Fimbriectomy Tubal Ligation
Fimbriectomy differs from other methods of tubal ligation. Fimbriectomy is performed by removing the fimbrial and infundibular portions of the fallopian tube next to the ovary, leaving behind one tubal segment attached to the uterus. Because the fimbrial and infundibular end of the fallopian tube contains the cilia that captures the egg and helps transport it down the fallopian tube, a tubal reversal is generally not possible. These patients should opt for IVF in order to conceive.
There are some physicians who still recommend tubal repair after a fimbriectomy, but because of the very high rate of ectopic pregnancies, our physicians recommend IVF for these patients.