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.



Things start with the patient being fully under by general anesthetic followed by a local at the site of the first surgical cut to allow access into your body. This is about 3 inches and done above the pubic bone. As Dr. Berger follows what he describes as important principles of microsurgery, he patients are back to their normal lives in a week. Those principles are to minimize bleeding, minimize trauma to the muscles, and to handle all tissue gently.

Once the incision is made, the various layers of your body must be dealt with as to gain access to your fallopian tubes. These include gently getting through the fatty layer, the pyramidalis and rectus muscles, and the fascia which is the connective tissue. Finally, he will cut through the peritoneum which is the covering of the abdominal cavity.

Using a coagulator, Dr. Berger will keep bleeding to a minimum. He also uses the coagulator at various points as a knife to get through some of the tissue within. He does use a scalpel as well. In order to minimize tissue and muscle trauma, he does not employ a self-retaining retractor to hold open the incision. Using his own fingers, or those of his staff at appropriate times, he is able to keep the trauma down so you heal faster. However, he will also use sponges as well as a curving retractor to hold the bowels and whatever is necessary out of the way.

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.

Throughout the process, the doctor continually keeps the various organs, tissues and muscles irrigated with ringers lactate. This is to keep all the parts moist in order to aid healing and minimize trauma again.

Now that we have reached the abdominal cavity with the uterus and fallopian tubes, we have to close this first part of the article. Be sure to read our second part for what happens to the fallopian tubes.