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Tubal Reversal Anesthesia
A Personal Choice

General anesthesia is best for tubal reversal surgery.

Reversal surgery being performed under general anesthesia

The best anesthesia for tubal reversal surgery is general anesthesia.

With our experienced staff, tubal reversal under general anesthesia is safe, has minimal side effects, and has lower complications during outpatient reversal surgery than either epidural or spinal anesthesia.

We have performed several thousand sterilization outpatient reversal surgeries under general anesthesia since 2001 and have not had any major anesthetic complications.

General anesthesia for reversal avoids epidural or spinal complications which require overnight hospital stays and increase the cost of reversal surgery. Our tubal reversal anesthesia is designed to provide patients a safe surgical experience with minimal side effects.

Tubal reversal anesthesia: Can it be an epidural or spinal?

We do not perform tubal reversal anesthesia with epidural or spinal anesthesia. In our experience, these forms of anesthesia have a higher incidence of side effects and are not suitable to outpatient surgery.

For more information on why epidurals or spinals are not the best for reversal surgery:

Tubal reversal and epidurals: Can tubal reversal be done with an epidural?
Tubal reversal and spinal: Can tubal reversal be done with a spinal?

Tubal reversal anesthesia: 3 phases

First phase tubal reversal anesthesia
The first phase of tubal reversal anesthesia is receiving pre-induction medications through an intravenous catheter (IV). These medications act quickly, reduce anxiety, decrease pain, cause amnesia, and relax you for the second phase of tubal reversal anesthesia.

Second phase tubal reversal anesthesia

Laryngeal mask is the preferred way to provide safe anesthesia during reversal at A A Personal Choice.

Laryngeal mask is the preferred way to provide general anesthesia during reversal at A Personal Choice.

The second phase of tubal reversal anesthesia is insertion of a laryngeal mask and receiving inhalation anesthetic (general anesthetic gas).

The general anesthetic gas will cause you to enter a deeper state of sleep than can be obtained during the first phase. To achieve this deeper state of sleep requires the anesthesia gas be delivered directly to the breathing passages using a breathing tube.

We prefer to use a laryngeal mask as our breathing tube of choice. The laryngeal mask is a soft silicone ‘cup’ that sits gently in the back of the throat and above the vocal cords during surgery.

Many facilities provide general anesthesia with an endotracheal tube rather than a laryngeal mask. An endotracheal tube is a long tube inserted into the mouth, down the back of the throat, beyond the vocal cords, and into the trachea (the entryway into the lung).

Tubal-Reversal-Endotracheal-Tube

Endotracheal tube is typically used for general anesthesia and is associated with more airway complications than laryngeal mask.

Although endotracheal tubes are safe, we have discovered these tubes cause more airway irritation (hoarse voice and sore throat) and more post-operative nausea. 

We prefer not using endotracheal tubes because of these side effects. We use laryngeal masks as our preferred type of tube to administer general anesthesia.

Third phase tubal reversal anesthesia
The third phase of tubal reversal anesthesia involves administering medications to help patients recover better after surgery is completed. These medications are administered to patients while they are under general anesthesia. During the third phase, the surgeon administers long acting anesthetic (numbing medication) around the area of the surgical incision and the anesthesia staff administers long acting medication in the IV further reduce pain after surgery and also to reduce the chance of nausea and vomiting after surgery.

Tubal reversal anesthesia: Safe and effective

We devote a significant amount of time to ensuring patients have safe and effective anesthesia during surgery. Our anesthesia is provided by skilled and attentive staff who constantly monitor patients from their arrival into the pre-operative area until they are discharged from our surgical facility.

General anesthesia has lower complications during outpatient tubal reversal than regional anesthesia. General anesthesia is safe for tubal reversal surgery and helps keeps tubal reversal surgery affordable by avoiding overnight hospitalization which is typically required after epidural or spinal anesthesia.

 

 

4 thoughts on “Tubal Reversal Anesthesia: Best Anesthesia For Tubal Reversal Surgery”

  1. Shirley says:

    If your office does payment plans, how much you would have to put down before the surgery and payments after the surgery?

    1. Dr. Monteith says:

      Surgery has to be paid in full before it can be scheduled. Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you.

      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

    2. Lima says:

      will it be majorsurgery, how long will it take? and healed?

      1. Dr. Monteith says:

        Lima
        The surgery at our center is outpatient. It requires you stay in Raleigh for 3 days and 2 nights. Most patients can return to a desk job in 7 to 10 days. If your job requires heaving lifting then you may need to take 4 weeks off from work.

        We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

        On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

        We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

        Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

        The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

        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

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

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