Chapel Hill Tubal Reversal Center
109 Conner Drive Suite 2200, Chapel Hill, NC 27514 (919) 968-4656

Tubal Reversal Blog ‘surgery’

My First Official Day as a Tubal Ligation Reversal Specialist

July 25th, 2008

To the patients of the Chapel Hill Tubal Reversal Center message board, sorry. It has been a long time since I last posted a blog. I have worked six to seven days a week for the last eight years and sometimes 36-hour shifts in the hospital. Needless to say, many sleepless nights and long hours. Recently, I completed a six-month training period with Dr. Gary Berger while at the same time, working in the hospital and delivering babies. Before starting my new career at Chapel Hill Tubal Reversal Center, I took some time off to be with my family and now I am back!

It has been a long process to become a tubal ligation reversal specialist, but well worth it.

My path to become a specialist in tubal ligation reversal actually started 18 months ago when I first made contact with Dr. Berger. Six months of meetings, followed by six months of tubal ligation reversal training has gone by quite fast. This week has gone by even faster. Monday, July 21 was my first ‘official’ day with Chapel Hill Tubal Reversal Center. As I write this blog, this is my fourth day of surgery and we have completed 16 tubal ligation reversals thus far. So far, we have had nothing but success. All patients this week have had at least one tube opened or successfully reversed. I hope they will all become pregnant.

My first day untying tubes was wonderful, and all of the surgeries went well. Each day has been both a challenge and a joy. Dr. Berger and I are doing four reversal surgeries a day. I help him with his two patients and he helps me with my two patients. We have been working very well together and the staff at the center have been great and very accommodating.

The best thing about my new career has been the patients. The patients have been wonderful people to work with. I have the opportunity to meet patients from all over the United States and from all walks of life. They each have a unique story to tell. They have been wonderful individuals and couples who desire either more children or improvement in their menstrual symptoms. In the first three days of my new job I received more ‘Thank you Doctor….’ than I did in eight years as a general Ob/Gyn.

I think this will be the beginning of a long and lovely career…..

Tubal Ligation Reversal: A Patient’s Story

June 17th, 2008

One of yesterday’s patients is a 33 year old from West Virginia. She works as a facilities assistant in a maximum-security prison. She has three children ages 15, 11, and 10. After her last child she had her tubes tied. She was previously married but now has a new partner. Her partner does not have any children and together they desire a child.

She found Chapel Hill Tubal Reversal Center by researching tubal ligation reversal on the Internet. She says it took some time for them to decide and make up their mind where to have her tubal reversal operation performed. They decided to come to us because of our reputation and informative website.

Dr. Berger and I meet with her and her husband the morning of surgery. We discussed her medical history, risks of surgery and expected recovery. After our pre-operative evaluation, she and her husband met the anesthesiologist, Dr. Caryn Hertz, and within one hour she was in the operating suite.

She underwent general anesthesia without any difficulty. She had a small 3-inch incision just about the pubic hairline. Both tubes were easily identified and repaired. The tubal lengths after the tubal reapproximation were good. The entire surgical procedure was one hour. Her surgery went extremely well.

After her stay in the recovery room, we discussed the operative results with her and her husband and the recovery room nurses reviewed the postoperative instructions with them. They were discharged to stay at a local hotel where one of the Tubal Reversal Nurses visited her this morning. She was found to be recovering well and she was discharged to return home to West Virginia.

We wish her and her husband well and that they will have the baby soon they are hoping for!

Submitted by Dr. Charles Monteith
Chapel Hill Tubal Reversal Center

Another Day of Untying Tubes

April 30th, 2008

Dr. Montieth’s Diary on Becoming a Tubal Reversal Specialist

Today we had another successful day of untying tubes. We began the day at 7AM. Four patients were scheduled for tubal ligation reversal surgery.

I was able to first assist Dr. Berger in the first three surgeries of the day, but had to leave prior to the fourth surgery. I am becoming proficient at identifying tubal anatomy and repairing tubes that have been tied.

The first patient had her tubes tied several years ago and she was now in a new relationship. Both she and her partner desired more children. They made the decision that they would undergo tubal ligation reversal and try to pursue their dream of having children together. Her surgery went well and we were able to successfully reverse her tubal ligation.

The second patient was similar to the first and desired more children. Her surgery also went well.

The third patient had her tubes tied, but after her surgery she lost a child to Sudden Infant Death Syndrome (SIDS). We often hear stories like this from many patients who come to Chapel Hill Tubal Reversal Center. It is extremely sad to hear the stories these patients tell. My heart aches for them as they try to replace their children and add to their family. Every time I hear these stories I think of my own children and what it would be like to experience such a loss. I can not fully imagine the pain from such loss but I can understand the strong desire to replace a cherished soul. I am happy to report that her surgery went extremely well and she had an excellent operative result. I take enjoyment out of every reversal surgery I have participated in, and feel an extra sense of accomplishment when assisting in untying tubes for patients who have lost children unexpectedly.

I had to leave before the fourth patient had surgery. Fortunately, I will be back in the morning for four more reversal surgeries and to meet four more interesting people and learn about their stories.

My Start to Becoming a Tubal Reversal Specialist

March 18th, 2008

After my first meeting with Dr. Berger, I drove home and was ecstatic our conversation went so well. I did not know what to expect when I first visited the center but my visit was everything I could have hoped for. Immediately when I got home I told my wife about my experience. I had never told her about my previous dream so I also divulged to her my vision about my visit to Chapel Hill Tubal Reversal Center. She was amazed I even had such a dream because she is aware I am not a very superstitious person. To this day we still can not believe I had a dream foretelling the start of a new career.

Dr. Berger and I had several more meetings after our initial meeting. I was able to explain to him my career frustrations and my desire to become a tubal ligation reversal specialist. I was able to learn more about him, his background in infertility and in vitro fertilization, and his evolution towards becoming an exclusive provider of tubal ligation reversal surgery. Our meetings were productive and I became even more certain I wanted to become a specialist in tubal ligation reversal.

As I began to seriously consider transitioning to become a tubal ligation reversal specialist I began to realize several things about myself:

  • As a physician I want to help people. I especially enjoy helping people obtain goals which are not easily available.
  • I take enjoyment in doing surgeries other doctors are either afraid of or incapable of doing.
  • I value letting patients make their own informed decisions. I have never felt the need to impose my beliefs upon other people. I rarely judge the decisions of others.
  • I dislike hospitals. I feel they are unhealthy (for patients and doctors) and are loud, noisy places.
  • I really enjoy working in outpatient, ambulatory surgery centers. I feel less confined than in the hospital environment.
  • I like to be efficient. Being idle is extremely difficult for me.
  • I can not take good care of others if I can not take good care of myself and family. Long nights, weekends, and poor medical outcomes began to gnaw away at one’s humanity and compassion.

It has been almost a year since I first met Dr. Berger and the staff at the Chapel Hill Tubal Reversal Center and started my path towards becoming a reversal specialist. I have realized many things about myself and my desires. I am eagerly looking forward to a career in helping women correct the misgivings of prior decisions.

Diagnostic Laparoscopy Before Tubal Reversal: A Recap

January 12th, 2008

Why Some Patients Choose To Have Screening Laparoscopy

Tubal ligation procedures vary in the severity of injury occurring to the fallopian tubes. Although most tubal ligations are reversible, there are some cases where tubal reversal is not possible. If the operative report from your tubal ligation indicates there may be a problem in repairing the remaining tubal segments, or if you cannot get a copy of your operative report, you may be interested in the screening laparoscopy option offered at Chapel Hill Tubal Reversal Center.

Diagnostic laparoscopy is useful in some cases prior to having a tubal reversal procedure.With this option, your surgery begins with diagnostic laparoscopy to examine your fallopian tubes. If tubal repair is possible, tubal reversal is performed immediately while you are under anesthesia. That way you do not have to undergo anesthesia and surgery on two separate occasions.

If tubal reversal is not possible, the operation is concluded with just the diagnostic laparoscopy. There is an additional charge of $1000 to add the screening laparoscopy, but with this option you will receive almost half of the total surgery fee in refund should tubal repair not be performed. The “laparoscopy package” is excellent insurance in situations when the method of tubal ligation is unknown.

Screening laparoscopy is available to patients with a Body Mass Index (BMI) under 30 who are interested in more assurance regarding the outcome of the reversal surgery. It is recommended – but not required – in cases where the amount of tube remaining is questionable, such as after monopolar tubal coagulation at multiple sites along the tube.

If you have questions about the laparoscopy option, you can discuss them with Dr. Berger and the Tubal Reversal nurses during your preoperative consultation.

What You Can Expect at Chapel Hill Tubal Reversal Center

December 13th, 2007

Chapel Hill Tubal Reversal Center offers complete information and support before, during, and after tubal reversal surgery by Dr. Berger. People like knowing what to expect when they come to Chapel Hill Tubal Reversal Center for their tubal reversal procedure by reproductive surgeon Dr. Gary Berger, our Medical Director.

We provide a great deal of information about this on our website, in emails and letters, and by telephone.

Learn From Others on the Tubal Reversal Message Board

Another useful source of information about what to expect is the Tubal Reversal Message Board. Through the message board, women can ask questions and get responses from Dr. Berger’s staff and from others who have had their tubal reversal procedure. A message board member recently asked this question about what to expect in the Preparing for Tubal Reversal forum with the subject heading Need Details About Consultation:

“Can someone who has already had their consultation give me details about what happens at the consultation? I’m nervous ):”

She received this detailed reply from another board member:

“My wife had her tubal reversal just this week, so it is still pretty fresh for us. We went there on Monday, so the schedule of things may be different on other days.

She was very nervous; we drove down – an eleven hour drive – not sure what to expect. While there are countless messages on the board detailing great experiences, the fear of showing up and discovering either a second-rate facility or a scam were still in the back of our minds. She was also nervous about “making weight”, even though she was not even close to the BMI cutoff; my dear wife likes to fret over everything.

We met the shuttle van at the lobby of the Sheraton at 6:45; Doctor Berger’s facility is only 5 minutes down the road. When we pulled in, the courtyard gate was unlocked and open. We made our way up the stairs to the second floor, and the receptionist was ready and waiting; the waiting room up there looks like a very cozy, large, well appointed living room.

My wife got the luck of the draw and was first, so it was a very efficient, streamlined process. First up was blood pressure, height and weight. All went well, and we immediately met with Doctor Berger. He is professional, courteous, and yes, asked why we chose this. He didn’t seem judgmental about age or weight; he seemed genuinely committed to giving my wife back her reproductive rights to the best of his ability.

After that was the vaginal ultrasound. My wife preferred for me to be present; it was about 10 minutes total, minimally invasive, and yes, the nurse fine tuned the hair line for surgery.

We were immediately escorted downstairs to the surgery reception, and we were quickly greeted by one of the surgical nurses. I believe we had some very brief paperwork at that point, but we moved so efficiently, I could be wrong. We were escorted to the surgical waiting area, where she changed into a johnny and a robe, and answered some of the standard surgical questions.

My wife is no fan of needles, and we let the nurse know that previous IV experiences weren’t very good. When the nurse had trouble with the IV, she immediately called in one of the OR nurses who took over and inserted a new IV in one quick, painless hit.

They talked us through every single step, and soon, my wife was walking in to surgery. She says she climbed onto the table and doesn’t remember a darned thing until waking up! As she was waking up, the nurse went over post-op care with me in painstaking detail. What the meds are for, when to give them, what existing meds can be taken with them, etc. It was thorough, and I felt quite capable of caring for my wife when we returned to the hotel. When she was awake and lucid, and had successfully emptied her bladder, they allowed her to dress, and called for the Hotel Shuttle. 5 minutes later, it arrived, and we were back in our hotel room before 11am!

The next morning promptly at 7 am, the nurse visited our hotel room, inspected the incision, and took every bit of time we needed to feel comfortable for our trip home.

A few tips:

  • An important detail is that Doctor Berger’s facility is amazingly efficient; while you don’t feel rushed, you are done before you know it. They have fine tuned the process so very little time is wasted.
  • Stick to the medicine schedule! Don’t be a hero and skip your pain meds or you will regret it. My wife had a few bouts of soreness that would have been difficult in the days after surgery without meds.
  • The nurses are all wonderful people; we enjoyed meeting them and letting them take care of my wife. Let them take care of you, and you will do fine.”

Support Before, During, and After Tubal Reversal

At Chapel Hill Tubal Reversal Center, our relationship with patients does not begin and end on the date of surgery.  When you choose Dr. Berger as your tubal reversal doctor, you can expect to have our support before, during, and after surgery.  We are available 24 hours a day, 7 days a week to answer questions and to provide education and information about the tubal reversal process.  Our goal is to provide you with all of the tools you will need on your tubal reversal journey.

Watch Tubal Reversal Surgery

November 19th, 2007

How Fertility is Restored Through Outpatient Tubal Reversal

This video clip comes from a Discovery Channel production featuring the tubal reversal procedure that I perform. The film crew followed Deborah and Paul Martinez as they proceeded through their tubal reversal journey. The operation was filmed in its entirety and I describe each step as I proceed through the procedure. The video clip available here is only 3 minutes in length, but the entire operation is available in a free videotape or DVD. Originally aired as part of the series, “The Operation”, the film has also been broadcast on TLC (The Learning Channel) and on “The CBS Early Morning Show”.

Click to order video or DVD.
Order Free Tubal Reversal Video or DVD

The video tape or DVD is free of charge for personal viewing. There is a small charge for shipping and handling.

This video shows step-by-step how I repair the fallopian tubes after a tubal ligation in a one-hour outpatient procedure that is comfortable for the patient and results in very quick recovery.

Once you see this you will understand why patients come to Chapel Hill Tubal Reversal Center from all over the US as well as from other countries for their tubal reversal procedure. Besides its comfort and fast recovery, my procedure has the highest success rates of any operation to repair the tubes and it more successful than the alternative (and more expensive) treatment of IVF.

http://video.tubal-reversal.net/

More information on » surgery

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Answers to seven important questions to find out if tubal reversal is right for you.

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Chapel Hill Tubal Reversal Center.
109 Conner Drive Suite 2200, Chapel Hill, NC 27514
Tel: (919) 968-4656     Fax: (919) 869-1976