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Pregnancy After Tubal Ligation: IVF or Tubal Reversal?

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The following is from the Tubal Reversal Blog where Dr. Charles Monteith reports his diary entries for another day of assisting Dr. Berger in untying tubes for patients at Chapel Hill Tubal Reversal Center. Read the rest of this entry »

When I went to the Wikepedia page about Tubal Reversal, I came upon this sentence. This delicate surgery is best performed by a reproductive surgeon with specialized training and experience in the techniques of tubal ligation reversal.
This describes perfectly what I observed in our operating room today. During a tubal reversal procedure, Dr. Berger was faced with unexpected results from our patient’s prior surgery. The outcome looked bleak, but Dr Berger’s training and years of experience gave him the edge. I was amazed as I watched him create a beautiful, functional tube and fimbria out of what appeared to be a hopeless situation. Instead of two tubal segments, this patient had three. The third segment consisted of only fragments of the fimbria that could not be attached. The remaining length was good. On the other side was a short and very fibrotic tube with no opening at all into the uterus, but a healthy fimbrial segment. Any normal surgeon would have quit, but Dr. Berger used his many years and used the good fimbria segment from one side and connected it to the tubal segments on the other side that had no fimbria. Now this patient has one long, healthy tube with fimbria. It just a miracle!! This patient has just left the Tubal Reversal Center to finish recovering at the hotel. She and her husband left filled with hope, realistic hope. They realize their circumstance is unusual and if hadn’t been for the experience and fortitude of Dr. Berger and his OR team they wouldn’t have been so lucky. Training and experience truly do make all the difference in the world! 

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Posted by MitziMay
Amen to that!

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Posted by steelergirl7
That is an amazing story. Brought tears to my eyes. I am so happy for this patient and wish them all the luck.

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Posted by jami
AWESOME!!!!!!

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Posted by JerseyCouple:
That’s such a nice story. I bet she will get a sticky BFP in no time!
-Lori

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Posted by steelergirl7
Pam,
I really wanted to thank you for what you posted.
I was having a really rough 2 days, worrying about what kind of TL I had and worried that it wont be a successful TR. I am scheduled for 7-31 and I am so excited. After reading what you wrote put my fears into perspective, I actually printed it out and placed in on my bathroom mirror so that I can be reminded of the extrodinary work Dr. B does.
Thanks
Sharon

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Posted by pam mills
Sharon,
I am so glad my post helped ease your fears. Have a safe trip to Chapel Hill and I will look forward to meeting you then.
Pam Mills, CRNA

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Posted by jenn5
That is wonderful!!!

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Posted by ace67
yeah for dr berger and the chapel hill staff!!!
andrea

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Posted by Eric’sGirl
Hope she finds your post… and keeps us all updated on her journey.
It gives me a little bit of hope… I too am one of those that may not be able to be put together.
I have told EVERYONE…
If there is anyone that can do it… it is ONLY Dr. Berger!!
What an amazing human being!!!!
Thank you… ALL OF YOU… from all of us!!!
Chrissy

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Posted by babyz07
Dr Berger and the Chapel hill staff are Angles from above. Read the rest of this entry »

The Chapel Hill Tubal Reversal Center gets asked a lot about HSG by women after tubal reversal surgery. They are questioning whether their tubes are really open, regardless of the checking Dr. Berger does during the surgery, and want to do this procedure. However, there are concerns about this being done too quickly.

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Spanish speaking visitors seeking information about tubal ligation reversal (la reconstrucción de la ligadura de trompas) can converse with others in Spanish on the Tubal Reversal Message Board and find detailed information they want in their native language at http://espanol.tubal-reversal.net/ on the Chapel Hill Tubal Reversal Center website.

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For those who are looking for the right tubal reversal surgeon the choice is not always easy to make. Reading what other patients have to say can be very helpful and insightful. Read the rest of this entry »

This article discusses the impact of age on the success of in vitro fertilization (IVF) and tubal ligation reversal surgery. Age is a strong predictor of success in becoming pregnant with either treatment. At Chapel Hill Tubal Reversal Center, the tubal reversal success rates are higher in every age group when compared to IVF using fresh, nondonor eggs. Chapel Hill Tubal Reversal Center has the largest know data base of tubal reversal pregnancies in the world

IVF data has been obtained from the latest available national statistics complied by the US Center for Disease Control (2006 Assisted Reproductive Technology (ART) Annual Report). Shows the average chance of IVF pregnancy success, not considering age, is 35% per cycle. Anyone considering IVF should be aware of their specific age related chance of success when undergoing IVF. The success rate of IVF, when using fresh nondonor eggs, is heavily dependent on patient age. The IVF nondonor egg birth rate begins a gradual decline between 30-32 and then declines more significantly after 36-38. The IVF live birth rate after the age of 44 comes very close to zero. The average IVF pregnancy rate using nondonor eggs is about 35%.

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1. Tubal Reanastomosis For International Patients
International patients choose Chapel Hill Tubal Reversal Center for tubal reversal surgery, often referred to as tubal reanastomosis. They travel from other continents across the world because Dr. Berger and Dr. Monteith have the best doctor reputations as tubal ligation reversal specialists. With their low cost tubal reanastomosis procedure, tubal reversal patients do better financially coming to Chapel Hill than having their operation performed closer to home – and they get better results. Chapel Hill Tubal Reversal Center has the best pregnancy statistics, patient safety record, and patient satisfaction reports of any international medical clinic or hospital. It is no wonder that people are willing to travel around the world to get the best medical care when it comes to reversing tied tubes.

http://www.tubal-reversal.net/blog/2008/tubal-ligation-reversal/tubal-reanastomosis-international.html

2. Tubal reversal illustrations – anastomosis and implantation
Other terms used to describe this procedure are: microsurgical tubal reanastomosis microsurgical tubal reversal microsurgical tubal repair Microsurgical tubal anastomosis Tubotubal Anastomosis After opening the blocked ends of the remaining tubal segments, a narrow flexible stent is gently threaded through their inner cavities or lumens into the uterine
http://www.tubal-reversal.net/tubal_anastomosis_implantation.htm
3. Abbreviations on the Tubal Reversal Message Board
Tubal reversal or tubal reanastomosis are commonly abbreviated as TR. Many other abbreviations are also used on the Tubal Reversal Message Board that may not be familiar to new members. This list explains the abbreviations and acronyms that members frequently use on the message board
http://www.tubal-reversal.net/message-board-abbreviations.htm
5. Tubal Ligation Reversal by Dr. Berger
Complete and accurate information about tubal ligation reversal from the tubal reversal doctors with the most experience reversing tied tubes. … Center is the only medical facility exclusively for tubal ligation reversal. … Berger – is widely known as the tubal reversal doctor with the most experience reversing tied tubes. … Monteith is also a certified

http://www.tubal-reversal.net/

6. Tubal Reversal Pregnancy Study 2007 – Study Method
During the follow-up study interval after tubal reversal surgery, 2,775 pregnancies were reported by 1,889 women. In order to analyze all pregnancies and their outcomes, each pregnancy was considered an individual case.
http://news.tubal-reversal.net/pregnancy-study-2007-method.htm
7. Sterilization Reversal Surgery – Conceive Magazine
The procedure to reverse a tubal ligation is called tubal anastomosis , or tubal reanastomosis. The success of tubal sterilization reversal depends in part on what type of surgery was originally performed. The most commonly used method of tubal ligation is called the Pomeroy procedure (a ligation-resection method). In this method, part of the fallopian tube
http://press.tubal-reversal.net/conceivemagazine-sterilization-reversal.htm Read the rest of this entry »

The all-inclusive cost or fee for tubal reversal performed by Dr. Berger is $5900 when payment is made in full within 24 hours after scheduling your surgery. This is a $1000 reduction from the standard fee. Some insurance companies may cover part of the cost of tubal ligation reversal.

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