Tubal factor infertility is a common cause of infertility. Historically, IVF was the treatment option for these patients where the fallopian tubes are bypassed by retrieving the eggs directly from the ovaries, fertilizing them in the incubator with sperms and transferring the resulting embryos back into the uterus. An alternative to IVF is correcting a block in the tubes whether caused by congenital blockage of the tubes or after tubal ligation (most common), using tubal microsurgery. Traditionally, tubal reversal surgery is performed after placing a small incision in the lower abdomen called “mini-laparotomy” and repairing the blockage using an operating microscope. These procedures had a success rate of around 50% recanalization. Recently, the same procedure can be done robotically with a much higher success rate of 89%, probably due to the lack of incision thus less chance of adhesions, 3D view of the operating site and better approximation of the cut ends of the tube using the DaVinci robot.
At the Center, we have specialized in doing robotic assisted microsurgical tubal reversal. Here you can see such a procedure where a 1 cm mass blocking the tube is removed and the tube is repaired with restoration of tubal patency.