Tubal Ligation Reversal

Chapel Hill Tubal Reversal Center.

Sunday, April 27, 2008

Getting Tubes Untied Through Reverse Tubal Ligation

Reverse tubal ligation (tubal ligation reversal) is a procedure to get tubes untied for women who desire a pregnancy after tubal ligation. There are actually several procedures that can be used to untie tubes.

The three most common tubal ligation reversal techniques are tubal anastomosis, tubal implantation, and salpingostomy. These procedures are used to reverse several different types of tubal ligations, including ligation/resection, coagulation, fimbriectomy and tubal clips or rings. At Chapel Hill Tubal Reversal Center the cost of reverse tubal ligation is $5,900.

Do You Want a Baby after Tubal Ligation?

One of over 1000 babies born after reverse tubal ligation by Dr. BergerThe Doctor Who Unties Tubes

Dr. Gary Berger is a tubal reversal doctor who specializes exclusively in procedures to untie tubes. Dr. Berger created the first and only tubal reversal clinic - Chapel Hill Tubal Reversal Center. This is the best place to get tubes untied for women who want another baby after tubal ligation.

Why Untie Tubes?

One of the questions Dr. Berger asks his patients is what made them decide to have their tubes untied. In answering this question, women describe the circumstances which led them to want another child after tubal ligation. Most cases involve divorce and remarriage. Often the husband has no children, and the couple would like to have a family of their own. Some couples already have children together but realize that having a tubal ligation was a decision that they regret. Death of a child, religious considerations, and the desire to relieve symptoms of “Post Tubal Ligation Syndrome” are other reasons for wanting to get tubes untied.

Pregnancy After Tubes Tied

Although there are many websites that discuss reverse tubal ligation, information about success rates is often lacking or stated in general terms. To make a fully informed decision about tubal reversal, women should have specific and accurate statistics about pregnancies regarding a doctor’s own patients rather than a general statistic taken from some other source. Otherwise, it has little meaning.

Tubal Reversal Center Pregnancies

Chapel Hill Tubal Reversal Center provides information each week about pregnancies after tubal reversal procedures performed by Dr. Berger. Whenever one of Dr. Berger’s patients becomes pregnant, they can submit a Pregnancy Report Form to alert the Tubal Reversal Center staff of their pregnancy. This enables Dr. Berger and his nurses to monitor the results of the Early Pregnancy Protocol that is recommend by Dr. Berger.

Each week, the new pregnancy reports are tabulated and listed in the Weekly Pregnancy Reports forum on the Tubal Reversal Message Board. During this past week, there were 20 new pregnancies reported by Dr. Berger’s tubal reversal patients. This is more than reported in a year by most doctors who perform tubal reversal procedures! Additional information about the new pregnancies is shown in the Pregnancy Announcements section of the Chapel Hill Tubal Reversal Center website. A complete statistical analysis of the outcome of all tubal reversals is published as the Tubal Reversal Study Report each year.

Conclusion

By establishing a medical facility exclusively for tubal reversal procedures that untie tubes, following up on all patients who have had a reverse tubal ligation, and publishing their pregnancy statistics, Chapel Hill Tubal Reversal Center has set a new standard for other doctors who provide tubal reversal services to follow.

2 Responses to “Do You Want a Baby after Tubal Ligation?”

  1. Rhonda Brown RN Says:

    I am glad that Dr. Berger provides the information that he does in regards to tubal reversal surgery and the positive effects that it can have on a womans life. The pregnancy statistics that Dr. Berger keeps as well as the testimonials that are published allows women to see that there is hope after tubal ligation.

  2. Julia Smith RN Says:

    Many of the women who contact us feel they are the only person to ever decide to untie their tubes. It may be helpful for them to know that we hear from hundreds of women each week who have changed their minds and now desire to have another baby after a tubal ligation. This blog page provides good information on the many reasons that a woman might make this decision.

Friday, April 25, 2008

New Pregnancies Announced This Week at Chapel Hill Tubal Reversal Center

The Weekly Pregnancy Report for Chapel Hill Tubal Reversal Center is published on the Tubal Reversal Message Board. During the week of April 19 – April 25, 2008, 20 new pregnancies were reported by Dr. Berger’s patients after their tubal reversal procedures. The women’s ages ranged from 33 to 40, and the fallopian tube lengths after their tubes were untied ranged from 3.0 cm to 7.5 cm. The tubal ligation methods among these women included Hulka clips, Falope rings, bipolar coagulation, and ligation/resection. At present, more than 1000 babies have been born following tubal ligation reversal by Dr. Berger.

Pregnancy Report for 4/19/08 to 4/25/08 in forum Weekly Pregnancy Reports at Tubal Reversal Message Board.

Posted by Sarah Meacham, RN (Member # 9766) on April 25, 2008 04:30 PM:

Age DOS Type of Ligation Tube Length

40 1/29/07 lig/res 7.5cm/7.0cm
38 10/10/07 Hulka clips 7.5cm/6.5cm
37 1/28/08 bipolar cautery 7.5cm/3.0cm
37 11/1/07 bipolar cautery 3.5cm/3.5cm
39 9/27/07 Hulka clips 5.0cm/7.0cm
34 2/17/06 lig/res 5.5cm/6.0cm
34 6/19/07 Hulka clips 7.5cm/7.5cm
33 5/1/07 bipolar cautery 3.5cm/5.0cm
35 12/8/06 lig/res 4.0cm/4.0cm
39 10/17/03 lig/res 5.5cm/5.0cm
38 3/31/04 unknown 6.0cm/6.0cm
30 6/3/05 lig/res 3.5cm/3.5cm
33 10/24/07 lig/res 3.5cm/3.5cm
39 10/25/01 lig/res/caut 5.5cm/4.0cm
36 6/12/02 lig/res 6.0cm/6.0cm
26 3/6/08 lig/res 5.0cm/6.5cm
35 7/28/06 Falope rings 8.0cm/6.5cm
34 4/2/05 lig/res 3.0cm/5.0cm
36 7/22/05 lig/res/caut 6.5cm/6.5cm
33 2/4/08 lig/res 6.5cm

Congratulations to everyone this week!

For more information about the new pregnancies, click on the New Pregnancies link at the top of the page. For detailed statistics about pregnancy rates and pregnancy outcomes after tubal reversal procedures performed by Dr Berger, click on the Pregnancy Statistics link at the bottom of the page.

Sarah


Posted by mamasoup8 (Member # 11212) on April 25, 2008 04:35 PM:

Congrats!! Have a happy and healthy 9 months!

Posted by Tawnee1972 (Member # 11007) on April 25, 2008 04:39 PM:

This is the longest list EVER!!!!

Congratulations to all of the expectant mommies!!!

Tonya

Posted by momto10 (Member # 11808) on April 25, 2008 04:48 PM:

WOW! What a list! CONGRATULATIONS Ladies!

Gwen

Posted by albmdb (Member # 12062) on April 25, 2008 04:51 PM:

Congratulations to all.
Have a Happy and Healthy 9 months.

Posted by CalifMom (Member # 7194) on April 25, 2008 04:54 PM:

Wow this is great to see so many.
-
Kari

Posted by ratchet22 (Member # 12240) on April 25, 2008 05:04 PM:

YAY! Congratulations!!!!

Posted by armywife4 (Member # 9891) on April 25, 2008 05:11 PM:

YAY SARA!!! CONGRATULATIONS!!!

Love ya, ]
Becky!!

CONGRATS to all the new MOMMIES!! Have a healthy Happy 9 months!!

Posted by Sperow7214 (Member # 9165) on April 25, 2008 05:56 PM:

Looks like Spring is in the air!!!! Congradulations!!!

Tabby

Posted by beebeekinsers (Member # 12115) on April 25, 2008 06:55 PM:

Whoa....... Holy moley!!!! Somebody's been BUSY!!! lol Congrats!!!!!

Posted by HopesAndDreams (Member # 11754) on April 25, 2008 08:12 PM:

What a GREAT list!
Congratulations everyone!
Best wishes and have a happy & healthy 9 months!
Dawn H.

Pregnancy Announcements from Chapel Hill tubal reversal patients are also available. http://pregnancy.tubal-reversal.net/ the following is these pregnancy announcements for the third week of april 2008:

Posted: 04.22.08
Name: Jessie M.
Location: Manalapan NJ
Date of Tubal Reversal: 6/12/02
Date of Pregnancy Test: 4/22/08
Due Date: 12/30/008
Remarks: We weren’t even trying and surprise!! Thanks Dr. Berger! We are truly in 7th heaven!!! (PS this will be our 7th child)

Posted: 04.21.08
Name: Lisa D.
Location: Monclova Ohio
Date of Tubal Reversal: 5/1/07
Date of Pregnancy Test: 4/19/08
Due Date: January 19th???, 2009
Remarks: I’m not entirely sure how this happened!!! LOL - I must have ovulated right after my period stopped??? I don’t really ‘feel’ pregnant yet, the only reason I tested was because I thought I started bleeding/spotting again 2 days after my cycle stopped. Then it stopped after 2 days and started again 2 days later. I’ve never ever had spotting or any kind of break thru bleeding-except when I was pregnant. Also, I was having pain on my right side that was strong enough to wake me from sleep Friday night. We did the hpt and that line came of fast. We aren’t talking a faint line, like I would have expected on CD16!!!(if any line at all) My Dr. sent us to the Hospital since I was having pain on Rt. side. The pain went away and my hcg level was 549. Although it was too early to see anything, they did an ultrasound anyway. Nothing. I test today for 2nd level. I still have some spotting, not like I did on Saturday. Just playing the waiting game and praying for our miracle. Funny how life changes in a moment! Thanks!!

Posted: 04.21.08
Name: Annie C.
Location: Cape Coral Florida
Date of Tubal Reversal: 03/31/04
Date of Pregnancy Test: 03/25/08
Due Date: 11/30/08
Remarks: This is my 6th pregnancy after tr, 4mc and 1 ectopic, I lost my left tube, so I kind of gave up and here I am pregnant and hoping that this one stays. Thank you Dr. Berger and everyone else at Chapel Hill Tubal Reversal Center. Annie C.

Posted: 04.21.08
Name: Nicole M.
Location: Rome Georgia
Date of Tubal Reversal: 6/9/07?
Date of Pregnancy Test: 2/16/07
Due Date: 10/16/07
Remarks: I’m now 14wks pregnant, this makes berger baby #2 for me!! Thanks Dr Berger!! Nicole M.

Posted: 04.21.08
Name: Shawna D.
Location: Candor New York
Date of Tubal Reversal: 10/24/07
Date of Pregnancy Test: 04/18/08 04/20/08 04/21/08
Due Date: 12/17/2008
Remarks: We were pregnant in February and it ended in an ectopic pregnancy. We will have our first blood draw tomorrow we will keep you posted. Our fingers are crossed for the best. Thank you so much Dr. Berger for making this possible for us - it is a dream come true.

Posted: 04.21.08
Name: Dawn S.
Date of Pregnancy Test: 04/17/08

Posted: 04.21.08
Name: Kandy D.
Location: Vossburg MS
Date of Tubal Reversal: 10/17/03
Date of Pregnancy Test: 03/27/08
Due Date: 12/06/08

Posted: 04.19.08
Name: Jennifer G.
Location: Deer Park Texas
Date of Tubal Reversal: 02/17/06
Date of Pregnancy Test: 04/15/08
Remarks: I have had 2 miscarriages and one ectopic (lost my right tube). We weren’t trying because my HSG showed scar tissue even though I did see with my own eyes the dye go all the way through. We weren’t TTC since I was told I didn’t ovulate without Clomid (I have never test positive for ovulation with test sticks or a fertility monitor without being one Clomid). We are in total shock and of coarse overjoyed and scared at the same time. My 1st HCG number at CD 31 was 21 at CD 33 39 (that was 45 hours apart). I will keep you updated.

Posted: 04.18.08
Name: Alida W.
Location: Albany Georgia
Date of Tubal Reversal: November 1, 2008
Date of Pregnancy Test: April 13, 2008 & April 14, 2008
Due Date: December 6, 2008
Remarks: I used ovulation test sticks (7 stick packs), monitored daily temperature and monitored my cycle. In March (period began 3/1) the peak ovulation day was never indicated. In April I had what appeared to be a very brief (2 1/2 days) period beginning 4/1. Noticed swollen and tender breast on 4/10. Began my usual ovulation stick test on 4/11. On the morning of 4/13 I took both an ovulation test and a pregnancy test and the pregnancy test came up positive. Noticed some spotting that day. Had a quantitative analysis done at ob/gyn on 4/14 which confirmed the pregnancy. Monday 4/14 Progesterone 3.87 and HCG 144.1. Due to the low numbers I was put on Progesterone suppositories and pelvic rest. Wednesday 4/16 Progesterone 22.25 and HCG 176.8. Today, Friday 4/18 HCG 299.00. I continue daily spotting and remain on Progesterone suppositories. I am scheduled for another quantitative analysis on Monday 4/21.

Posted: 04.18.08
Name: Holli B.
Location: VA Virginia Beach
Date of Tubal Reversal: 9/27/07
Date of Pregnancy Test: 4/16/08
Due Date: 12/24/08

Posted: 04.17.08
Name: Nellie B.
Location: West Palm Beach FL
Date of Tubal Reversal: 1/21/2008
Date of Pregnancy Test: 4/10/08
Remarks: Doc, I am a Jan ‘08 girl on the Tubal Reversal Message Board and this is my second cycle since tr and I got a bfp today. THANK YOU!!!! I am scheduled for a dr. appt on monday. Is that too long to wait to get bloodwork done? Today is Thursday and I am 13/14dpo based on my o pain. please give me a call or email me. thank you. thank you. thank you.

Posted: 04.17.08
Name: Tricia B.
Location: Manning Iowa
Date of Tubal Reversal: 01/28/08
Date of Pregnancy Test: 04/17/08
Due Date: 12/22/08
Remarks: Thank you Dr. Berger and staff!!!!!!!!!!!!


More Pregnancy Announcements RSS Feed

Thursday, April 24, 2008

Chapel Hill Tubal Reversal Center Introduces Dr. Hertz

At Chapel Hill Tubal Reversal Center, the close coordination between the surgical and anesthesia teams makes tubal reversal surgery the safest and most comfortable surgery that is possible. Performing 4 tubal reversal operations together every day, 5 days a week, is unique in the medical field and is one of the factors that makes the tubal reversal experience at Chapel Hill truly exceptional.

Dr. Caryn Hertz, Director of Anesthesia says, “I am dedicated to making each patient’s surgery comfortable and safe. Working regularly with Dr. Berger has enabled me to truly optimize and continually improve the Tubal Ligation Reversal experience for our patients.”

In the Chapel Hill Tubal Reversal Center Blog Dr. Berger welcomes Dr. Split.

Dr. Caryn M. Hertz - Director of Anesthesia

Dr. Caryn Hertz is Director of Anesthesia at Chapel Hill Tubal Reversal Center.

Caryn M. Hertz, MD is a Board Certified Anesthesiologist and has worked in the field for over 20 years. She has devoted her professional career to the subspecialty of ambulatory (outpatient) anesthesia. She has been working with Dr. Gary Berger at Chapel Hill Tubal Reversal Center since 1995.

Originally from Queens, New York, Dr. Hertz attended college at The Cooper Union for the Advancement of Science and Art, graduate school at The University of Pennsylvania, and medical school at the University of Rochester. She completed her residency in anesthesiology at Beth Israel Hospital in Boston (a Harvard affiliate) and at the University of North Carolina at Chapel Hill. After finishing her residency, she was employed at Duke University Medical Center for 5 years, specializing in preoperative assessment and ambulatory surgery. Dr Hertz has worked at Chapel Hill Surgical Center ever since.

Dr. Hertz says, “I am dedicated to making each patient’s surgery comfortable and safe. Working regularly with Dr. Berger has enabled me to truly optimize and continually improve the Tubal Ligation Reversal experience for our patients.”

Dr. Hertz and her family have lived in Chapel Hill since 1989. Having relocated from the Northeast, they very much enjoyed the mild weather, beautiful environment, and remarkable community here in Chapel Hill.

Dr. Berger’s Comment

One of the many things that makes tubal reversal surgery safe and comfortable at Chapel Hill Tubal Reversal Center is the close coordination among the professional staff who work together every day. This makes the tubal reversal procedure go smoothly and without any unnecessary waste of time for the patient who is under anesthesia. It is like a finely tuned orchestra, with each player knowing exactly what the other is doing. This coordinated team work comes only with constant repetition. The surgical and anesthesia staff at Chapel Hill Tubal Reversal Center practice together each day, and doing four procedures a day allows us to work toward the goal of perfection in patient care. It is the goal that we all strive for each day, with each patient, and each tubal ligation reversal. Other doctors and nurses who have visited our facility are amazed at how quickly patients recover from their operations.

6 Responses to “Meet Dr. Caryn Hertz”
  1. Rhonda Brown RN Says: April 22nd, 2008 at 6:39 pm I think that it is comforting to patients to know that the person who is in charge of their anesthesia sees each patient as an individual and develops a plan of care specifically for that patient. Teamwork is an important element in exceptional patient care and that is the one thing that comes to mind when I think of Chapel Hill Tubal Reversal Center.

  2. jgokun Says: April 22nd, 2008 at 6:47 pm I have had the pleasure of working with Dr. Hertz for the past 10 years. She is an excellent doctor and very conscientious in her practice. Patients coming to our facility for tubal reversal surgery may rest assured that they will be very well taken care of by Dr. Hertz and her anesthesia department.

  3. Julia Smith RN Says: April 22nd, 2008 at 9:24 pm I have worked with Dr. Hertz since 1995 and know that she always keeps patient safety as a priority!

  4. Matt Murphy ST Says: April 23rd, 2008 at 6:32 am I have had the pleasure of knowing Dr. Hertz for many a year and I have worked with her for 3 years. She plays a very important role in keeping the safety and comfort of our patients first.

  5. Ericka Pamplin Says: April 23rd, 2008 at 6:51 am It’s a pleasure to work with Dr. Hertz! Her dedication and concern for patient safety and comfort, will assist in meeting the daily goal of striving towards perfection in patient care.

  6. Kathy Scrone ST Says: April 23rd, 2008 at 12:50 pm Dr. Hertz is an expert in her field and puts the safety and care for her patients first. I would not hesitate to receive anesthesia care from Dr. Hertz. Her work is valued at Chapel Hill Tubal Reversal Center.

Tuesday, April 22, 2008

Chapel Hill Tubal Reversal Center Welcomes Dr. Split


Dr. James Split, a board certified anesthesiologist, is the newest member of the Chapel Hill Tubal Reversal Center staff. Although only 4 tubal reversal surgeries are performed each day at Chapel Hill Tubal Reversal Center, there are 2 anesthesiologists and a nurse anesthetist on staff. The primary responsibility of the anesthesia department is to ensure patients' safety during surgery and comfort during recovery. Many of Dr. Berger's patients who are having their tubes untied will be speaking with Dr. Split as a part of their preoperative evaluation and will meet him on the day prior to or on the day of their tubal ligation reversals.

In the Chapel Hill Tubal Reversal Center Blog Dr. Berger welcomes Dr. Split.

It is a happy occasion to introduce another new member of the staff of Chapel Hill Surgical Center. Dr. James Split is a Board Certified Anesthesiologist. He has worked at Chapel Hill Surgical Center since December 2007. He previously lived and worked in Greensboro, North Carolina for the last 18 months. Before moving to North Carolina, Dr. Split practiced medicine in Michigan for 25 years. He obtained his medical degree at the University of Michigan in 1979 and practiced Emergency Medicine for the first 11 years of his career. He both practiced and taught Emergency medicine in an Emergency Medicine Residency and held a clinical faculty position at Michigan State University. In 1990, he returned to the University of Michigan to train in anesthesiology. He completed his anesthesiology residency in 1993 and has been in the full time practice of anesthesiology since then. Dr. Split is a member of the American Society of Anesthesiologists and The Society for Ambulatory Anesthesia.

Dr. Split will be speaking with many of you as part of your pre-operative evaluation. If you have any general questions about anesthesia, you can add comments to this blog or post them on the Tubal Reversal Message Board and he will to answer them. If you have specific questions that require privacy, or that may not be of interest to others, please send Dr. Split an e-mail to DrSplit@tubal-reversal.net and he will respond.

Dr. Berger’s Comment

The highest priority for patients who come to me for tubal reversal surgery to untie tubes is patient safety during and after surgery. This is ensured by the involvement of medical professionals who are the most highly trained and qualified specialists. Our two anesthesiologists are certified by the American Board of Anesthesiology. The anesthesiologist is the physician responsible for the monitoring and care of patients while they are asleep during their tubal reversal procedure and for their safe and comfortable recovery in the post anesthesia care unit (PACU). Dr. Split’s background in Emergency Medicine gives him an added dimension of knowledge and experience. On behalf of all of our staff, I am very pleased to welcome Dr. Split to Chapel Hill Surgical Center and Chapel Hill Tubal Reversal Center.

9 Responses to “New Anesthesologist at Chapel Hill Surgical Center”


  1. Rhonda Brown RN Says:

    April 18th, 2008 at 9:37 pm

    Dr. Split is a positive addition to the anesthesia team at Chapel Hill Tubal Reversal Center. His interaction with the patients during their preop consultation has made it obvious of his desire for optimal patient care.


  2. Stephanie Duncan RN Says:

    April 19th, 2008 at 8:58 am

    It is a pleasure to work with Dr. Split in the operating room each and every day! He goes the extra mile to make patients feel safe and well cared for before going to sleep. His experience and background makes him a good fit for Chapel Hill Tubal Reversal Center.


  3. Julia Smith RN Says:

    April 20th, 2008 at 9:15 am

    We are excited to have Dr. Split with us. I know that our patients will appreciate his skill as an anesthesiologist as well as his professional and compassionate bedside manner.


  4. Ericka Pamplin Says:

    April 21st, 2008 at 6:20 am

    It is a pleasure to work with you, Dr. Split!


  5. Pamela Mills CRNA Says:

    April 21st, 2008 at 6:29 am

    It is a pleasure to work with Dr. Split; he is a terrific addition to our team!


  6. Matt Murphy ST Says:

    April 21st, 2008 at 6:52 am

    I’m so glad to have him on our team! He is an excellent anesthesiologist and is great with the patients.


  7. jgokun Says:

    April 21st, 2008 at 9:24 am

    Patients are often very apprehensive about their anesthesia for the tubal reversal surgery. Dr. Split is extremely friendly and I think he does a great job of putting patients fears aside and helping them to feel comfortable about their upcoming procedure.


  8. Kathy Scrone ST Says:

    April 21st, 2008 at 11:36 am

    Patients at Chapel Hill Surgery Center feel reassured and comfortable that they are taken care of in such a professional and caring manner by Dr. Split. I enjoy working with him.


  9. Sarah Meachem RN Says:

    April 21st, 2008 at 2:44 pm

    It has been a pleasure to work with Dr. Split - he has been a great addition to our staff!