When having any type of surgery, it is important that you choose a doctor that has experience and someone that you feel comfortable with. And this is certainly the case for tubal reversal surgery. It is one of two options that are available to a woman who has had tubal ligation surgery and later wishes to have another child. It is not for everyone but is the most effective and most cost-effective surgery that has a 75% pregnancy success rate versus a 27% pregnancy success rate with IVF.
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To see if tubal reversal surgery is right for you, you will need to obtain records from your tubal ligation surgery. Your doctor will be able to tell from these records the type of tubal ligation surgery that was done and how much of your fallopian tubes remain.
If you are unable to obtain records, your tubal reversal surgeon can examine your fallopian tubes by using a laparoscopy to determine if it will be a success. If the tubal reversal surgery looks like it will be a success, then your doctor will proceed with surgery. If the tubes look too damaged from the tubal ligation surgery, then any money that has been put into the surgery will be partially refunded to you. Fortunately 98% of tubal reversal surgeries that are performed are successful.
As with any surgery, you need to do your research before choosing a doctor to do this procedure. Doctors that have the credentials of being a Fellow of the American College of Obstetricians and Gynecologists and are a member of the Society of Reproductive Surgeons are recognized by their colleagues as being experts in tubal reversal surgery.
You will also need to find out how many procedures have been done and how many of those procedures have been successful. As with any surgery, the more procedures have been done, the better. When researching success rates, find out how this information is obtained. Ask for information about the success rate for women in your age group, and also ask for the women outcome after surgery.
Find out when your doctor's surgery times are and how long the surgery will take. An average surgery time for tubal reversal surgery is sixty to ninety minutes. Having a short surgery time is important, as more anesthesia can be associated with complicated rates and recovery time.
Check to see if the doctor does surgery in a hospital or an outpatient facility. If surgery is done in an outpatient facility, the nurses and staff can focus their time to taking care of patients that are post surgery. Having tubal reversal surgery done in an outpatient facility is much safer and more recommended than having surgery done in a hospital, where serious infections such as Staph and MRSA can occur.
Before you have your surgery, be sure that you have asked your questions and voiced your concerns to your surgeon. Ask about charges and how long of a post op period there is. For example a post op period can range anywhere from ten days to a year, where your follow up visits are free and included in what you have already paid.
How you prepare for your medical appointments, and how you behave during them, can significantly affect the benefit you receive from the time you spend in your doctor's office.
Studies have shown that doctors spend more time, on average, with patients who are dressed professionally and who are well-groomed, versus those who show up at their office wearing work-out clothes or other ultra-casual attire. It is recommended that you dress in business wear, or other "nice" attire, for your medical appointments. Your doctor dresses in a professional manner, and so should you. It telegraphs to the doctor you are viewing this encounter as an important meeting, as it certainly is.
Before your appointment, it would be a good idea to prepare two copies of a numbered list of questions that you want answered during the visit. Bring them to the appointment, along with any other pertinent medical records, organized neatly in a portfolio or folder. When your doctor walks into the examination room, have the copies in hand, ask if he/she would like one, and state that these are the concerns you wish to have addressed today. Have a pen handy to make notes on your copy of the list. Check-off the questions as your doctor answers them satisfactorily. Don't wait until you are positioned "in the stirrups" to ask your questions. That's a bad time for you to be expected to retain information.
If you ask a question and do not receive a reply you can understand, perhaps because of complex medical jargon, tell your doctor, "I don't understand your explanation. Can you please describe it again, in a different way?" Doctors are trained to communicate effectively with patients with of all sorts of educational levels. It is part of their job to make their answers comprehensible to each patient.
Consider bringing your spouse (or whoever will be caring for you after the surgery) along, especially to your final pre-op appointment. That way, your caregiver will have the opportunity to discuss their concerns with the doctor to help feel more comfortable in their role.
At the end of your appointment, tell your doctor whether or not you are satisfied with what transpired. For example, "I learned a lot today, and feel I have the information I need" or, "I still don't feel like I understand my upcoming procedure." Your doctor needs to know whether he/she succeeded in helping you with your concerns or not. Remember that even the best doctors in the world aren't mind-readers. If your doctor is to be your "partner in good health" the two of you need to be able to communicate with each other. Speak up and make your feelings known if work needs to be done in this area. A good relationship with your doctor is an important factor in عملية القلب المفتوح making your hysterectomy experience as smooth as it can be.