The possibilities of getting pregnant after a tubal ligation, that means the failure rate after the tubal ligation is 1%, whether it is done by an open surgery or by laparoscopy, the success rate is almost 99% in all the cases. If a patient gets pregnant after the tubal ligation, it could be a high risk pregnancy because sometime the pregnancy could in the tube, could be an ectopic pregnancy, usually such pregnancies occur in a late age mother. That also adds onto the complications because of the increased age of the mother. It can be a complicated pregnancy if it happens after the failure of the tubal ligation procedure. The failure rate of a tubal ligation is more seen when it is done after a caesarian delivery or immediately after the post-partum period, that is 24 to 48 hours after a normal delivery. Then it is seen after a menstrual cycle. The reason is after a pregnancy the tubes are little swollen and edematous and swollen and elongated and however meticulously you tie them, the chance of recanalization after a cesarean tubectomy is seen more and the failure rate is more. So the failure rate of a general tubectomy is 1% and the failure rate of tubectomy operation during cesarean is 2 to 4%.
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