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 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.
Moving on to the other piece of the tube, Dr. Berger again removes the damaged part. He threads the stent through the now unblocked end. This goes through the tube and into the uterus if there is no more damage. He lines the ends up together and then puts a few stitches from them into the tissue lying underneath. This is done to provide additional support. The healing of your tubes won't have to rely on just the tiny stitches made in them to keep them in place while healing proceeds.
Now with all this suturing material, it is important that you realize it is the same stuff used in heart surgeries. And the reason for that has to do with its property of keeping inflammation down and minimizing scarring. You want as few scars in your fallopian tubes as possible.
Because you don't want scarring, you will find that Dr. Berger does not suture the inner layer of the fallopian tubes. This layer contains cilia which help move the egg, and later the fertilized egg, along the tube to the uterus. Any scarring here can increase your risk for an ectopic pregnancy. Instead, the tubal reversal doctor will suture the middle layer and the outer layer. As the middle layer is the muscular part, it does the major part of holding the tubes together till the healing is accomplished.
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.
Maybe you remember from the first part of this article talking about how he cut between two muscles instead of slicing through them. He actually sutures these two muscles together to minimize your risk of developing a hernia. And to keep the tension low on the sutures at the skin layer, he will suture the fine fascia layer just below the skin. In another effort to lower your pain after surgery, he will give you a hypogastric nerve block as well.
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. - 15437
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.
Moving on to the other piece of the tube, Dr. Berger again removes the damaged part. He threads the stent through the now unblocked end. This goes through the tube and into the uterus if there is no more damage. He lines the ends up together and then puts a few stitches from them into the tissue lying underneath. This is done to provide additional support. The healing of your tubes won't have to rely on just the tiny stitches made in them to keep them in place while healing proceeds.
Now with all this suturing material, it is important that you realize it is the same stuff used in heart surgeries. And the reason for that has to do with its property of keeping inflammation down and minimizing scarring. You want as few scars in your fallopian tubes as possible.
Because you don't want scarring, you will find that Dr. Berger does not suture the inner layer of the fallopian tubes. This layer contains cilia which help move the egg, and later the fertilized egg, along the tube to the uterus. Any scarring here can increase your risk for an ectopic pregnancy. Instead, the tubal reversal doctor will suture the middle layer and the outer layer. As the middle layer is the muscular part, it does the major part of holding the tubes together till the healing is accomplished.
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.
Maybe you remember from the first part of this article talking about how he cut between two muscles instead of slicing through them. He actually sutures these two muscles together to minimize your risk of developing a hernia. And to keep the tension low on the sutures at the skin layer, he will suture the fine fascia layer just below the skin. In another effort to lower your pain after surgery, he will give you a hypogastric nerve block as well.
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. - 15437
About the Author:
Grab a FREE DVD of a tubal revesal surgery at CHTRC's website at http://www.tubal-reversal.net/ You will find lots of help there for all your questions as well. Not only that, you can meet other women who have had tubal reversals done through message board.
