Tubal Ligation Reversal News

CHTRC News Archives Page: 8

176) Essure Reversal Surgery Is Possible
Essure is a birth control device available as an alternative to traditional tubal ligation methods. The Essure is a spring-like device inserted through the cervix and into the tubal openings using a small camera.The device expands to fill the tubal opening and causes scar tissue to form. The scarring from the Essure results in closure of the narrowest portion of the tubes as they travel through the uterine wall. Essure sterilization can be reversed, but the Essure insert cannot be simply pulled out because the scar formation seals the insert inside the tube. Dr. Gary Berger and Dr. Monteith are performing tubal reimplantation procedures to reverse Essure sterilization. Tubal reimplantation provides a 30-50% chance of pregnancy success. Tubal reversal surgeries are performed 5 days a week. Chapel Hill Tubal Reversal Center is the only medical facility exclusively dedicated to tubal ligation reversal.

177) Chapel Hill Tubal Reversal Center Transportation
People from around the world choose to come to Chapel Hill for tubal reversal surgery. In order to make your visit more convenient, Chapel Hill Tubal Reversal Center provides information on our website about travel options. The airport is conveniently located 20 minutes away from the facility. Janice Barrett with Red Carpet Coach offers discount transportation to Chapel Hill Tubal Reversal Center patients. She will pick clients up at the airport on the day of their arrival and take them back on the day of their departure. The Sheraton Hotel offers free transportation to and from our center and to any location within a 5 mile radius of the hotel. If you are interested in researching your travels options you should visit our website for more information and contact phone numbers.

178) Hotel Visit Following Tubal Reversal Surgery
On the day of your tubal reversal, you will spend the morning at Chapel Hill Surgical Center for reversal surgery and then return back to your hotel room. The following morning, one of our nurses will visit you in your room for a postoperative evaluation. Hotel rounds are normally made during the week between 8 and 9 am and on the weekends between 7- 10 am. Hotel rounds will last up to 15 minutes. During hotel rounds, we will answer any questions you or your responsible adult may have. We will also obtain vital signs, evaluate your incision, listen for bowel sounds, review post-operative diet instructions, and review the importance of early pregnancy reporting and monitoring. After your evaluation, you can then return home at your earliest convenience.

179) HSG After Tubal Reversal Surgery
Patients often wonder how long it usually takes to conceive following tubal reversal surgery. For most women 6-12 months is considered a reasonable amount of time before conception. Some women consider an HSG after this time period to establish whether their tubes have remained open after healing from the surgery. The HSG is an x-ray where dye is flushed through the cervix and into the uterus and tubes. When the HSG is done correctly, tubal patency can be documented by visualizing the spillage of dye through the ends of the fallopian tubes and into the abdominal cavity. When patients have an HSG, Dr. Berger and Dr. Monteith recommend both the films and the report be mailed to them for examination. Since our tubal reversal surgeons know exactly where the tubes have been rejoined, they are often able to interpret the HSG films with greater accuracy than a physician who is not familiar with your surgical findings.

180) Robotic Tubal Ligation Reversal: Medical Studies
In the second article of the series on robotic tubal ligation reversal, the tubal ligation reversal experts of Chapel Hill Tubal Reversal Center present the most current medical studies on the success and effectiveness of robotic tubal reversal compared to standard microsurgical tubal ligation reversal. Readers may be surprised to know robotic surgical technology does not deliver on the promise of better tubal reversal outcomes.

181) Is Tubal Ligation Reversal an Option?
Women on the website of Chapel Hill Tubal Reversal Center discuss whether tubal reversal surgery is right for them. One way to determine if tubal reversal surgery is the best choice for you is through your tubal ligation operative report. Our reversal specialists are able to review these reports and provide a medical recommendation on a patient's candidacy for reversal surgery. We provide a Medical Records Release Form to assist you with obtaining your report. If you cannot get a copy of your tubal ligation operative report, Dr. Berger or Dr. Monteith can begin your surgery with screening laparoscopy to examine your fallopian tubes and determine if tubal reversal is likely to be successful. If so, the tubes will be repaired immediately. If your tubal ligation has severely damaged your tubes and repair is not possible, you will be given a partial refund. The "laparoscopy package" is excellent insurance in situations when the type of tubal ligation is unknown. Fortunately, our doctors are able to repair the tubes in 98% of cases.

182) Tubal Reversal Pre-Payment Option
A message board member shares her plan to start saving for tubal reversal surgery by participating in Chapel Hill Tubal Reversal Center's pre-payment plan.This option permits a patient to pre-pay the surgical fee in installments without interest prior to the surgery date. An account is opened in the patient's name and they can send additional payments of any amount as they are able. The patient is welcome to schedule their procedure at any time. When patients have contributed the full amount for their surgery they are also eligible to receive the discounted tubal reversal fees described on our website.

183) Chapel Hill Tubal Reversal Center Posts Pregnancy Report For 8/15-8/21/2009
Thirteen pregnancies were reported at Chapel Hill Tubal Reversal Center in the past week! The patient's ages ranged from thirty years to forty-five years old. Tubal lengths varied from 1.5 cm on both sides to 10 cm on one side and 7.5 cm on the other. For detailed statistics about pregnancy rates and pregnancy outcomes after tubal reversal procedures performed by Dr. Gary Berger and Dr. Charles Monteith see the Pregnancy Statistics link on the home page of the website.

184) Could I Be Pregnant After Tubal Reversal Surgery And Have A Negative Pregnancy Test?
The answer is yes. Kristie, a member of the message board of Chapel Hill Tubal Reversal Center shares she has all the symptoms of pregnancy except a positive home pregnancy test. She hesitates to call her OB/GYN if she only has the flu. Nurse Jennifer, a staff member, encourages her to be seen as soon as possible by her physician for a blood pregnancy test. Due to the higher incidence of ectopic pregnancy after tubal reversal surgery, Dr. Gary Berger and Dr. Charles Monteith advise patients to diagnose pregnancy early to avoid the complications of an ectopic pregnancy. At Chapel Hill Tubal Reversal Center safety for our patients is the number one priority.

185) Advanced Maternal Age And Pregnant After Tubal Reversal Surgery
Women on the message board at Chapel Hill Tubal Reversal Center are discussing the pros and cons of invasive testing to determine the likelihood of Down Syndrome in a pregnancy. Advanced maternal age is defined as pregnancy after the age of 35. Invasive genetic testing is recommended for women of advanced maternal age during pregnancy but this testing is entirely optional. The general consensus of those participating in the discussion was they would continue with the pregnancy regardless of the outcome of the test. Patients of Dr. Gary Berger and Dr. Charles Monteith are encouraged to educate themselves prior to having their tubes untied by using the Chapel Hill Tubal Reversal Center Website to view pregnancy statistics and other available information related to tubal reversal and pregnancy.

186) Are Filshie Clips Removed During Tubal Reversal Surgery?
This question was asked by a new member on the Chapel Hill Tubal Reversal Center Message Board. Nurse Susie answers, "During your surgery, Dr. Berger and Dr Monteith will remove both clips if the clips are visible. After removing the clips, the surgeons will then repair both tubes. This is true for Filshie clips, Hulka clips, and Falope rings. If the clips can not be easily seen the tubes can still be easily repaired and pregnancy will be possible." After tubal reversal surgery the highest pregnancy rate (87%) is reported by women age 29 or less who underwent tubal reversal of a previous ring or clip method of sterilization. These and other pregnancy statistics can be found on our website.

187) When Is A Laparoscopy Necessary Before Tubal Reversal Surgery?
At Chapel Hill Tubal Reversal Center a screening laparoscopy is offered to patients who are unable to obtain an operative note or who are unsure of the type of their tubal ligation procedure. Dr. Gary Berger and Dr. Charles Monteith can begin the surgery with a screening laparoscopy to examine the fallopian tubes and determine if tubal reversal is likely to be successful. If so, the tubes will be repaired immediately. If the tubal ligation has severely damaged the tubes and repair is not possible, patients will be given a partial refund. The laparoscopy is excellent from of insurance in situations when the type of tubal ligation is unknown. Fortunately, our surgeons are able to repair the tubes in 98% of the cases.

188) What Can I Do To Get Pregnant After Tubal Reversal Surgery?
The nurses at Chapel Hill Tubal Reversal Center review with each patient Dr. Berger's and Dr. Monteith's recommendations to use ovulation predictor kits (OPK) to assist with pregnancy after tubal reversal surgery. The ovulation predictor kit will help to pinpoint a woman's most fertile time, the time when she releases an egg (ovulates). Sexual intercourse around the time of ovulation will maximize the chance of achieving pregnancy. The use of these OPK after tubal reversal is important for patients who are actively trying to conceive. Please contact 919-968-4656 to answer any questions regarding OPKs.

189) Time Flies While Waiting for Tubal Reversal Surgery
At Chapel Hill Tubal Reversal Center women on the message board are awaiting their recently scheduled tubal reversal surgery. A member anxiously asks, "Does time fly once you have been scheduled?" Many women are counting the days until their tubal reversal surgery and can relate to feelings expressed on the message board. Tubal reversal surgeons Dr. Berger and Dr. Montieth are tubal specialists who have been 98% successful in reversing tubes which have been blocked.

190) A Tubal Reversal Patient Asks What to Expect Regarding Her Incision
Most tubal reversal surgery patients of Chapel Hill Tubal Reversal Center have a surprisingly excellent recovery. Post operative instructions for after tubal reversal include no lifting over 15 pounds and no sit-ups or crunches for the first 4 weeks. Patients are asked to keep their incision clean and dryand to use good hand washing when removing steri-strips and cutting knots. We ask patients to take showers for the first 10 days after surgery and to not sit in water of any kind, including bathtubs, hot tubs, swimming pools, or spas. We have a picture of patient's incision on our website on the following page: http://www.tubal-reversal.net/blog/2008/tubal-ligation-reversal/reversing-tubal-ligation-small-incision.html.

191) Reversal Patients Catch The Free Shuttle: Time To Meet Reversal Sisters
Women considering tubal reversal surgery can meet on the Tubal Reversal Message Board, during their pre-operative consultation, or during the shuttle ride. A former patient writes she met another woman having surgery the same day while on the shuttle and they quickly became tubal reversal sisters. She enjoyed having dinner together and sharing her experiences with the other patient. Scheduled patients are asked to inform the hotel of their surgery arrival time and our staff will notify the hotel when to arrive for pick up after surgery. By using the shuttle our surgical patients experience a seamless travel to the center without the worry of arriving late or becoming lost. We invite couples to use their time at our center and on the shuttle to meet other couples who are having tubal reversal surgery.

192) Positive Pregnancy Reports Continually Arrive
Chapel Hill Tubal Reversal patients continue to send reports of positive pregnancy tests to Chapel Hill Tubal Reversal Center. These reports arrive daily, are welcomed, and offer proof of the ongoing success rate of our center's tubal reversal surgeons, Dr. Berger and Dr. Monteith. Dr. Berger and Dr. Monteith are able to repair one or both tubes 98% of the time on patients of our reversal center.

193) Grateful To Have Tubes Repaired
A recent Chapel Hill Tubal Reversal Center patient expresses sincere thanks to Dr. Berger and his staff at Chapel Hill Tubal Reversal Center. In her testimonial she writes, "Thank you to all you ladies for your support and thank you Dr. Berger for fixing my tubes so wonderfully." This sentiment is expressed by numerous patients who have had reversal of tubal ligations by Dr. Berger, a world renowned tubal surgeon.

194) Robotic Tubal Reversal Surgery
Robotic tubal reversal is the most current topic discussed by the tubal reversal specialist of Chapel Hill Tubal Reversal Center. The advantages and disadvantages of robotic tubal reversal surgery will be highlighted in this three part blog. This first article discusses the basic concepts behind robotic tubal reversal.

195) HSG Testing After Tubal Reversal Surgery
A Chapel Hill Tubal Reversal Center message board member and tubal reversal patient of Dr. Berger's asks when is it appropriate to have HSG testing after tubal reversal surgery? Dr. Berger and Dr. Monteith advise their patients towait for at least 6 to 12 months after a reversal procedure before testing to see if the tubes are open. An HSG carries a risk of infection and is not always accurate. It is best to give pregnancy a chance rather than rushing to have an HSG. Most patients conceive within this 12 month time frame and will avoid the need for an unnecessary HSG test.

196) Tubal Reversal Pregnancy Report: Second Week of August
We invite you to read the weekly pregnancy reports on the message board of Chapel Hill Tubal Reversal Center. These reports are submitted weekly by the patients of Dr Berger and Dr Monteith. The pregnancy reports announce all of the pregnancies reported by patient for the preceding week. Twelve tubal reversal patients reported pregnancy during the second week of August. These pregnancy reports include patient age, type of tubal ligation, date of reversal surgery, and tubal length. The weekly reports are a valuable source of both information and inspiration for all women considering tubal reversal surgery.

197) A Tubal Reversal Couple's Dream Comes True
A tubal reversal patient of Dr. Berger's writes a testimonial to Chapel Hill Tubal Reversal Center's website: "Hi Dr. Berger, Our little one is finally here, he was born July 31st and he weighed lbs. and 11 oz. We can't thank you enough for what you do to make couples' dreams come true." In response to this tubal reversal testimonial, a website visitor writes: "My sister is looking into having tubal reversal surgery done. I was checking this site out for her. Her dream is to be able to have another baby with her future husband. I support her decision. I read your story and it is proof that dreams come true and I hope my sister will feel complete again. Congratulations."

198) Want To Become Pregnant After Tubal Reversal? No Need To Wait
Patients who undergo tubal reversal surgery at Chapel Hill Tubal Reversal Center do not have to wait to try and conceive after tubal reversal. Many patients report pregnancy within four weeks of having reversal surgery at our center. Dr. Berger and Dr. Monteith recommend patients wait until they are free from discomfort before attempting to conceive.

199) Pregnancies After Tubal Reversal
Over 7,000 tubal reversal procedures have been done at Chapel Hill Tubal Reversal Center since January 2000. Our tubal reversal patients are asked to self-report all pregnancies after their reversal surgery. Each week our staff compiles a list of newly reported pregnancies, which can be found on www.tubal-reversal.net. Patients are often surprised at how quickly they become pregnant after having their tubes untied. Dr. Berger and Dr. Monteith are able to repair one or both of the tubes 98% of the time.

200) Awesome Patient Care At Chapel Hill Tubal Reversal Center
Patients compliment the staff of Chapel Hill Tubal Reversal Center at the excellent care they receive while having their tubes untied. Dr. Berger and Dr. Monteith's nurses provide one-on-one care for patients undergoing reversal of tubal ligation. Patient's compliments include, "very professional, courteous staff", "I have never felt so well taken care of at a doctor's office before!" Patient satisfaction is paramount at Chapel Hill Tubal Reversal Center!

201) How To Confirm Pregnancy After Tubal Reversal?
Chapel Hill Tubal Reversal Center provides data on pregnancy rates on www.tubal-reversal.net . These pregnancy rates are based on patient's age, type of ligation, and length of fallopian tubes after repair. Our patients are encouraged to follow our recommended early pregnancy protocol. This protocol involves having your physician obtain pregnancy levels twice a week until hCG (pregnancy hormone) reaches 1500. A vaginal ultrasound should then be performed to confirm the pregnancy is in the uterus. This allows for early detection and treatment of abnormal pregnancies.

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