Tubal Reversal Surgery - What to Expect - Part 1
Author: SandraWilson Total views: 11 Word Count: 516
Since you have decided on reversing your tied tubes, you might want to know more about the tubal reversal surgery itself. This article lets you know what happens when the surgery is done by the world's leading tubal reversal doctor.
The tubal reversal surgery as performed by Dr. Gary Berger of Chapel Hill Tubal Reversal Center (CHTRC) will be the basis for this description. There are things you will need to do before and after the operation, but this lets you know a bit about what happens during.
First, you will be put under using a general anesthesia. Local anesthesia will also be used at the site of your incision. This is a three inch long cut above the pubic bone. Using the principles of microsurgery, which are doing what can be done to minimize bleeding, to minimize muscle damage, and to handle all tissues as gently as possible, most of his patients find they are able to resume normal activities within a week.
Once the incision is made, the various layers of your body must be dealt with as to gain access to your fallopian tubes. These include gently getting through the fatty layer, the pyramidalis and rectus muscles, and the fascia which is the connective tissue. Finally, he will cut through the peritoneum which is the covering of the abdominal cavity.
Using a coagulator, Dr. Berger will keep bleeding to a minimum. He also uses the coagulator at various points as a knife to get through some of the tissue within. He does use a scalpel as well. In order to minimize tissue and muscle trauma, he does not employ a self-retaining retractor to hold open the incision. Using his own fingers, or those of his staff at appropriate times, he is able to keep the trauma down so you heal faster. However, he will also use sponges as well as a curving retractor to hold the bowels and whatever is necessary out of the way.
As he goes deeper into the abdomen, you will find he will cut connective tissue rather than just slicing through muscles. If you think about it, you can see that a cut muscle will take much longer to heal, increasing your recovery, than the connective tissue. It's better to go through the point where the tissue holds the muscles together. View the DVD and you will see this more clearly than I can explain here.
In order to keep your insides from drying out during the surgery, our tubal reversal doctor will keep washing everything with Ringer's lactate from a syringe. Keeping it all wet aids in healing and keeps trauma down as well.
Our tubal reversal doctor has finally gotten through all the intervening tissues and muscles with the final cutting of the peritoneum. He is now in the abdominal cavity and ready to begin the repair of your fallopian tubes and/or uterus which is the whole intent of the tubal reversal surgery. All these steps will be covered in the second half of the article.
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To get a copy of the FREE tubal reversal DVD of this tubal reversal surgery, go to the CHTRC site at http://www.tubal-reversal.net/ You can find answers at our message board too.
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