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Posted by Impatient (Member # 5526) on December 01, 2007 10:50 AM :
I just noticed that there is a new link on the website for Dr. Berger's blog. Has anyone else seen it? The information on it is very good. Carrie

Posted by Gary S Berger MD (Member # 3) on December 01, 2007 10:25 PM :
I am glad you found my blog and think it is useful. I started it last week. You are the first one to have noticed it. I have begun by providing some basic information about tubal reversal, but hope to use it also to respond to issues and concerns that members of the message board would like me to write about.

Posted by Blessings (Member # 9736) on December 01, 2007 10:38 PM :
Yes, I saw it the other day and thought it was a great idea too. I always look forward to reading up on this procedure.
Thanks Dr. Berger.
Christie

Posted by mistyby (Member # 10804) on December 01, 2007 10:54 PM :
Yes I saw and read everything I think it is great and very good info on there. Your the best Doctor Berger.
Misty Tr 4-4-07

Posted by Brandi (Member # 3653) on December 02, 2007 12:19 PM :
Yep, I noticed it last week and check it daily. Thank You Dr Berger!

Posted by Julia Smith, RN (Member # 10) on December 17, 2007 03:55 PM :
Hi, Christie, Misty, and Carrie. I am glad that you all found the Blog! It really is full of good information and is updated daily with historical, medical, educational,and fun facts about tubal reversal surgery. This is just another way that Dr. Berger works hard to educate patients about the procedure and to provide the information needed to assess whether tubal reversal surgery is right for you. We hope you find it helpful. Please feel free to post a comment! Julia Smith RN

Posted by in-Gods-hands (Member # 11795) on December 17, 2007 07:53 PM :
I too have seen this blog and like it. It has really helped me with deciding to have a TR and to understand what is going to happen. Thank you for it.

Posted by JoHannah (Member # 11818) on December 17, 2007 10:13 PM :
Microsurgical Salpingostomy.... Is it safe to assume that from the operative report that she started approx. 3 cm from the base of both my tubes, then demolished the rest of the tubes by going along side of the lengths of my tubes plus electrocagulated my fimbriated ends? So I'm guessing that I would lose a part of the 3 cm for repair plus the additional length needed for the salpingostomy? Would this be about right? I know there is not a definite answer, without getting inside and viewing the tubes, but I'd just like to know what kind of outcome (ballpark figure) best and worse case scenario to think about.
...."The pregnancy rate at one year following microsurgical salpingostomy is approximately 40%." I am 30 y/o and have had two children 12 and 8. Does this statement mean we would have to wait one year to try, or that the rate fluctuates within the first year of having it preformed? Does this cause extra concern for a ectopic pregnancy? God Bless, JoHannah

Posted by Julia Smith, RN (Member # 10) on December 18, 2007 03:43 PM :
Dear JoHannah: Without seeing your operative and pathology reports, it is hard for me to know what type of tubal ligation has been performed. Can you fax that information to me? If you have had a fimbriectomy - where the distal part of the tube near the ovary has been removed - Dr. Berger would perform a salpingostomy to open your tubes. Pregnancy rates following repair of a fimbriectomy are around 40% at the end of one year. This does not mean you have to wait one year to get pregnant. It means that 40% of the women with this type WERE pregnant or had delivered at the end of one year. Although this procedure is more aggressive than other sterilization techniques, it is still possible to become pregnant again after the tubal repair. If you have had a fimbriectomy and are concerned about overall tubal length, there are a few options: If your body mass index is less than 30, Dr. Berger can perform a screening laparoscopy just prior to the tubal repair to determine the amount of tube remaining or you can have an HSG (x-ray of the tubes). Both procedures allow us to better determine the amount of tube that is remaining. I hope this is helpful. Julia Smith RN

Posted by JoHannah (Member # 11818) on December 18, 2007 04:33 PM :
Hello Julia, Thanks for responding! I spoke with Sarah M. RN today via telephone, she has my records. She put my mind at ease and made me feel better about the outcome. I feel very informed now. We are looking to schedule in Jan or Feb. with Dr. Berger. We have waited a very long time for this. I look forward to meeting you all in the next couple of months. May God Bless You All! Sincerely,
JoHannah

Posted by Mercy123 (Member # 11862) on December 30, 2007 08:22 PM :
Hello,
For the past 9 months I have be researching and visiting local doctors to make a decision on which procedure would be best for me to become pregnant. I am 42 years old. I have two children, which I delivered naturally. They are 23 and 18 years old. I have remarried and my husband and I would like to start a family together. But...

On 5/21/1998, I received a tubal ligation. I have copies of my operative notes, which I can fax to you... but after a local doctor reviewed my operative notes, she felt that the only way I can become pregnant is IVF. Much of my research has been for IVF... but I started reading Chapel Hill Tubal Reversal Center and wanted your opinion.

My operative notes state: A 5mm incision was made through the lower part of umbilicus. With the patient in trendelenburg position the Verres needle was place and the abdomen insufflated with 2 liters of CO2. The trocar and the suparpubic instruments were place and the pelvis was visualized. The uterus is smooth, firm, mobile, anteverted. Both ovaries appeared normal. The anterior and posterios cul-de-sacs were clear. There was no fluid. The right and left tube appeared normal except there was minimal clubbing on the left fimbriated end. The right fallopian tube was identified, grasped and caterized in FIVE distinct places, as was the left. All instruments were removed. The abdomen was desufflated as far as possible. The incision were closed w/ 4-0 Chromic. Patent tolerated the procedure well and left the operating room in good condition. I would like to know your thoughts on my operative notes. Do you think that I have a chance for a reversal? I am concerned about IVF b/c of the costs among other things. Thank you for thoughts.

Posted by Julia Smith, RN (Member # 10) on December 31, 2007 11:31 AM :
Hi, Mercy123: Welcome! I hope that you received the e-mail I sent to you this morning regarding the information from your operative report. If you wish to speak to me, I can be reached at 919-656-8204! Happy New Year. Julia Smith RN

Posted by Jennifer Okun, R.N. (Member # 1806) on December 31, 2007 11:39 AM :
If you would like more of an assurance regarding outcome, we do offer a Screening Laparoscopy Package option to all of our patients with a body mass index of less than 30. The screening laparoscopy and possible tubal reversal are done in one operation. This way you do not have to undergo anesthesia and surgery twice. You are put to sleep and Dr. Berger starts by performing a screening laparoscopy. If there is adequate tube remaining to complete the repair, Dr. Berger will make the incision for the reversal and complete this surgery. There is an additional fee of $1,000.00 for the Screening Laparoscopy Package. If Dr. Berger only performs screening laparoscopy and does not perform any tubal repair, you will be refunded close to 50% of your total payment.

Posted by Mercy123 (Member # 11862) on December 31, 2007 02:28 PM :
Thank you for the email... it helped to start doing more research. Happy New Year to all and here is hoping that me and DH will start the new year planning a trip to Chapel Hill in the near future. Thank you all again! ~M

More information on Dr. Berger's Blog

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Tubal Reversal Message Board Dr. Berger's Blog

Call a Tubal Reversal Nurse for a free consultation - (919) 968-4656

Call a Tubal Reversal Nurse
for a free consultation -
(919) 968-4656