Microsurgical Tubal Reanastomosis (Tubal Reversal)

Tubal ligation has been a popular form of permanent contraception preferred by many couples. Prior to the advent of in vitro fertilization (IVF), women who had previously undergone a tubal ligation and who subsequently wished to conceive were offered a microsurgical tubal reanastomosis (tubal reversal) procedure as their only means of conceiving. Over the years, surgical techniques were perfected as they became less invasive, more efficient, and more successful. However, as IVF became available, patients were now offered an even less invasive and highly successful alternative. Subsequently, the tubal reanastomosis procedure was largely abandoned over time as IVF popularity increased. In fact, many Reproductive Endocrinology/Infertility programs around the country no longer offered tubal reanastomosis training to their fellows, leaving a handful of experts with the expertise to perform the procedure. Despite this, tubal reanastomosis remains a safe, effective, successful and simple way to restore fertility to women with a prior tubal ligation, with the following basic advantages:

    • SAFE: as in any surgical procedure, risks of bleeding, infection, and anesthesia exist, but such risks are minimal in tubal reanastomosis 


  • Microsurgical techniques are employed to control even the smallest of bleeding in order to optimize the success of the procedure
  • Antibiotic prophylaxis is given at the onset of every case to prevent infection
  • Risk from general anesthesia is minimized as the average operating time does not tend to exceed 75 minutes
  • In a standard tubal reversal procedure, a minilaparotomy is performed through a small (2.5 inch=6.5 cm) incision introduced in the lower abdomen (if a scar already exists from prior surgery the same incision will be used), which means patients go home the same day and have a fast recovery; in robotically-assisted laparoscopic tubal reversal, 4 small incisions (all less than 10 mm) are introduced in various locations in the abdomen, achieving even faster recovery time due to the minimally-invasive nature of the laparoscopic procedure
    • EFFECTIVE: despite the fact that fallopian tubes may be cut, clipped cauterized/fulgurated (burned), or tied during tubal ligation, tubes can be repaired to restore complete functionality at a very high rate
      • Fallopian tubes are successfully opened in the vast majority of cases (over 90%)
      • If the final tubal length (following repair) is determined to be 4 cm (1.5 inches) or more (decision made during surgery), a tubal reanastomosis can be performed
      • A tubal reanastomosis can be performed in patients who only have one fallopian tube, or in those where only one tube can be repaired (success rates are similar to patients where both tubes are repaired)
    • SUCCESSFUL: tubalreanastomosis yields high pregnancy rates as couples do not typically have any underlying infertility problems
      • Pregnancy rates depend on the type of tubal ligation which was performed, the final tubal length, and the patient's age
      • Pregnancy rates reached are in the range of 70%
    • SIMPLE: only a few basic requirement must be fulfilled prior to scheduling the procedure
      • If your current partner had not initiated any pregnancies a semen analysis is recommended
      • A review of the operative report of the tubal ligation is useful but not absolutely necessary
      • Call with your menses to schedule your tubal reanastomosis


Visit us: http://center4tubalreversal.com/

 

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Eliran Mor, MD • Encino, Santa Monica, Valencia & West Hollywood, CA

Reproductive Endocrinologist located in Encino, Santa Monica, Valencia & West Hollywood, CA • Irene Woo, MD

Doctor Mor received his medical degree from Tel Aviv University-Sackler School of Medicine in Israel. He completed a four-year residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, New York. Subsequently, Dr. Mor completed a three-year fellowship in Reproductive Endocrinology and Infertility at the University of Southern California. Doctor Mor is Board Certified in both Reproductive Endocrinology/Infertility and Obstetrics and Gynecology. Throughout his career Dr. Mor has researched many topics in infertility and human reproduction, including polycystic ovary syndrome (PCOS); emergency contraception; neuroendocrinology; insulin resistance; male factor infertility; donor sperm insemination; tubal factor infertility; IVF stimulation protocols; congenital uterine anomalies; tubal gamete/embryo transfer (GIFT/ZIFT/TET); pregnancy at advanced reproductive age; and hormone replacement therapy (HRT), and continues to do so today. He is a member, in excellent standing, of multiple prestigious medical societies, including the American Society of Reproductive Medicine (ASRM), the Pacific Coast Reproductive Society (PCRS), the Society of Laparoendoscopic Surgeons (SLS), and the American College of Obstetricians and Gynecologists (ACOG), and remains a Clinical Instructor at USC.

Doctor Mor is one fertility expert who is constantly striving to stay on the cutting-edge of fertility treatments and human reproduction. In addition to monthly Journal Club meetings/publication review sessions and educational seminars/lectures, Dr. Mor attends at least two major Reproductive Endocrinology/Infertility meetings each year in an effort to present his patients with the latest in innovative reproductive care. Only interventions that have been tested and validated through multiple good studies are adopted in Dr. Mor’s practice, in an effort to administer safe and effective treatments to achieve a healthy pregnancy.

A true “patients’ doctor,” Dr. Mor is and will be your physician throughout your fertility journey! All consultations, after-hour inquiries, pelvic examinations, ultrasound examinations, diagnostic procedures, assisted reproductive procedures (egg retrievals, embryo transfers...), and surgical procedures, if needed, will be performed by Dr. Mor. Involvement in every aspect of your fertility care and complete micromanagement of your treatment makes Dr. Mor your ideal partner in your path to becoming pregnant.

See Dr. Mor's Publications

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California Center for Reproductive Health

Doctor Mor received his medical degree from Tel Aviv University-Sackler School of Medicine in Israel. He completed a four-year residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, New York. Subsequently, Dr. Mor completed a three-year fellowship in Reproductive Endocrinology and Infertility at the University of Southern California. Doctor Mor is Board Certified in both Reproductive Endocrinology/Infertility and Obstetrics and Gynecology. Throughout his career Dr. Mor has researched many topics in infertility and human reproduction, including polycystic ovary syndrome (PCOS); emergency contraception; neuroendocrinology; insulin resistance; male factor infertility; donor sperm insemination; tubal factor infertility; IVF stimulation protocols; congenital uterine anomalies; tubal gamete/embryo transfer (GIFT/ZIFT/TET); pregnancy at advanced reproductive age; and hormone replacement therapy (HRT), and continues to do so today. He is a member, in excellent standing, of multiple prestigious medical societies, including the American Society of Reproductive Medicine (ASRM), the Pacific Coast Reproductive Society (PCRS), the Society of Laparoendoscopic Surgeons (SLS), and the American College of Obstetricians and Gynecologists (ACOG), and remains a Clinical Instructor at USC.

Doctor Mor is one fertility expert who is constantly striving to stay on the cutting-edge of fertility treatments and human reproduction. In addition to monthly Journal Club meetings/publication review sessions and educational seminars/lectures, Dr. Mor attends at least two major Reproductive Endocrinology/Infertility meetings each year in an effort to present his patients with the latest in innovative reproductive care. Only interventions that have been tested and validated through multiple good studies are adopted in Dr. Mor’s practice, in an effort to administer safe and effective treatments to achieve a healthy pregnancy.

A true “patients’ doctor,” Dr. Mor is and will be your physician throughout your fertility journey! All consultations, after-hour inquiries, pelvic examinations, ultrasound examinations, diagnostic procedures, assisted reproductive procedures (egg retrievals, embryo transfers...), and surgical procedures, if needed, will be performed by Dr. Mor. Involvement in every aspect of your fertility care and complete micromanagement of your treatment makes Dr. Mor your ideal partner in your path to becoming pregnant.

See Dr. Mor's Publications


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We invite you to join our family as we look to expand yours!

Doctor Mor is a Board Certified Reproductive Endocrinology/Infertility expert with extensive experience in the most advanced fertility treatments available. Under his leadership, CCRH has become renowned for superior reproductive care, receiving rave reviews year after year. The Center is a boutique practice with exceptionally personalized service, customized and individually-tailored to each person or couple's needs with unmatched results.

Great emphasis is placed on proper testing and accurate
diagnosis, allowing for safe and effective treatments to achieve the ultimate outcome – a healthy baby!

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Professional Affiliations/Resources

The physicians and staff of the California Center for Reproductive Health are dedicated to patient education and care. The Center is affiliated with several prestigious medical societies and organizations aimed at educating both healthcare professionals and patients and at improving patient care. The following is a list of professional affiliations:

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Testimonials

Words from our patients

  • Healthgrades

    "Dr. Mor has helped my wife and I get pregnant. He is an expert in his field with a wealth of knowledge which he personalized for our individual situation."

    Gilbert
  • Healthgrades

    "Dr. Mor is a phenomenal human being with a wealth of knowledge. From our first appointment to our last, he demonstrated his great bed side manner."

    Veronica
  • Dear CCRH Team, thank you for all the support in my journey to get pregnant. My twins are blessed without a deadly cancer gene and all of you made it happen.

    A.A.
  • You are a wonderful doctor and a very nice person. The babies are doing great and our family is very happy. M.L.

    M.L.
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