Comfort Considerations During Tubal Ligation Reversal

There are several steps that will specifically be taken when we do your tubal ligation reversal that are designed to increase your comfort level and help ensure a quicker recovery. For example, once you are asleep Dr. Greene will inject a long lasting anesthetic under the skin prior to making the initial incision. It’s important that this is done prior to making the skin incision because below the skin there is a layer of fat and then the fascia, the stuff that holds us together. We anesthetize this layer as well and then gently separate the abdominal muscles that are just below. There is another layer of fat and then the peritoneum, the Saran Wrap like layer that lines the abdominal cavity.

During the next step, bringing your fallopian tubes back together, Dr. Greene does not use mechanical retractors to hold the skin apart. In the first place, it’s not necessary and secondly, it greatly adds to the patient’s postop discomfort. Although it is harder to learn to do tubal ligation reversals this way, the benefits to the patient are substantial. It’s also important to keep all the structures moist so they don’t become inflamed. Once the tubes are sewn back together, it’s time to close the abdomen. More long-acting anesthetic is used and your skin is closed with a suture that is buried instead of clips.

Additionally, we use a new type of anesthetic gas that lets patients wake up quickly with minimal side effects. We also use another new medicine to treat nausea should that be a problem. We feel our years of outpatient surgery experience pay off for you by making your procedure as painless and comfortable as possible.

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