Anesthesia For Outpatient Tubal Reversal Surgery
There have been many milestones in outpatient anesthesia since its inception. Imagine what the first patient was thinking when told he or she would be going home the same day after the administration of a general anesthetic! These milestones include vast improvements in patient monitoring, shorter acting anesthetics, and improved surgical techniques.
Anesthesia at Chapel Hill Tubal Reversal Center
All patients at Chapel Hill Tubal Reversal Center receive “general” anesthesia. General anesthesia for any day surgery center, but specifically for tubal reversal surgery, begins with our first phone call to prospective patients, weeks and sometime months before the actual surgical procedure. As an anesthesia provider this offers me a unique opportunity to care for patients in an outpatient, day surgery setting.
Our patients travel from all over the world to have their tubal ligation reversal performed by Dr Gary Berger. Some patients have just the basic preoperative lab work, while others have medical problems that require additional preoperative lab tests. In either case, these are done in the patient’s hometown and then faxed to our office for review.
Before Your Tubal Reversal Procedure
We conduct our anesthesia interview over the telephone at least a month before the scheduled procedure. This is the first step to providing good, comprehensive outpatient anesthesia care. Our next step is to send each patient written instructions of what to expect when they arrive in Chapel Hill.
Once our patients arrive at Chapel Hill Tubal Reversal Center we meet them personally and go over their history again. This ensures that both the patient and the anesthesiologist understand each other completely. We also review their instructions for that evening, making sure they understand completely about diet and other restrictions they will have to follow. The morning of surgery is less stressful for our patients because they have met our staff and have a full understanding of what to expect.
During And After Your Tubal Reversal Procedure
The tubal reversal procedure is short, only about an hour. We work closely with Dr. Berger to assure optimal pain control. During the surgery he injects local anesthesia into the muscles and surrounding tissues, thus decreasing the amount of general anesthesia necessary. In addition, our patients need less postoperative narcotics.
Our postoperative focus is then on nausea and pain control. Since each person is different, we monitor pain scores, and when our patients are comfortable they are discharged from our step down recovery room to their own hotel rooms.
We follow up with each patient and have an on going data base so that we may continue to improve our patient care in the area of tubal reversal anesthesia.
Anesthesia Team At Chapel Hill Tubal Reversal Center
![]() Pam Mills CRNTimothy Harwood MD Caryn Hertz MD Chapel Hill Tubal Reversal Center Anesthesia Staff |
We Will Ensure Your Comfort
Our experienced anesthesia team will ensure your comfort before, during, and after your tubal reversal surgery. Our two board certified anesthesiologists and registered nurse anesthetist (CRNA) specialize in outpatient anesthesia and have a total of more than 50 years of combined experience. We are an essential part of the medical and nursing team who will assess your medical status prior to surgery and will care for you during and after surgery. Our experience working every day with Dr. Gary Berger in the operating room and the recovery nurses in the post-anesthesia care unit results in the most effective care for each patient.
Submitted by Pam Mills, CRNA






February 12th, 2009 at 5:24 pm
[...] Our anesthesia staff will also conduct a medical history by phone to prepare in advance for their outpatient anesthesia. [...]
May 5th, 2008 at 6:10 pm
[...] part of the anesthesia care team at Chapel Hill Tubal Reversal Center has given me the opportunity to work one on one with tubal reversal patients in an outpatient [...]
April 8th, 2008 at 12:29 pm
Great, individualized anesthesia care is of the utmost importance here at Chapel Hill Surgery Center. From receiving patient history information prior to surgery, the anesthesia staff can create the safest and most effective workup for each patient. The anesthesia staff ensures the comfort of each patient all along the path to a successful surgical experience here at Chapel Hill Surgery Center.
April 2nd, 2008 at 8:42 am
Having anesthesia makes a lot of people very nervous. I’m sure this information will help reassure many patients thinking of having surgery. I have worked at Chapel Hill Tubal Reversal Center for eight years and have a great deal of confidence in our anesthesia team. I would feel comfortable letting them give me anesthesia any time.
April 1st, 2008 at 6:33 am
A lot of work goes into planning the best individual care for each patient.In my opinion we have the best anesthesia team here and I am so thankful to be a part of their team. Keep up the great work!
Matt Murphy, ST
March 31st, 2008 at 11:30 am
Thanks Pam, for being such a good patient advocate. This is just one more way for our patients to educate themselves prior to their tubal reversals. I know they appreciate this and the peace of mind that comes with being well informed.
March 31st, 2008 at 9:48 am
We are lucky to work with the very best of anesthesia teams! As a recovery room nurse, I know how well our patients do after anesthesia with great prophylactic control of nausea and vomiting and quick arousal from sleep. Patients frequently comment it is the best experience they have ever had with general anesthsesia.
March 31st, 2008 at 8:47 am
Thanks All,
We certainly try our best to make this a wonderful experience for all of our patients.
March 31st, 2008 at 6:33 am
Thanks, Pam! I’m sure this information will bring comfort for all of the patients!
March 30th, 2008 at 10:37 pm
Our patients are usually very surprised how well they do with the anesthesia at CHSC. The anesthesia staff are really excellent and very concerned with patients’ comfort and overall experience. Great information!–Jan
March 30th, 2008 at 4:19 pm
What wonderful information. You are always there to provide wonderful patient care. Many times patients comment on how confortable they felt after their care from the anesthesia team. You all have a wonderful patient oriented philosophy. I know that this information will give the patients a calming feeling as information is a powerful thing.
Rhonda
March 28th, 2008 at 10:05 pm
A very precise and informative blog post. Thanks Pam! Patients will really gain an understanding of what they can expect from their surgical experience after reading this.
March 28th, 2008 at 6:12 pm
Thank you, Pam. This is a nice description of the way that the anesthesia team and surgical teams work together at Chapel Hill Tubal Reversal Center to make each patient’s operation safe, successful, and comfortable. Other medical personnel who have visited our facility are amazed at how quickly our patients recover and how comfortable they are following their surgical procedures. This is the ideal in medical care, and our patients confirm this over and over again in the evaluation forms they return to us following their visits to Chapel Hill Tubal Reversal Center.