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.

Before beginning any work on the fallopian tubes, the surgeon washes it with more anesthesia. Using iris scissors, special scissors used in delicate eye surgery, the surgeon will cut off the scarred tube sections left from the tubal ligation surgery. Then he will insert a suture material to be used as a stent to be sure there is no more blockage in the tube section. This is done with a special probe designed by and named for Dr. Winston, the originator of the first tubal ligation reversal procedure.

Moving to the other piece of your fallopian tube, he will remove the other damaged part opening the tube once again. He threads the stent into this piece and on into the uterus to again be sure of no more blockage. Putting the two freshly cut ends of tube together, he adds a few stitches from them into the tissue underneath. This is done in order to provide support and lessen the strain on the tubes as they heal. They won’t have to rely on only the stitches in your tubes to hole them together.

You may be wondering about all the suturing material at this point. You should know that this suture material is the same as is used in heart surgeries. It doesn’t cause an inflammatory reaction nor the formation of scarring. You don’t want scarring on your tubes.

Furthermore, the lower risk of scarring means you lower your chances for an ectopic pregnancy. Why? If your tubes have scars rather than the cilia that moves the fertilized egg along, what is going to move the egg at that point? SO you can see how important it is to keep that scarring down as much as possible. That is also why Dr. Berger does not put sutures through the inner layer of the fallopian tubes. It’s to keep the scarring in there to a minimum. He only sutures the two outer layers, though it is the muscular middle layer that is the important one in holding things together.

After everything is stitched up, the stent is removed from the tube at the fimbrial end. He will do the same procedure on your other tube. Once that is done, he will start the closing process stitching the various layers where it is necessary.

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.

Something the doctor attaches around your incision is a transcutaneous electrical nerve stimulator. This stimulator helps release endorphins at the incision to keep the pain down there, too. That is something you, as the patient, get control of after you wake up. Just another example of all Dr. Berger does to help you recover faster and with less pain after your tubal reversal surgery.