Tubal Reversal Surgery – An Inside Look – Part 1

Since you have decided on reversing your tied tubes, you might want to know more about the tubal reversal surgery itself. This article lets you know what happens when the surgery is done by the world’s leading tubal reversal doctor.

Using the outpatient procedure developed by the foremost tubal reversal doctor in the world, Dr. Berger, we will seek to give you a quick look at the surgical procedure. Of course, there are all the steps that must be taken before surgery including a look at your records from the tubal ligation itself. This is to give your tubal reversal doctor some idea of what to expect once he is inside do the repair work.

First, you will be put under using a general anesthesia. Local anesthesia will also be used at the site of your incision. This is a three inch long cut above the pubic bone. Using the principles of microsurgery, which are doing what can be done to minimize bleeding, to minimize muscle damage, and to handle all tissues as gently as possible, most of his patients find they are able to resume normal activities within a week.

Once the incision is made, the various layers of your body must be dealt with as to gain access to your fallopian tubes. These include gently getting through the fatty layer, the pyramidalis and rectus muscles, and the fascia which is the connective tissue. Finally, he will cut through the peritoneum which is the covering of the abdominal cavity.

Dr. Berger works his way through all these layers using a coagulator as a knife as well as an actual surgical scalpel. The coagulator also is used to stop the bleeding of some of the blood vessels, such as in the fatty layer, to keep the blood to the minimum. That’s one principle he follows. Keeping the others means that he does NOT use a self-retaining retractor to hold the incision open. He uses his fingers and those of his surgical staff as well as sponges to hold back other bits and parts in the abdomen. You will see he does use a curving retractor to help hold the intestines out of the way. With all this gentle handling, he is able to minimize the pain you feel after surgery and to minimize your recovery time because your body isn’t being jerked or forced around.

Rather than just cut through those muscles such as the pyramidalis group, Dr. Berger will locate the connective tissue holding them together and separate the muscles at that point. Muscle will take a lot longer to hill than the connective tissue so this again minimizes your recovery time.

Throughout the process, the doctor continually keeps the various organs, tissues and muscles irrigated with ringers lactate. This is to keep all the parts moist in order to aid healing and minimize trauma again.

It’s at this point that we finally get to the actual repair work of this tubal reversal surgery on the fallopian tubes. But that is the subject of the second part of this article. Be on the look out for that in a few days.