Tubal Ligation Reversal News

CHTRC News Archives Page: 6

126) How Dr. Berger and Dr. Monteith Verify Tubal Patency after Reverse Tubal Ligation
Tubal ligation reversal involves microsurgical techniques to open and reconnect the fallopian tube segments that remain after a tubal ligation procedure. After opening the blocked ends of the remaining tubal segments, a narrow flexible stent is gently threaded through their inner cavities or lumens into the uterine cavity. This ensures that the fallopian tube is open from the uterine cavity to its fimbrial end. The newly created tubal openings are then drawn next to each other by placing a retention suture in the connective tissue that lies beneath the fallopian tubes. The retention suture avoids the likelihood of the tubal segments subsequently pulling apart. This is how the tubal reversal doctors with the most experience, Dr. Berger and Dr. Monteith at Chapel Hill Tubal Reversal Center, ensure the tubes are open after reversing tubal ligations.

127) Is Reverse of Tubal Ligation Possible after Essure Sterilization?
Essure is a permanent birth control device that has recently become available as an alternative to traditional tubal ligation methods. This link shows an online video animation of the placement of the Essure device into the fallopian tubes. The spring-like device is inserted through the uterine cavity into the tubal openings using a hysteroscope. Dr. Berger and Dr. Monteith are able to reverse Essure tubal ligation by cutting the device out of the uterine muscle and then implanting the remaining fallopian tube into the uterine cavity through a new opening in the uterus. This procedure is called tubouterine implantation. So reverse of tubal ligation is possible for Essure.

128) What to Expect After Tubal Reversal Surgery
Patients travel from all over the world to Chapel Hill Tubal Reversal Center and wonder what to expect after tubal reversal surgery. Some muscle tenderness when sitting or standing and discomfort or burning around the incision site may be present for several days after the tubal reversal procedure. A firmness or "healing ridge" is normal at the incision site. This will disappear gradually over the next few weeks. Most patients are able to return home the day after their surgery at Chapel Hill Tubal Reversal Center and can return to their normal activities within a week to ten days. Our tubal reversal doctors, Dr. Berger and Dr. Monteith, recommend that patients who are travelling more than 12 hours stay an extra day before returning home. Heavy lifting (more than 15 pounds) should be avoided for 4 weeks, but other activities of daily living may be resumed as you are comfortable. Walking short distances is not only okay, but it also will help prevent complications associated with inactivity after surgery.

129) What Everyone Should Know About Pregnancy After Tubal Reversal Surgery
Patients who have had tubal ligation surgery at Chapel Hill Tubal Reversal Center often inquire about the steps to take once they have become pregnant. Part of our long-term follow-up care after your tubal reversal is following your early pregnancy along with you and your local physician. Dr. Berger and Dr. Monteith recommend monitoring your early pregnancy with quantitative serum HCG assays twice a week (at 2-3 day intervals) and scheduling a vaginal ultrasound exam when your HCG level reaches 1500. HCG is the pregnancy hormone. Maintaining long-term patient follow-up to ascertain each pregnancy and to be informed about the outcome of each pregnancy after tubal reversal is one of the priorities at Chapel Hill Tubal Reversal Center.

130) A Chapel Hill Tubal Reversal Center Patient With Shorter Than Average Tubes Reports A Pregnancy
A Chapel Hill Tubal Reversal Center patient known by her message board name, gonka73, recently posted "For all the ladies with short tubes..... I had a positive pregnancy test this morning and my lengths are 2 and 2.5. So don't give up. It's been 7 months since my tubal reversal. I am so surprised. I go to doc in the morning. Everyone send a prayer for us. Thanks". Other message board members and patients of Dr. Berger and Dr. Monteith appreciate this post as it offers encouragement to others who also have short tubal lengths after tubal ligation surgery. Pregnancy rates by fallopian tube lengths can be viewed on the Chapel Hill Tubal Reversal Center website under the Pregnancy Statistics section.

131) Take A Virtual Tour Of Chapel Hill Tubal Reversal Center
Tubal Reversal Doctor Gary Berger discusses the mission of Chapel Hill Tubal Reversal Center in a virtual tour of the world's first and only center for tubal ligation reversal. Educating patients about the benefits, risks, and success of tubal reversals allows patients to make informed decisions about reverse tubal ligation. Chapel Hill Tubal Reversal Center is the only facility where collecting and providing detailed and accurate information about pregnancy after tubal ligation reversal is part of the mission.

132) Tubal Reversal Pregnancy Study 2009 - About Pregnancy Statistics
Part nine of the largest study ever reported about tubal ligation reversal, pregnancies, and pregnancy outcomes. The tubal reversal pregnancy and birth rates reported in this study from Chapel Hill Tubal Reversal Center are the most detailed and accurate statistics available in medical publications or on the internet.

133) You Are In Great Hands At Chapel Hill Tubal Reversal Center
At Chapel Hill Tubal Reversal Center, the only facility that specializes solely in Tubal Reversals, patients will find themselves in the caring hands of tubal reversal doctors, Dr. Berger and Dr. Monteith. The Tubal Reversal Message Board is all a buzz about the wonderful care they received by Dr. Monteith, a Tubal Reversal surgeon. One member posts, "Dr. M was a great doctor and I would recommend him to anyone!" Dr. Berger and Dr. Monteith are able to repair tied tubes 98% of the time.

134) Something Extraordinary At Chapel Hill Tubal Reversal Center
The message board of Chapel Hill Tubal Reversal Center is usually filled with messages from former patients and today is no different. The message posted by "Amany4me" conveys her heartfelt thanks to Dr. Berger. She details her journey and experience, which left her feeling as though she was touched by a rare gift. "Amany4me" states, "When I met Dr. Berger I was in awe, there was a certain something about him that let you know he was something above the ordinary". This tubal ligation reversal patient is currently expecting a baby girl in a few weeks. Chapel Hill Tubal Reversal Center is the only outpatient surgery center that specializes in reversing tubal ligations.

135) Tubal Reversal Pregnancy Study 2009 - Tubal Reversal vs. IVF
Part eight of the largest study ever reported about tubal ligation reversal, pregnancies, and pregnancy outcomes. Tubal reversal has both a higher pregnancy rate and a higher birth rate than IVF for women at any age based on a study from Chapel Hill Tubal Reversal Center of 5,046 women.

136) Count Down To Tubal Reversal Surgery
Tubal Reversal Message Board members who are going to have their tubes reversed by Dr. Berger or Dr. Monteith discuss their upcoming tubal reversal procedures. Patients write in before their surgeries to discuss how excited they are about having their tubal ligations reversed and to ask questions about what they can expect while they are at Chapel Hill Tubal Reversal Center. Other patients write in after their tubal reversal surgery has been completed to announce the outcome of their reverse tubal ligations.

137) Tubal Reversal Pregnancy Study 2009 - Pregnancy Outcomes
Part seven of the largest study ever reported about tubal ligation reversal, pregnancies, and pregnancy outcomes. Pregnancy outcomes after tubal ligation reversal are related to age, type of tubal ligation, and tubal lengths. Younger women with longer tube lengths after reversal of a clip sterilization had the highest birth rate (69%).

138) New Tubal Reversal Blog: Essure Reversal: What You Need To Know
Dr. Monteith informs Tubal Reversal Message Board members of a new blog, Essure Reversal: What You Need To Know. This blog provides answers to the common questions asked by women who inquire about Essure sterilization reversal surgery. Essure sterilization is a new tubal occlusion technology that was approved for use in the United States in November 2002. The procedure causes the tubes to heal closed in the isthmic portion of the tube. This is the narrowest portion of the fallopian tube as the tube travels through the wall of the uterus. During the procedure, the physician uses a small camera to insert a metal coil through the cavity of the uterus and into the opening of each tube.The coil itself does not block the tube. The tube closes because the insert causes fibrosis (scarring) of the inside of the tube. This procedure is effective at preventing pregnancy and is intended to be permanent; however, it is possible to perform Essure sterilization reversal. We perform Essure reversals as an out-patient procedure which typically lasts less than 90 minutes. The Essure reversal procedure is a tubouterine implantation and is performed through a small abdominal incision. Our surgical facility is a tubal surgery center exclusively dedicated to reversal of tubal sterilization and correction of tubal blockage.

139) Tubal Reversal Pregnancy Study 2009 - Pregnancy Outcomes By Tubal Lengths
Part six of the largest study ever reported about tubal ligation reversal, pregnancies, and pregnancy outcomes. The chances of getting pregnant after tubal reversal ranges from 82% for women with tubal lengths of 7.5 cm or longer to 34% for women with fallopian tube lengths of 2.5 cm or less at Chapel Hill Tubal Reversal Center.

140) Essure Sterilization Can Be Reversed
The tubal reversal doctors at ChapelHill Tubal Reversal Center provide insight into Essure sterilization reversal. This article explains an increasing number of inquires regarding Essure sterilization and Essure reversal. Tubouterine implantation can reverse the Essure procedure, a healthy portion of each fallopian tube is reinserted into the uterine cavity on both sides of the uterus. This procedure bypasses the scarred portion of the tube and causes the Essure to be reversed.

141) Pre-Operative Lab Work Prior To Tubal Reversal Surgery
A Chapel Hill Tubal Reversal Center message board member 'Devoncroix' writes, "Is there somewhere I can have the pre-operative blood work done? I have seen private labs named as possibilities in other threads and was wondering if you can have everything done at one of those or if some things could only be done by a private doctor?" Prior to tubal reversal surgery Dr. Berger and Dr. Monteith require all their patients to have some blood tests. We check a complete blood count (CBC), HIV-1 antibody, Hepatitis B surface antigen, and a Hepatitis C antibody. Additional lab tests may be required depending upon an individual's medical history. Abnormal test results indicating medical problems will delay scheduling surgery until corrected. Your local doctor can perform the required tests or you can go to a local laboratory such as LabCorp or Quest Diagnostic. Please request your doctor or lab to fax the test results to us at (919) 967-8637. You can also give us the fax number to your doctor's office or a local laboratory and we will fax an order for your tests. Pre-operative lab results are due in our office at least 3 weeks prior to the surgery date. Testing should be performed within 3 - 5 days of scheduling surgery, but not more than 90 days prior to the surgery date.

142) Chapel Hill Tubal Reversal Center Congratulates Another Berger Baby
'MS_LICIA' , a Chapel Hill Tubal Reversal message board member posts, "My Berger Baby will be 1 next month! I can't believe how much time has gone by since the birth of my Lil Angel. She has character/personality like no other...lol ". Licia had her tubal reversal surgery in 2006 and posts her tubal lengths, which are shorter than average (R:3 L:2.5). Message board members and staff congratulate her and await recent pictures to be posted. Tubal reversal specialists, Dr. Gary Berger and Dr. Charles Monteith, are reproductive surgeons who limit their practice to tubal reversal surgery. Two-thirds of their patients become pregnant in an average of 10 months after their tubal reversal procedure. In 98% of cases the tubes are able to be repaired.

143) Tubal Reversal Pregnancy Report 2009 - Pregnancy Rates by Age and Tubal Ligation Method
Part five of the largest study ever reported about tubal ligation reversal, pregnancies, and pregnancy outcomes. The chances of getting pregnant after tubal reversal at Chapel Hill Tubal Reversal Center ranges from 90% for women less than 30 with tubal clips to 26% for women age 40 or older who had tubal coagulation.

144) Establish Care Early With Your Doctor After Tubal Reversal Surgery
A recent patient of Chapel Hill Tubal Reversal Center and message board member, 'Momof2n2', writes of her local Ob-Gyn, "My doctor rocked! He was totally on board with what Chapel Hill Tubal Reversal Center recommends and encourages tubal reversal patients to have monitoring with early pregnancies." Dr. Berger and Dr. Monteith's protocol recommends biweekly blood work to check HCG levels. When your hcg level reaches 1500-2000, a vaginal ultrasound should be performed to make sure the pregnancy sac is seen in the uterus. Finding and establishing care with your local doctor before becoming pregnant will make it easier to follow our recommendations for early pregnancy monitoring. An early evaluation of your pregnancy will decrease anxiety and make this important time for you transition smoother.

145) Having A Menstrual Cycle During Tubal Reversal Surgery
'Roslyn', a Chapel Hill Tubal Reversal Center message board member posts, "I would like to know if my cycle is on then can the tubal reversal still be performed, or do I have to wait until it's finish? Sometimes, it may come on a little earlier or later than scheduled." Many women start their menstrual cycle just prior to or on the day of their tubal reversal surgery. Having your cycle start around the time of your tubal reversal is not a problem. It is advised for women to wear a pad instead of a tampon on the day of surgery. The nurses understand this is a sensitive matter and treat your concerns with privacy and respect. Chapel Hill Tubal Reversal Center is a private, outpatient surgery center which has a high staff/patient ratio with one or two nurses devoted specifically to your care while you are here.

146) Tubal Reversal Pregnancy Study 2009 - Patient Population - Age and Tubal Ligation Procedures
Part four of the largest study ever reported about tubal ligation reversal, pregnancies, and pregnancy outcomes. Women's ages and tubal ligation methods are shown for 5,046 women in the 2009 Tubal Reversal Pregnancy Report from Chapel Hill Tubal Reversal Center.

147) Payment Options For Tubal Reversal Surgery
Dr. Berger and Dr. Monteith of Chapel Hill Tubal Reversal Center offer a reduced fee for tubal reversal surgery. This discounted fee is due within 24 hours of the time you schedule your appointment. Payment can be made by Visa, Master Card, Discover Card, bank wire transfer, or by sending a cashier's check or money order via overnight delivery. In addition, patients scheduling with Dr. Berger who submit payment for the entire surgery fee by wire transfer, cashier's check or money order will receive an additional $100 reduction in the total surgery fee. A Pre-payment plan is also offered. If you wait to schedule after you have the full amount of the discounted fee in your account, then you may schedule a date at the reduced fee.

148) Tubal Reversal Pregnancy Study 2009 - Patient Population by State
Part three of the largest study ever reported about tubal ligation reversal, pregnancies, and pregnancy outcomes. Dr. Berger details how 5046 women came from all 50 US states to Chapel Hill Tubal Reversal Center from July 2000 through June 2008 for tubal reversal surgery. The locations where they came from are shown in a map and a table listing the number of patients from each state.

149) Patients Over 40 Years Old Can Become Pregnant After Tubal Ligation Reversal
A Chapel Hill Tubal Reversal Center patient posts on the message board she had her tubal reversal surgery when she was 40 years old, became pregnant at age 43, and gave birth at age 44. The patient now reports she is "45 and eager to try for tubal reversal baby #2."! According to the recently released 2009 Tubal Reversal Pregnancy Report, women over the age of 40 had a 31% chance of becoming pregnant after tubal reversal surgery. The entire report can be seen on our website by clicking 'Pregnancy Statistics' located on the left hand side of our home webpage.

150) A Chapel Hill Tubal Reversal Center Patient Posts About Her "Miracle"
Jennifer from Georgia reports "What a miracle it is to have this opportunity to reverse my decision to stop having children. Thank you to all the Chapel Hill Tubal Reversal Center staff and Dr. Monteith for your kindness and care." The best success, patient safety and comfort, and low cost are the highest priorities at Chapel Hill Tubal Reversal Center. Patients often send us messages about their satisfaction with the care they have received. Read the latest patient satisfaction messages by clicking 'About Us' located on the left hand side of our home webpage.

151) Preparing For Tubal Ligation Reversal Surgery at Chapel Hill Tubal Reversal Center
A new member of the Tubal Reversal Message Board posts about her plans for having tubal reversal surgery at Chapel Hill Tubal Reversal Center and expanding her family. "I've been waiting for this day for 9 years. I have been praying [for] a doctor that I can trust after I lost my baby from SIDS. After remarrying and a new life all my dreams will come true," shares Von. Other message board members contribute their own tubal reversal stories and encourage Von that coming to Chapel Hill Tubal Reversal Center is the best decision she could make when it comes to reversing tied tubes to have another baby after a tubal ligation. Chapel Hill Tubal Reversal Center is the only facility in the country that is dedicated solely to performing tubal reversal surgery.

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