Tubal Ligation Reversal News

CHTRC News Archives 2008 Page 18

426) Body Mass Index (BMI) Requirements For Tubal Reversal Surgery
Members of the Chapel Hill Tubal Message Board discuss Body Mass Index (BMI) and tubal reversal surgery. "When I get my BMI down to 35, I will be able to have tubal reversal surgery." Chapel Hill Tubal Reversal Center requires a BMI of less than 35, for optimal patient safety. Studies have shown that obesity causes increased risks for surgical patients, including anesthesia and wound healing complications. Other possible risks include deep vein thrombosis and pulmonary problems. Optimal Patient Safety is of our utmost concern.

427) Tubal Reversal Patient Delivers Her Third Berger Baby
A member of the Chapel Hill Tubal Reversal Center's message board announces another addition to her family. "I have a new baby which makes 3 reversal babies." "I thank Dr. Berger and the staff at Chapel Hill Tubal Reversal Center for giving me the greatest gift I could have ever gotten." "I had the reversal hoping just to get one baby and got three more to add to my family." "Dr. Berger is a miracle worker and the people who work for him are all just as wonderful."

428) Will Tubal Ligation Reversal Become A Lost Skill?
To address the shortage of experienced tubal ligation reversal specialists, a tubal reversal surgery training program has been started at Chapel Hill Tubal Reversal Center.

429) Untying Tied Tubes: Tubal Ligation and Resection
Ligation and resection is currently the most popular form of sterilization for women. Dr. Berger performs tubal reversalsof the ligation and resection technique very frequently. Normally it is always reversible. This was the earliest reported method of sterilization, and it is still a very common and effective procedure. According to the method described by Dr. Ralph Pomeroy, an absorbable suture is tied around a"knuckle" of the fallopian tube that has been elevated and a segment is resected (cut out). The cut ends close as the tube heals. As the suture dissolves, the two tubal segments pull apart. It is often performed during a cesarean delivery (C-section) or following a normal delivery.

430) Tubal Reversal And The Menstrual Cycle
Patients of Dr. Gary Berger and members of the Chapel Hill Tubal Reversal Center Message Board discuss whether tubal reversal surgery can be performed while a patient is having her menses. Dr. Berger can perform the tubal reversal surgery at any time during a patient's cycle. If a patient would like to plan around their menses then a good time to plan surgery would be within a week or two of ending their period. Dr. Berger often can see signs of ovulation on the ovaries during the tubal reversal surgery and will pass this information along to the patient.

431) Is FSH An Important Factor when Trying to Conceive After Tubal Reversal Surgery?
Carol, a member of the Chapel Hill Tubal Reversal Center Message Board members, asks other ladies to share their age and FSH (follicle stimulating hormone) levels because she would like to discuss trying to conceive after age 35 and the importance of FSH when trying to achieve pregnancy. An FSH serum assay on cycle day 3 can determine if a woman has a good number of healthy eggs left in her ovaries. An elevated FSH level indicates a reduction in the quantity of eggs. A normal or low FSH level shows that there is a good reservoir of eggs for future ovulations. Carol had tubal reversal surgery with Dr. Berger in April 2008 and is optimistic that she will be able to conceive a pregnancy since her FSH was low (less than 2) and her tube lengths after surgery were 6.5 cm and 7. 0cm.

432) An Update on My Tubal Reversal Baby
Jami is proud to share a picture and update other members of the Tubal Reversal Message Board about her 15-month-old tubal reversal baby, Ella. Jami had her tubal reversal procedure performed by Dr. Berger in June of 2006 and was blessed to become pregnant just a few weeks after surgery. Ella was born nine months and two days after Jami's ligation reversal. Ella is happy and healthy. Jami posts that she"can't imagine life without Ella" and that her and her husband's"dreams have come true."

433) Is Tubal Reversal Possible After Tubes Have Been Burned?
The first description of laparoscopic electrocoagulation, in 1962, used a type of electrical current termed monopolar current - hence the term monopolar tubal coagulation. This sterilization procedure uses electric current to destroy part of the fallopian tube. The burned part of the tube turns into scar tissue and the remaining tubal segments are separated and blocked. This was a very popular form of laparoscopic sterilization from 1970until the early 1980's. Patients often ask whether burned tubes can be repaired. In most cases, monopolar electrocoagulation sterilization procedures can be reversed. The success of reversal is dependent on the amount of fallopian tube that has been damaged by the electrocautery. This information is usually available in the tubal ligation operative report. When in doubt, a screening laparoscopy can be performed. Approximately 50% of patients at Chapel Hill Tubal Reversal Center will become pregnant after a reversal of a monopolar coagulation sterilization procedure.

434) Where Should I Go For Tubal Reversal Surgery?
A member of the Chapel Hill Tubal Reversal Center message board post a big thank yoiu to Dr. Berger and his staff for the experience that she had while undergoing tubal reversal surgery. Shannon states" I have never had such a wonderful experience and felt so safe and comfortable going into surgery," Chapel Hill Tubal Reversal Center takes pride in being the premier medical facility for tubal ligation reversal. Our mission for 2008 is to restore hope, fertility, and the opportunity to have children for 800 more couples, as we have done each year in the past.

435) Pregnancy Following Tubal Reversal Surgery
A member of the Chapel Hill Tubal Reversal Center message board proudly posts her HCG levels following her tubal reversal surgery with Dr. Berger. She is excited as the numbers are doubling as they should. Dr. Berger encourages his patients to following the early pregnancy monitoring protocol once they get a positive home pregnancy test. With a risk of ectopic pregnancy, it is important to monitor the HCG levels so that an ultrasound examination can be performed at the earliest appropriate time to see an intrauterine gestation sac. The announcements of pregnancies on the message board allow other women who are thinking of having a tubal reversal know that they too can have the chance of conceiving again after a tubal ligation.

436) How to Tell Your Children About Tubal Reversal Surgery
A member of the Chapel Hill Tubal Reversal Center message board is seeking information about how other women told their children about their tubal reversal surgery with Dr. Berger. There were many different responses from other women who also described different reactions from their children about a new baby joining the family. The messaage board offers women a way to share their feelings and stories about their experiences in having a tubal ligation reversal and the responses they recieve from others about it.

437) Join Women From Georgia Who Want To Have Tubal Reversal Surgery With Dr. Berger
A member from the Chapel Hill Tubal Reversal Center message board is trying to connect with other women in her area who want to make the trip to Chapel Hill Tubal Reversal Center for surgery with Dr. Berger. The message board offers women a place to ask questions, post information, and to develop friendships with other women who are in similar situations. Patients come from all over the world to have surgery with Dr. Berger. Dr. Berger has perfected tubal reversal microsurgery into a one-hour surgical procedure. This enables Chapel Hill Tubal Reversal Center to offer a reduced fee of $5,900. When comparing procedure expenses at other clinics, even after travel costs, you will save money. When women compare the fact that Dr. Berger's facility is a clinic designed specifically for tubal reversal procedures in the convenience of an outpatient setting, and that he brings 30 years of expertise to the field of tubal reconstruction surgery, most wome quickly discover that Chapel Hill Tubal Reversal Center offers the best value, quality, and care.

438) Tubal Reversal Surgery After Electrocauterization Of The Fallopian Tubes
The first reported sterilization using bipolar electrocoagulation was in 1972. This was done via a laparoscope inserted just under the belly button. During bipolar coagulation, the electrical current can be more precisely controlled, resulting in less tubal damage than monopolar coagulation. This sterilization procedure results in higher reversal success rates than monopolar electrocoagulation. Many people often believe that tubal sterilization is permanent and irreversible. Although bipolar coagulation sterilization is intended to be permanent, this procedure can be reversed successfully in almost all cases. The success rates depend on how many different areas of the tube were damaged with electrocautery. Approximately 60 - 70% of patients at Chapel Hill Tubal Reversal Center become pregnant after a reversal of a bipolar coagulation sterilization procedure. Dr. Berger is the only physician that specializes exclusively in reversal of tubal ligation. With the experience and dedication to patient care, Chapel Hill Tubal Reversal Center is the best place for women to start their journey of being able to conceive a child again.

439) Dr. Berger Tubal Reversal Surgeon
This new website presents summaries and links to articles and discussions written by or about Dr. Berger's tubal reversal patients. Dr. Berger is a tubal reversal surgeon who limits his practice to tubal ligation reversal. He is the Medical Director of Chapel Hill Tubal Reversal Center, a medical facility exclusively for tubal reversal procedures.

440) Untying Tied Tubes: Falope Ring Sterilization
The Yoon Falope rings were developed in the 1960's as a safer alternative to laparoscopic monopolar cautery tubal sterilization. This procedure is performed by inserting a laparoscope just under the belly button. The fallopian tube is then identified and a device holds the tube while the silastic ring is slid over a 2-3 cm 'knuckle' of tube that is kinked off by the ring. This is done once for each side. The Falope ring causes the squeezed 'knuckle' of tube to undergo avascular necrosis (to die and become absorbed by the body). After this happens the ends of the tubal segments outside the ring close up, thereby preventing sperm from reaching the egg. Reversing Falope ring sterilization is not as easy as just removing the ring. The closed ends of the tubes must be opened and the tubal segments must be rejoined. Falope rings cause destruction of a minimal length of fallopian tube and reversal of this type of tubal ligation gives excellent results.

441) Semen Analysis Prior To Tubal Reversal
Chapel Hill Tubal Reversal message board members and future patients of Dr. Berger's discuss their spouse's semen analysis. When a tubal reversal patient's partner has not fathered children previously, semen analysis is recommend, but not required. This testing should be done, ideally, prior to the women undergoing tubal reversal surgery. The results may be faxed to Chapel Hill Tubal Reversal Center for a free interpretation.

442) What Are My Chances Of Tubal Reversal Success?
Members of the Chapel Hill Tubal Reversal Center Message Board discuss:"I am new to the board and wanted a little info on tubal length, I had 4-5cm of tubes removed and was wondering if I still had hope for a reversal."My tube lengths are R-4.5cm and L-3.5cm which means I had around 5.5-6.5cm removed from TL b/c Dr. Berger did not have to remove any. I have seen many women with tubes as short or shorter get pregnant. If that is all you have and will have to get removed than your tubes should still be around 5-6cm long. Those are great lengths. I would send your TL surgery report in and Dr. Berger will let you know for sure if you are a good candidate. I wish you the best!"

443) Pregnancies after Tubal Reversal Surgery Due to Deliver This Winter
Members of the Chapel Hill Tubal Reversal Center Message Board discuss their pregnancies that are due to deliver in December 2008 and January 2009. All of these women had their ligation reversals performed by Dr. Gary Berger. Dr. Berger specializes in untying tied tubes and is the only doctor who limits his practice to tubal reversal surgery. He is the Medical Director of Chapel Hill Tubal Reversal Center, the only medical facility exclusively for tubal ligation reversal. Dr. Berger can repair the fallopian tubes in 98% of women who have had a tubal ligation and want to have another baby. Two-thirds of Dr. Berger's patients become pregnant in an average of 10 months after their reversal procedure.

444) Receiving Pre-Operative Tubal Reversal Blood Work Results
Patients who have chosen Dr. Gary Berger as their tubal reversal doctor and members of Chapel Hill Tubal Reversal Center's message board discuss how long it takes to receive their test results back after having their blood drawn for the required tubal reversal pre-operative blood tests. Some patients received their test results back the next day and others did not receive their results for about a week after the tests were performed. All Chapel Hill Tubal Reversal Center patients are required to have pre operative blood work performed within 90 days of their surgery date and results must be forwarded to our office no later than 3 weeks prior to the scheduled surgery date.

445) PTLS - What's Wrong With Me?
More Tubal Reversal Message Board members describe their post tubal ligation symptoms (PTLS) and the relief that they experienced after having Dr. Berger perform their tubal reversals.

446) Tubal Reversal Surgery And The Improved Symptoms Of PTLS
Message board members talk about the relief of PTLS symptoms after tubal reversal surgery.

447) PTLS?
PTLS stands for Post Tubal Ligation Syndrome. Read this discussion on the Tubal Reversal Message Board about PTLS by women who have it and who have benefited from tubal ligation reversal surgery.

448) PTLS
Tubal Reversal Message Board members discuss PTLS (Post Tubal Ligation Syndrome).

449) Pregnant Two Months After My Tubal Reversal - Testimonial # 728
One of Dr. Gary Berger's tubal reversal patients writes a testimonial and update on her tubal reversal children:"My tubal reversal surgery was in January of 2004. We were pregnant not even two months later, and then after our dear son Jack was born and I finished breast feeding him at six months, we were pregnant once more! Jack and our daughter Graysen continue to grow and flourish. Jack is three now and Graysen just turned two. We are so thankful each and everyday that we were able to find a trusted surgeon, staff and facility to perform this surgery. The outcome of my tubal reversal was better than we ever could have hoped for and our family has been thoroughly blessed. Chuck and I wanted to say thank you once again for the competence and caring we were given during our stay in Chapel Hill by Dr. Berger and the staff. You are always in our thoughts. It wouldn't have been possible without you all."

450) Do You Want To Be A Mom After Having Your Tubes Untied?
Pregnant women from the Chapel Hill Tubal Reversal Center discuss preparing for their labor after having Tubal Reversal Surgery with Dr. Gary Berger."Hey everyone! I hope all the ladies and little ones are doing great. We are in the home stretch now. I can't believe it's only two days away. It's almost unreal. I'm so excited. I went out today and got some last minute stuff - a baby monitor, the Isis manual b/pump, lotion, baby bath, a safety first kit with fingernail cutters, bulb, etc. I still want a glider but have not broken down yet." Although tubal reversal is not right for everyone, Dr. Berger can repair the fallopian tubes in 98% of women who have had a tubal ligation and want to have another baby. Two-thirds of Dr. Berger's patients become pregnant in an average of 10 months after their reversal procedure.

451) Pregnancy After Having Your Tubes Cut And Tied
Tubal ligation and resection (removal) of a portion of the fallopian tube is the most frequent method of blocking the tubes. This involves tying a segment of tube and removing it. There are many variations of this technique. Chapel Hill Tubal Reversal Center is a medical facility exclusively for tubal ligation reversal. Our Medical Director - Dr. Gary Berger - is recognized as the tubal reversal doctor with the most experience with this procedure. These are two of the many reasons why womencome from all over the US and abroad to have Dr. Berger perform their tubal ligation reversals. Other reasons include exceptional patient care, complete and accurate pregnancy statistics, and a low cost outpatient procedure that has resulted in the most tubal reversal babies born worldwide.

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