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» Tubal Reversal Message Board » Preparing for Tubal Reversal » Question About Tubal Stents (Page 1)
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pattync_28610
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Julia,
 - so much for helping me to understand this...I'm so sorry that I have asked you so many questions in the past and now..But I'm praying that you can understand I just want to make sure I understand everything when it comes to having the tubal reversal surgery...Hope you have a wonderful and blessed weekend...god bless

Patty
Julia, RN
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The stent does not damage the tubes, and it ensures that they are open so a dye test is not necessary. With the stent technique used by Dr. Berger, there is no question regarding tubal patency following surgery, which puts you in a much better position for achieving pregnancy following surgery!

As I mentioned in a previous post about sewing the layers of the tube, if the stent damaged the cilia, we would not see so many women becoming pregnant and having babies after the reversal since the stent has been used in 99.9% of the cases that Dr. Berger has performed.

Julia Smith RN

[CHTRC]
pattync_28610
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QUOTE:MS_LICIA
Member # 9456 posted October 11, 2007 01:37 PM
--------------------------------------------------------------------------------
I think I know what Pattync_28610 is asking.

Upon repairing the tubes, does the CILIA, which is the hair-like (things) she's referring to, get damaged while the procedure is being performed?

I know that one of the main purpose of the CILIA is to help an egg move along through the tubes to reach the uterus. How much damage is done to the CILIA after TR ?

I hope I worded this properly


****thanks for asking and understanding what I want talking or asking about..I wanted to know if it did cause any damage to the Cilia?

Hope someone can help with this one...god bless


Patty
icanhascheezburger
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Ok.. That answers my concern.. I was worried that if the stent ran the whole lenght of the tubes and stayed in the tubes permanatly, it would mess up the egg getting swept through the tube.
Kirsten62975
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ok, gotcha. It was flexible looking, I thought maybe it was suture material or something like that...
Brandi
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I was wondering if that was the stent. Doesn't really look harmful at all to me. Thanks for Clarifying that for us Dr. Berger.
Gary S Berger MD
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Kirsten62975 - The "string" that you saw in the video Outpatient Tubal Ligation Reversal is the tubal stent.
[CHTRC]
MS_LICIA
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I think I know what Pattync_28610 is asking.

Upon repairing the tubes, does the CILIA, which is the hair-like (things) she's referring to, get damaged while the procedure is being performed?

I know that one of the main purpose of the CILIA is to help an egg move along through the tubes to reach the uterus. How much damage is done to the CILIA after TR ?

I hope I worded this properly...
Kirsten62975
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Thanks, I was getting confused because I got the video and there was no mention of stents. Just that instrument with the "string" to thread through the fallopian tubes.

I apologize if I am not using the correct terminology...
ANANICKY07
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This is great information. Thanks.
TheMzD
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The stents are not left in - they are just placed during the TR procedure. Dr B then sews the bits of tube back together around the stent. Unlike other doctors who just try to sew the tubes back together and then do the HSG (which often reveals they've sewn the tube closed!). Once the ends of the tubes are put back together, the stent is pulled out. This way Dr B KNOWS the tube is open at the time of surgery.

Hope this helps ladies.

Kay
2caramelmochaspls
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I also have a question... why would one need stents? to prevent blockage? to test for blockage? or just to prevent blockage? are these inserted at the time of TR?
icanhascheezburger
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Ok... I have a question about the stint.. Does it run the lenght of the tube or just where the tube was sown back together?
pattync_28610
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Thanks Julia, I know I have talked to you about this in an email but I wanted to let my husband read this also because I couldn't find where we had talked about it. I have been going through my emails and I may have deleted it. But anyways thanks again for answering this question for me. god bless

Patty
Julia, RN
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Hi, Patty. I believe we may have discussed this via e-mail at one point, but I wanted to clarify in case others had the same question.

The stent does not damage the tubes, and it ensures that they are open so a dye test is not necessary. With the stent technique used by Dr. Berger, there is no question regarding tubal patency following surgery, which puts you in a much better position for achieving pregnancy following surgery!

Some doctors attempt to force dye through a woman's tubes in an effort to make sure the tubes are open after a tubal reversal procedure. One problem with this technique is that often the dye flows out through the cervical canal and does not get into the tubes at all making the test unable to determine if the tubes are open or not. It requires putting a catheter through the cervix into the uterine cavity. The cervix is not sterile and this technique increases the risk of bacteria reaching the fallopian tubes. That could increase the risk of scar tissue forming on the tube, which could make it much harder, if not impossible, to become pregnant. The stent is sterile and does not pass through the cervix.


The use of the dye technique is not the most accurate indicator regarding whether the tubes are open following tubal repair to allow conception. The stent technique is the better approach in our opinion to avoid any doubt.

I hope this is helpful.

Julia Smith, RN

[CHTRC]
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