Pomeroy Technique of Tubal Ligation and Resection The most common type of tubal ligation is the Pomeroy procedure, named after Dr. Ralph Pomeroy who described it in 1930. The Pomeroy method involves picking up a segment of the fallopian tube to create a knuckle, placing a tie or ligature with absorbable suture around its base, […]
Our Tubal Reversal Center is Unique Dr. Berger is the only physician in the country with a practice that is specifically limited to tubal reversal surgery. That is the only procedure performed here with Dr. Berger performing four reversals each day, five days a week. We have a high staff/patient ratio with one or two […]
About Me Sometimes patients ask about my background and why I became a tubal reversal doctor. (It’s a fair question, since I ask them what made them decide to have a tubal reversal.) I usually tell them about my first year after medical school when I was an intern in medicine at Duke University Hospital […]
The circumstances that lead people to have a tubal reversal procedure are unique to each person. Understanding them is helpful to me as a tubal reversal specialist providing their care during and after tubal reversal surgery. Preoperative Consultation When meeting new patients, I begin the preoperative consultation by asking about the circumstances that have them […]
A Personal Choice Chapel Hill Tubal Reversal Center is the only medical center exclusively for tubal ligation reversal. Patients travel from all over to have their tubal reversal procedures performed here. After surgery, each patient puts a pin in the map indicating where she is from. The map below shows that people come from all […]
The fallopian tube is an amazing and versatile reproductive organ. Its functions include capturing an egg from the ovary at the time of ovulation; nourishing the fertilized egg or zygote during its early cell divisions; and delivering the blastocyst into the uterine cavity when it is time for implantation. The different parts of the fallopian […]
Risk of Ectopic Pregnancy Tubal surgery is associated with an increased risk of ectopic pregnancy (a pregnancy outside of the uterine cavity). The risk of ectopic pregnancy is 2-3% in the general population. After tubal ligation and tubal ligation reversal, the risk is approximately 10%. Therefore, every woman who is pregnant following tubal reversal should […]
Almost every article one reads about tubal ligation stresses that it is permanent. Most doctors and the lay public believe this to be true. In my experience, however, tubal ligation is reversible in over 95% cases! Doctors stress that tubal ligation is a permanent method birth control because it cannot be discontinued easily such as […]
How Fertility is Restored Through Outpatient Tubal Reversal (Video not available at this time) 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 […]
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