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Article Directory » Family » Pregnancy
| Tubal Reversal Surgery - An Inside Look - Part 1 |
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| Written by Sandra Wilson |
| Saturday, 27 September 2008 01:49 |
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Once you have begun thinking about reversing your tubal ligation, you will probably have a few questions about the tubal reversal surgery itself. This article seeks to give you a quick overview of the surgical procedure.
Once you have begun thinking about reversing your tubal ligation, you will probably have a few questions about the tubal reversal surgery itself. This article seeks to give you a quick overview of the surgical procedure. Using the outpatient procedure developed by the foremost tubal reversal doctor in the world, Dr. Berger, we will seek to give you a quick look at the surgical procedure. Of course, there are all the steps that must be taken before surgery including a look at your records from the tubal ligation itself. This is to give your tubal reversal doctor some idea of what to expect once he is inside do the repair work. The tubal reversal surgery itself begins with a three inch incision just above the pubic bone. You will be under general anesthesia at this point. Dr. Berger will also use local anesthesia at the location of the incision in order to minimize the pain and trauma. Furthermore, Dr. Berger adheres to the microsurgical tenants of minimizing bleeding, minimizing muscle trauma and gentle tissue handling. This allows most of his patients to get back to their normal activities within one week. As you may know, there are several layers and muscle groups that must be cut through to get down to where the actual repairs will be done. Among these are the fatty layer, the fascia, muscles like the pyramidalis, and the peritoneum. Dr. Berger works his way through all these layers using a coagulator as a knife as well as an actual surgical scalpel. The coagulator also is used to stop the bleeding of some of the blood vessels, such as in the fatty layer, to keep the blood to the minimum. That's one principle he follows. Keeping the others means that he does NOT use a self-retaining retractor to hold the incision open. He uses his fingers and those of his surgical staff as well as sponges to hold back other bits and parts in the abdomen. You will see he does use a curving retractor to help hold the intestines out of the way. With all this gentle handling, he is able to minimize the pain you feel after surgery and to minimize your recovery time because your body isn't being jerked or forced around. Rather than just cut through those muscles such as the pyramidalis group, Dr. Berger will locate the connective tissue holding them together and separate the muscles at that point. Muscle will take a lot longer to hill than the connective tissue so this again minimizes your recovery time. Another step our tubal reversal doctor takes in order to aid healing after surgery and to keep damage down during surgery is to keep wetting all muscles and tissues. Using Ringer's lactate in a syringe, he will squirt the solution over the muscles and organs. Just another step to help you recover faster after the surgery. Our tubal reversal doctor has finally gotten through all the intervening tissues and muscles with the final cutting of the peritoneum. He is now in the abdominal cavity and ready to begin the repair of your fallopian tubes and/or uterus which is the whole intent of the tubal reversal surgery. All these steps will be covered in the second half of the article. About the Author: To have your own FREE tubal reversal DVD of a tubal reversal surgery, go to Dr. Berger's site at http://www.tubal-reversal.net/ You can find additional support in our forum too. |