Tubal ligation by the Irving method starts by placing two ligatures around the fallopian tube in its proximal to mid-segment and removing the tubal segment between the two ligatures. Then, the tied end of the segment of fallopian tube attached to the uterus is sutured into the back side of the uterus, and the other tied end is buried in the connective tissue underlying the fallopian tube. This is much different than other types of tubal ligations. It can be reversed, but success rates are lower than that of the other types of reversal surgeries.
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