Looking to get answers to your questions about tubal ligation reversal surgery? I hope you will find some of your answers here. In this article we address a few of the questions most commonly raised about the reversal of tubal ligation surgery and what has to be done before it. In some cases we have pointed out resources for your further consideration.
1) What does my surgeon need to have before I schedule my tubal ligation surgery? The smartest thing to do is just check with his office to be sure. Most likely what he needs is to review your operation report to see what was done to your tubes and you will need to get some blood drawn for testing as well. When he reviews your records, it let's him know what he will encounter during surgery.
2) Does the above preparation work cost? The answer to this will vary according to the surgeon you choose. You may get tired of that answer. If you pick the correct tubal reversal doctor, the review of your records will not cost you anything. The cost of the lab work might be included if you are using a local doctor and the lab work is included in the price. Even then most likely it will be extra. If you choose an out of town surgeon, then you will most likely get the lab work done locally and have to pay for it. According to some accounts this should be less than $200.
3) Can I get tubal ligation reversal done with one tube? Yes. You need only one tube to get pregnant. If there is no other reason it can't be repaired, then go for it if you wish. Check out the tubal reversal board at http://forums.tubal-reversal.net/ for other ladies who have done it with one tube.
4) Can the incision be made where my c-section scar is? That again can be answered in the affirmative. Checking with the tubal reversal board at http://forums.tubal-reversal.net/, you will see answers from women who have had it done that way by Dr. Gary Berger. Be sure to raise this concern with your surgeon.
5) Will my weight be a problem? Unfortunately, weight gain is a potential side effect of your previous surgery which you can learn if you look up post tubal ligation syndrome. However the weight gain was brought about, it does affect your tubal ligation reversal surgery. Quite simply, it is safer to undergo anesthesia and surgery if you have a BMI (body mass index) below 35. Some of the potential concerns include increased risk of wound infection, deep vein thrombosis, and pulmonary problems. There is a BMI calculator here: http://www.tubal-reversal.net/body-mass-index-bmi.php. Unfortunately, you will find some surgeons will simply charge more if you have a higher BMI. Not Dr. Gary Berger.
6) Why do some doctors suture two layers and some three layers? The fallopian tube is made up of three layers. You should ask your doctor how many layers he sutures. If he says only the outer, then you should look for another doctor. The outer layer, the serosa, is only a thin lining and not strong enough to hold the two pieces of the tubes together by itself to heal correctly. It can help though. If he says three, you might want to rethink your surgeon as well. The inner most layer is the endothelium which has cilia that moves the egg from ovary to uterus. Suturing here increases the risk of scaring. Do you want scars where working cilia should be? The middle layer, however, is muscle and connective tissue that can hold everything together till it all heals.
That's another set of questions answered. I hope it and the resources provided give you the information you need to further your decision about tubal ligation reversal.
1) What does my surgeon need to have before I schedule my tubal ligation surgery? The smartest thing to do is just check with his office to be sure. Most likely what he needs is to review your operation report to see what was done to your tubes and you will need to get some blood drawn for testing as well. When he reviews your records, it let's him know what he will encounter during surgery.
2) Does the above preparation work cost? The answer to this will vary according to the surgeon you choose. You may get tired of that answer. If you pick the correct tubal reversal doctor, the review of your records will not cost you anything. The cost of the lab work might be included if you are using a local doctor and the lab work is included in the price. Even then most likely it will be extra. If you choose an out of town surgeon, then you will most likely get the lab work done locally and have to pay for it. According to some accounts this should be less than $200.
3) Can I get tubal ligation reversal done with one tube? Yes. You need only one tube to get pregnant. If there is no other reason it can't be repaired, then go for it if you wish. Check out the tubal reversal board at http://forums.tubal-reversal.net/ for other ladies who have done it with one tube.
4) Can the incision be made where my c-section scar is? That again can be answered in the affirmative. Checking with the tubal reversal board at http://forums.tubal-reversal.net/, you will see answers from women who have had it done that way by Dr. Gary Berger. Be sure to raise this concern with your surgeon.
5) Will my weight be a problem? Unfortunately, weight gain is a potential side effect of your previous surgery which you can learn if you look up post tubal ligation syndrome. However the weight gain was brought about, it does affect your tubal ligation reversal surgery. Quite simply, it is safer to undergo anesthesia and surgery if you have a BMI (body mass index) below 35. Some of the potential concerns include increased risk of wound infection, deep vein thrombosis, and pulmonary problems. There is a BMI calculator here: http://www.tubal-reversal.net/body-mass-index-bmi.php. Unfortunately, you will find some surgeons will simply charge more if you have a higher BMI. Not Dr. Gary Berger.
6) Why do some doctors suture two layers and some three layers? The fallopian tube is made up of three layers. You should ask your doctor how many layers he sutures. If he says only the outer, then you should look for another doctor. The outer layer, the serosa, is only a thin lining and not strong enough to hold the two pieces of the tubes together by itself to heal correctly. It can help though. If he says three, you might want to rethink your surgeon as well. The inner most layer is the endothelium which has cilia that moves the egg from ovary to uterus. Suturing here increases the risk of scaring. Do you want scars where working cilia should be? The middle layer, however, is muscle and connective tissue that can hold everything together till it all heals.
That's another set of questions answered. I hope it and the resources provided give you the information you need to further your decision about tubal ligation reversal.
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Tubal Ligation Reversal Surgery has changed the lives of thousands of couples. The surgery and advancements being made all the time has helped many couples become parents again following tubal ligation.
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