsurgery through laparoscopy and have won numerous awards since first demonstrating it to the world in 1993. Dr. Koh invented micro instruments for use to perform laparoscopic microsurgery, and they are still the only such instruments in the world.

The procedure is performed using a ½-inch incision in the belly button with three ¼-inch incisions. The surgery takes between one to three hours depending on complexity. Almost all women go home the same day after surgery.

Drs. Koh and Janik were the first doctors in the world to perform tubal anastomosis by laparoscopy and our institute remains the only one in the United States with large experience and excellent results.


Most patients are discharged within two to three hours after surgery and may return to work within three to four days.



Expectations / Experience
The pregnancy rates achieved by Drs. Koh and Janik are 30% at three months, 50% at six months, and 77% at one year. The tubal pregnancy rate (ectopic) is 7%.


These results are among the best in the world and exceed pregnancy rates from in vitro fertilization.

For more information contact:

The Milwaukee Institute of Minimally Invasive Surgery
Ascension Columbia St. Mary's Hospital Milwaukee
2301 N. Lake Dr.
Milwaukee, WI 53211

(800) 377-2673

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