CPT® Code 58750

A tubotubal anastomosis is a surgical procedure that involves reconnecting the fallopian tubes to restore fertility after a previous tubal ligation. This operation is typically performed through an abdominal incision, allowing the surgeon to access the reproductive organs directly. The primary goal of this procedure is to reverse the effects of a tubal ligation, which is a method of permanent birth control. Additionally, tubotubal anastomosis may be indicated in cases where a portion of the fallopian tube has been excised due to disease or damage, necessitating a reconnection of the remaining healthy segments. During the procedure, the surgeon inspects the abdominal cavity, uterus, fallopian tubes, and ovaries to assess their condition. If any adhesions—bands of scar tissue that can form around the reproductive organs—are present, they are carefully lysed to free the tubes and ovaries. The blocked segments of the fallopian tubes are then opened, and a stent is inserted to ensure that the passage is clear. The two segments of the tube are meticulously brought together using microsurgical techniques, which involve suturing the muscular and serosal layers of the tube while preserving the inner mucosal layer. This careful approach is crucial for the success of the procedure, as it minimizes the risk of complications and promotes healing. Once the anastomosis is complete, the stent is removed, allowing for the possibility of natural conception to resume.