Tubal Reversal Surgery - What to Expect - Part 2
Author: SandraWilson Total views: 14 Word Count: 661
In the first part of this article on tubal reversal surgery, we discussed how the world renown tubal reversal doctor, Dr. Gary Berger of Chapel Hill Tubal Reversal Center, performs this procedure. We are doing this in order to give you an inside peek, so to speak, into what happens during the operation. In the first part, we discussed the tenants of microsurgery that Dr. Berger follows to minimize trauma and bleeding in order to ensure a rapid recovery. We also discussed what happens along the way to getting to the abdominal cavity where the uterus and fallopian tubes lie. Please review that first part.
Before beginning any work on your fallopian tubes, Dr. Berger will wash them down with more anesthesia from a syringe. Another step to minimize trauma. Now the important work begins. Using some special scissors called iris scissors as they are used in delicate eye surgeries, he will cut away the bad portions of your tube that is nearest the ovary. Now, using a special Winston probe, named after the doctor you first did the tubal reversal surgery, Dr. Berger will thread a stent through that section of fallopian tube. This is done with special suture material and to ensure that your tube is actually open with no internal blockage.
Next, he will continue to remove the damaged tube section from the part of the tube connected to the uterus and carefully threads the stent into that portion of the tube and on into the uterus making sure there is no further blockage. Once the two separate parts of the tube are lined up, our surgeon will place a couple stitches into the tissue below the tube to help hold it in place during its suturing and to take pressure off the stitches that will be placed into the layers of the fallopian tube. We don't want any pressure trying to pull those apart.
In case you were curious, the suturing material used is the same kind as used in heart surgeries. It has anti-inflammatory properties and lessens the risk of scarring. This will keep the swelling down around the stitches.
Furthermore, the lower risk of scarring means you lower your chances for an ectopic pregnancy. Why? If your tubes have scars rather than the cilia that moves the fertilized egg along, what is going to move the egg at that point? SO you can see how important it is to keep that scarring down as much as possible. That is also why Dr. Berger does not put sutures through the inner layer of the fallopian tubes. It's to keep the scarring in there to a minimum. He only sutures the two outer layers, though it is the muscular middle layer that is the important one in holding things together.
Once that is done, the stent is removed via the fimbrial end of your tube which is the end near the ovary. After both tubes have been sutured together, the doctor begins backing out suturing layers as he goes.
In fact, the two muscles which he separated by slitting the connective tissue between, are sutured back together to minimize risk of a hernia. He even sutures the fine fascia tissue just below the skin to minimize the tension of the sutures put into the skin at final closure. Before he makes the final close in this operation, Dr. Berger will administer a final hypogastric nerve block to minimize the post surgery pain.
Something the doctor attaches around your incision is a transcutaneous electrical nerve stimulator. This stimulator helps release endorphins at the incision to keep the pain down there, too. That is something you, as the patient, get control of after you wake up. Just another example of all Dr. Berger does to help you recover faster and with less pain after your tubal reversal surgery.
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Grab a FREE DVD of a tubal revesal surgery by visiting Dr. Berger's website at http://www.tubal-reversal.net/ You will read much information there to answer your questions too. Not only that, you can meet other women who have had tubal reversals done through message board.
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