Successful Tuboplasty: Restoring Fertility After Sterilization

Case Overview

A 26-year-old female presented in 2024 with a history of previous tubal ligation performed at a government hospital after having two children. Following the unfortunate loss of her 6-year-old son in an accident, she and her partner sought medical intervention to restore fertility.

After a thorough clinical evaluation and diagnostic workup, the patient was found to be a suitable candidate for tuboplasty. She was counseled on both laparoscopic and open surgical approaches, and due to financial constraints, she opted for open microsurgical tuboplasty.

Surgical Approach

The procedure was performed using microsurgical instruments and a head-mounted microscope to ensure precision in reconnecting the fallopian tubes. Microsurgical tuboplasty aims to restore tubal patency while preserving its functional integrity, improving the chances of natural conception.

Postoperatively, the patient was monitored for recovery, and follow-up assessments were scheduled to evaluate tubal function.

Outcome

One year after the procedure, the patient returned with a confirmed 6-week intrauterine pregnancy on ultrasound. This case demonstrates the effectiveness of well-executed tubal reanastomosis in restoring natural fertility. Key Insights

✅ Patient Selection: Proper preoperative evaluation is crucial to determine the feasibility of tuboplasty.  ✅ Surgical Precision: The use of microsurgical techniques significantly enhances the success rate.  ✅ Postoperative Monitoring: Regular follow-ups are essential to assess tubal function and optimize fertility outcomes.

This case highlights the role of tuboplasty as a viable fertility-restoring procedure for patients seeking conception after sterilization.