I recently received an email from a patient who had an ectopic pregnancy subsequent to her tubal reversal. Unfortunately, the pregnancy continued to the point of tubal rupture with the loss of the fallopian tube. Patient’s History I was hoping you could help me understand why my ectopic pregnancy was not detected early enough to […]
Exchanging Information About Tubal Reversal The Tubal Reversal Message Board is provided by A Personal Choice to allow women to communicate with each other about tubal ligation reversal. Members of Dr. Berger’s staff also contribute their insights in the message posts. Here is an example of how members help and support each other on the message board […]
New patients may want to learn about the relationship between A Personal Choice and Chapel Hill Surgical Center. They are interrelated health care organizations exclusively for the benefit of patients undergoing tubal reversal surgery. A Personal Choice A Personal Choice is the name of my private practice. It is located on the second floor of a 2 story […]
Patient’s History Ana G. was one of the 4 patients I operated on today at A Personal Choice. She is a 28 year old woman from Angola, the mother of 3 children – ages 9, 8, and 6. She married when she was 15 and was in an abusive marriage. To keep from becoming pregnant […]
At A Personal Choice, we receive requests 7 days a week, 365 days a year, for information about tubal ligation reversal. These requests come from women who regret having a tubal ligation. A staff member recently asked me how big a problem this is throughout the country. The following is in response to this question. […]
Doctors who perform tubal ligations should consider the possibility that the patient might in the future change her mind. It is best to perform a type of tubal ligation that can be reversed at a later time, should the need arise. The best choice of a tubal ligation requested by a young woman with no children is the clip method (either Hulka clip or Filshie clip).
Tubal Anastomosis at the Uterine Cornua Tubouterine anastomosis is a tubal reversal procedure that is intermediate between tubotubal anastomosis and tubouterine implantation. It is also called cornual anastomosis because the tube is joined to the cornual area of the uterus with this operation. The cornu is the area where the fallopian tube normally emerges from […]
Salpingitis Isthmica Nodosa Salpingitis isthmica nodosa is a nodular swelling of the isthmic segment of the fallopian tube. This fallopian tube abnormality is sometimes encountered at the time of tubal reversal surgery. It often involves the interstitial portion of tube that is within the uterine muscle. The nodule is due to thickening of the muscular […]
Tubal Reversal Scholarly Publications Early Experimental Studies in Animals In 1969, David, Brackett and Garcia (1) reported using microsurgical techniques for uterotubal anastomosis after removing the uterotubal junction from one side in 25 rabbits. Among 11 (44%) of the animals that became pregnant, fewer implantations occurred on the operated side than on the unoperated side. […]
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