Hopefully, if you have found this article on tubal reversal surgery, you have read the first part. That first part covers from the first incision made till reaching the abdominal cavity where your fallopian tubes that must be repaired lie. We also discussed what and how Dr. Berger goes about making sure there is as little damage as possible so you can heal faster.

As another step to help things along, the doctor begins this stage of surgery by washing the fallopian tubes with more anesthesia. Now, using the same type of scissors they use in eye surgery, he will cut away the scarred and damaged part of the fallopian tube that is not attached to the uterus. Using suture material as a stent, he will thread it through the tube using a Winston probe. This is done to check for blockage and make sure the tube is open.

Next, he will continue to remove the damaged tube section from the part of the tube connected to the uterus and carefully threads the stent into that portion of the tube and on into the uterus making sure there is no further blockage. Once the two separate parts of the tube are lined up, our surgeon will place a couple stitches into the tissue below the tube to help hold it in place during its suturing and to take pressure off the stitches that will be placed into the layers of the fallopian tube. We don't want any pressure trying to pull those apart.

In case you were curious, the suturing material used is the same kind as used in heart surgeries. It has anti-inflammatory properties and lessens the risk of scarring. This will keep the swelling down around the stitches.

If you are wondering why you want little scarring in your tubes as possible, you have to know a little about the innermost layer of the fallopian tube. It is lined with cilia that help move the egg along to the uterus. Scarring means no cilia or damaged cilia which can increase your risk of an ectopic pregnancy. We sure don't want that. That goes on to explain why Dr. Berger only sutures the two outer layers of the fallopian tube and does not stitch through the innermost layer.

Now that the tube has been sutured together, Dr. Berger will remove the stent from the fimbrial end of the tube. That's the end nearest the ovary that catches the egg as it is released from the ovary. Now the doctor will fix the other tube in the same manner and then begin the process of closing you back up. He sutures as needed as he backs out.

In fact, the two muscles which he separated by slitting the connective tissue between, are sutured back together to minimize risk of a hernia. He even sutures the fine fascia tissue just below the skin to minimize the tension of the sutures put into the skin at final closure. Before he makes the final close in this operation, Dr. Berger will administer a final hypogastric nerve block to minimize the post surgery pain.

As a last step in mitigating pain, the patient will be given a TENS unit, transcutaneous electrical nerve stimulator, which stimulates the body at the point of the incision to release endorphins to help with the pain. This just goes to show the extent of what Dr. Gary Berger does both during and after a to help you to recovery faster.