Welcome back for the second part of our overview of a tubal reversal surgery. As we said in our first part, this overview discusses the procedure as it is done by Dr. Gary Berger. In the first part, we covered what he does to lessen the trauma endured by your body so that you can recover faster and get back to your normal activities. Further in that first part, we spoke of about what is done to get into the abdominal cavity to facilitate reversing your tied tubes.
Before beginning any work on the fallopian tubes, the surgeon washes it with more anesthesia. Using iris scissors, special scissors used in delicate eye surgery, the surgeon will cut off the scarred tube sections left from the tubal ligation surgery. Then he will insert a suture material to be used as a stent to be sure there is no more blockage in the tube section. This is done with a special probe designed by and named for Dr. Winston, the originator of the first tubal ligation reversal procedure.
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.
You may be wondering about all the suturing material at this point. You should know that this suture material is the same as is used in heart surgeries. It doesn't cause an inflammatory reaction nor the formation of scarring. You don't want scarring on your tubes.
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.
One last thing is done to help you with pain after the operation. Dr. Berger will attach what is called a TENS unit or transcutaneous electrical nerve stimulator. Activating this releases endorphins which help keep the pain down. You control this. Yet another step taken to make your tubal reversal surgery as quick to recover from as possible.
Before beginning any work on the fallopian tubes, the surgeon washes it with more anesthesia. Using iris scissors, special scissors used in delicate eye surgery, the surgeon will cut off the scarred tube sections left from the tubal ligation surgery. Then he will insert a suture material to be used as a stent to be sure there is no more blockage in the tube section. This is done with a special probe designed by and named for Dr. Winston, the originator of the first tubal ligation reversal procedure.
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.
You may be wondering about all the suturing material at this point. You should know that this suture material is the same as is used in heart surgeries. It doesn't cause an inflammatory reaction nor the formation of scarring. You don't want scarring on your tubes.
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.
One last thing is done to help you with pain after the operation. Dr. Berger will attach what is called a TENS unit or transcutaneous electrical nerve stimulator. Activating this releases endorphins which help keep the pain down. You control this. Yet another step taken to make your tubal reversal surgery as quick to recover from as possible.
About the Author:
Grab a FREE DVD of a tubal revesal surgery at Dr. Berger's website at http://www.tubal-reversal.net/ You will read lots of help there for all your questions too. For more help, you can meet other women who have had tubal reversals done through message board.
