Tubal Reversal Procedure Talking Points
Tubal Reversal Microsurgery Techniques
Question : How long has the doctor performed tubal reversal microsurgery?
"Dear Dr. Berger - We had our latest tubal reversal baby, Hannah Katelin on 12-6-03. I am sending you a photo attachment to add it to the twins picture. We are very proud to be on your web site!" Answer : Dr. Berger has specialized in tubal reversal microsurgery since 1976. Dr. Berger published some of the original medical articles regarding tubal reversal microsurgery. In recognition of his expertise in microsurgery, he was elected a Charter Member of the Society of Reproductive Surgeons when it was formed in 1980. When you are choosing a doctor to perform your tubal reversal, find out if he or she is recognized by these organizations. Also, ask to see the statistical data that the doctor maintains about his patients' outcomes after tubal reversal.
Question : What are the advantages of an operating microscope vs. magnifying loupes for tubal reversal microsurgery?
Answer : An operating microscope provides greater magnification at a single 
plane. Surgical loupes (magnifying lenses) provide greater depth of vision. Loupes permit using microsurgery techniques not only on the fallopian tubes, but also throughout all steps in the tubal reversal procedure. Microsurgery techniques reduce tissue injury, blood loss, postoperative pain, risk of infection, and recovery time. It makes sense to use microsurgery techniques for the skin, muscles, and other tissues as well as the fallopian tubes. Check the testimonials of patients who have had their tubal reversal performed by Dr. Berger to see what they have to say about this issue. You can also watch a free videotape of Dr. Berger performing and explaining tubal reversal microsurgery that has been broadcast on The Discovery Channel and The Learning Channel. Seeing the operation step-by-step will help you understand the advantages of Dr. Berger's microsurgical techniques for tubal reversal surgery.
Question : Is tubal reversal safer in a hospital or outpatient surgical center?
Answer : Tubal reversal microsurgery costs less and is safer when performed at Chapel Hill Surgical Center than in a hospital. CDC estimates that each year nearly 2 million patients in the United States get an infection in hospitals, and about 90,000 of these patients die as a result of their infection. These contagious diseases are major health threats because they are caused by bacteria that are resistant to antibiotics. Even healthy people undergoing elective surgery can contract a potentially fatal "nosocomial" (hospital-acquired) infection.
Hospitals are the right place for treating complicated medical or surgical diseases, but they are not the best place for healthy people to have tubal reversal surgery!
Question : Should a stent be used when repairing the fallopian tube or not?
Answer : A stent is a slender thread inserted into the tubal lumen during tubal anastomosis. The stent is withdrawn after the tube has been repaired. Using a stent ensures that the tubal lumen is completely open from the uterus to the fimbrial end of the tube. Studies comparing the outcome of tubal reversals using a stent vs not using a stent indicate that the pregnancy rate is higher when a stent is used.
Question : What kind of suture does Dr. Berger use to repair the fallopian tubes?
Answer : Dr. Berger uses Prolene, a permanent suture that provokes no tissue reaction as is common with many other types of suture materials.
Question : How can I know what techniques work best for tubal reversal procedures?
Answer : Some doctors may have different opinions about how tubal reversal surgery is best performed. There is only one way to know what works the best and that is by documenting the pregnancy and birth rates after the reversal surgery. This requires long term patient follow-up. Dr. Berger follows-up with all of his patients, records the outcomes of every reversal procedure, and publishes documented statistics about pregnancy after tubal reversal as well as weekly pregnancy reports for his patients. Chapel Hill Tubal Reversal Center provides complete and accurate information about the success of tubal reversal.
Question : Are postoperative medications and follow-up included in the price for tubal reversal?
Answer : Yes - postoperative pain relieving medications, as well as preoperative review of medical records, preoperative consultation, and follow-up after tubal reversal are included in our all-inclusive fee. There are no hidden fees.
Question : How available are the nurses and doctor if I need to reach them?
Answer : A nurse is available after hours by telephone 7 days a week until 8 PM Eastern Time. Dr. Berger is available to his patients by toll-free pager 24 hours a day, 7 days a week.
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