Untying Tied Tubes: Tubal Ligation and Resection
Ligation and resection is currently the most popular form of sterilization for women. Dr. Berger performs tubal reversals of the ligation and resection technique very frequently. Normally it is always reversible. This was the earliest reported method of sterilization, and it is still a very common and effective procedure. According to the method described by Dr. Ralph Pomeroy, an absorbable suture is tied around a “knuckle” of the fallopian tube that has been elevated and a segment is resected (cut out). The cut ends close as the tube heals. As the suture dissolves, the two tubal segments pull apart. It is often performed during a cesarean delivery (C-section) or following a normal delivery.
