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Surgical Complications

Surgical Complications

Our Quality Management team collects data on every surgical patient and monitors reported surgical complications.

We maintain an extensive follow-up for the development of post-operative complications. Patients are provided a 24-hour emergency contact number and nurses are available for consultation during business hours. We actively track operative complications and focus our investigation on surgical site infections and unanticipated visit to doctor’s office after surgery.

Surgical complications at A Personal Choice

Our reversal surgical complication data is as follows:

  • Hospital Transfer <0.5%
  • Blood Transfusion 0%
  • Early Operative/Anesthesia complications <0.5%
  • Major Incision Infections <0.5%
  • Minor Incision Infections <2%
  • Unanticipated visit to MD <5%

Ectopic pregnancy

The main risk of tubal reversal surgery is the risk of ectopic pregnancy. The risk ectopic pregnancy after surgery at our facility is 10% to 15%. To help minimize the risk of ectopic pregnancy we encourage all patients to follow-up with their local physicians and to begin early pregnancy HCG monitoring as soon as they discover they are pregnant.

In our letter of recommendation to patients physicians, we provide the most current and up-to-date data on the adequate diagnosis and medical treatment of ectopic pregnancy. When this protocol is correctly followed the risk of a ruptured tubal pregnancy is less than 2%.

Have Questions? Leave a comment here or visit our contact page.


Anonymous Reply

I am 40 years old and seeking a reversal due to PTLS. I have had three prior c-sections (2010, 2012, 2015) and tubes tied during the last surgery. My history includes resistant hypertension (after the tubal in 2015) which is now controlled by medication. Is this a risk factor for the procedure?

    Dr. Monteith Reply

    As long as your blood pressure is not too severely elevated you should be a safe candidate for tubal reversal surgery.

    We should be able to reverse your tubes. You should consider our screening laparoscopy because of your history of c-sections and the possibility of scar tissue.

    We charge $6,400 for tubal reversal surgery. You should send us your records from your tubal ligation for a free review. Sometimes patients cannot get their records. Even if you cannot obtain your records we would perform tubal reversal for you because we can reverse most tubal ligations most of the time.

    Tubal reversal can be 60% to 70% effective. The other treatment to become pregnant is In-vitro Fertilization (IVF) and this treatment cost averages $14,000 and is about 40% effective for each try.

    Tubal reversal is possible when you have a history of multiple c-sections. We have many patients who have successful reversal and pregnancy with a history of c-sections. The biggest concern with multiple (3 or more) c-sections is the possibility of severe scar tissue. If severe scar tissue exists then reversal may not be possible.

    We estimate that about 1 out of 12 women with 3 or more c-sections will have severe scar tissue that can make tubal reversal more challenging and in some cases not possible. For these patients we offer a screening laparoscopy. You can consider this similar to a surgery insurance policy. The laparoscopy costs an additional $1,500.

    If you choose to have a screening laparoscopy we can look with a camera during the surgery and see if you have severe scar tissue. If you have severe scar tissue we can often make a different incision…so this can increase the success of your procedure. If your tubes are not repairable or the scar tissue is too severe then we would offer you a refund of your surgical fee.

    For more information: Screening laparoscopy and surgery refund

    For more information: Screening laparoscopy and scar tissue

    Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about reversal at our center.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal