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Tubal Reversal Message Board » Questions about Tubal Reversal » Hospital, stent, and self retaining retractors

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Topic: Comparing doctors' techniques of tubal reversal microsurgery

donnajomama

Thanks for the reply, Dr. Berger, and Kem,

I have watched Dr. Berger's tubal reversal video and honestly I was very impressed. I have not read a message that did not praise Dr. Berger, CH, and his staff. I already have my mind made up. I want Dr. Berger to perform my TR. I have read the testimonials and seen pictures of the babies.

It just seemed like that other webpage was so negative towards others, without really talking about what he did for his patients.

Anyway,I was just wondering about those claims, but you make a lot of sense, Kem, and thanks for writing back. I cannot wait to have my TR and I know that I will be in the best of hands.

Thanks.

Julia Smith, RN

Thanks for your post. We would not comment on another doctor or the information on another website since we cannot verify the accuracy and have no knowledge of what other doctors do in their facilities. We can tell you about what we do, however, and the outcomes we see using techniques pioneered by Dr. Berger.

The stent does not damage the tubes, and it ensures that they are open so a dye test is not necessary. You can see how this looks on our website page about tubal anastomosis. There is an illustration showing the placement of the stent. The stent technique is the best approach in our opinion to avoid any doubt about tubal patency.

When Dr. Berger first began doing reversal surgery in 1976, he did use a microscope - and we still have one in the facility. In our opinion, however, the microscopic loupes allow better visualization during all phases of the procedure. With the microscope, the machine must be repositioned several times during the procedure to allow for adequate visualization. This is not only unnecessary, but it causes longer time under anesthesia, which can lead to an increase in post-op complications.

Chapel Hill Surgical Center is fully accredited by the Joint Commission on the Accreditation of Healthcare Organizations. This is the nationally recognized leader in hospital accreditation. We have board-certified MD anesthesiologists providing anesthesia and all nurses on our staff have certification in advanced cardiac life support. The nurse to patient ratio is 4:1. Every year, thousands of patients acquire deadly hospital-acquired infections due to the nature of the diseases treated in the hospital setting. In our facility, we treat only healthy tubal reversal patients so our infection rates have remained below 1%, which is far lower than that of any hospital I am aware of. We have full transfer privileges with UNC hospital in the unlikely event this is necessary.

Self-retaining retractors are large metal instruments that are used to (literally) crank open the muscles and fascia to provide the exposure required for the microscope. Self-retaining retractors allow ample visualization to repair the tubes without injuring the surrounding tissues. Post-operative discomfort is related more to the trauma retractors cause to the tissues and muscle than to the skin incision! It would be misleading for someone to claim that not using self-retaining retractors would be "bad".

The main thing to consider is that everyone on this message board who has undergone reversal surgery had their surgery with Dr. Berger -- not any other doctor. They are each a testament to how well all of the techniques you mentioned above work! When you take a look at our pregnancy reports and statistics and read about pregnancies here, it is with the knowledge that each was obtained following reversal surgery with a stent, loupes, and handheld (not self-retaining) retractors! So, that is the best answer to your question! For more information, however, read the Talking Points page on our website.

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Other excerpts from the Tubal Message board include:

Nominated A Great Family-Building Professional - Dr. Berger has been nominated at inciid by his patients and staff.
Tubal Reversal Information on Wikipedia - Recognizes the contributions of tubal reversal specialist Dr. Gary Berger.
Discussion of Tubal Reversal Surgery by Dr. Berger from the Tubal Reversal Message Board.
What it Means to have a Second Chance to Have a Baby - Read what others say about the meaning of being able to conceive again.
What Made You Choose Dr. Berger for Tubal Reversal Surgery? - Tubal Reversal Message Board members explain why they have chosen Dr. Berger over other doctors to perform their tubal reversal procedure.
What Makes Dr. Berger The Best Tubal Reversal Doctor? - Patients describe the reasons why Dr. Berger is the best doctor for tubal reversal surgery.
Patients' impressions of Dr. Berger - Patients describe their impressions of Dr. Berger.
Low Cost Tubal Reversal - Dr. Berger Performs Tubal Reversal Procedures 5 Days A Week At The Lowest Cost.
Tubal Reversal Doctors - Comparing tubal reversal doctors, surgery techniques and pregnancy statistics.
Recovery Time after Tubal Reversal - Most patients return to work within 1 week after tubal reversal by Dr. Berger.
How To Deal With Less Than Supportive Reactions About Tubal Reversal - The decision to have a tubal reversal and more children is a private one between couples, but friends and family may have less than supportive reactions.
HSG - A Test To Find Out If The Tubes Are Open - Tips about post tubal reversal HSG (hysterosalpingogram) to determine tubal patency and to avoid errors in this procedure.

Master List

More information about self retaining retractors and tubal stent

Special Report

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

Call (919) 968-4656 To Speak With a Tubal Reversal Nurse

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