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I am looking forward to scheduling my TR w/ Dr. Monteith! I just cant wait to have this done and be a baby making machine again! I will finally feel whole again and feel like a woman again!
See you in July Dr. Monteith!
Cate Me-33 DH-25 DS-13 DD-10 TL-Jan 1998 Monopolar Ligation 3-4 cm taken off of each tube!
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Dr. M - welcome to the boards!!! Thank you so much for posting, it made me that much more convinced in my decision to schedule July 21st with YOU!!
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Welcome Dr.M, we are glad to hear from you, and I'm sure that your day is busy. Thanks for sharing your personal information with us, and you talk very friendly. I'm hoping to be one of your August patient, if not I will be seeing you soon. Leonita
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The chances of having a baby after tubal reversal is about 2 out of 3.
My assumption is that the ectopic pregnancy was the result of having had a previous tubal ligation and not from scarred tubes due to a previous pelvic infection. I am assuming this because your ectopic was AFTER your tubal ligation.
If the other tube is in good shape then the chance of successful pregnany would be 2 out of 3- or about 70%.
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In general, we have not been using dye injected into the tubes to prove that they are open. Some doctors use this technique. Dr. Berger previously used the dye technique but he now uses a technique he feels superior to dye. I must agree with him based on my observations.
We have been using a stent - a thin, thread-like suture - and the tube is then repaired over the stent and the stent is then removed. With this technique we know the tube ends are properly aligned during the repair.
The dye test can be misleading. The dye has to be injected through the cervix and into the uterus. The dye then has to go through the uterus and into the repaired tubes. The surgeon then counts on seeing the dye come from the end of the tubes to prove they are open. If there is some tissue or a small blood clot in the uterus then this could prevent the dye from going into the tubes- the surgeon might then think the repair is no good. They will then take down the repair and continue to 'muck' with what was otherwise a good repair. This will prolong your operation and could risk damaging a tube which was otherwise in good shape. There also could be a remote risk of introducing infection by injecting dye from the vaginal side.
This last point brings up the concept of the repair being about 75% of the effort. The way a person's body heals is the other part. If one heals abnormally and with lots of scar tissue then even the best repair will not work. Infection increases the risk of scarring.
The technique taught to me by Dr. Berger is a simple and quick way to prove the tube is properly aligned during the repair process.
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welcometo the board dr. moteith, I have a question when getting a tr done how is it determined if the tube is blocked. I had my tubes tied in 01 and had an ectopic pregnancy in 06 so I only have my left tube left so what are my chances after having a tr of actually having a baby?
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Welcome to the board, Dr. Monteith! I have been saying all sorts of nice things about you all over the boards as a patient of the WakeMed practice. I've had two babies with your former practice (and a TL, obviously ) and think the world of all of the doctors in that practice (including yourself) and, thus, was so excited to learn of your joining Dr. Berger.
Wishing you all the best and hoping to see your former colleagues again very soon!
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Hello everybody! This is my first posting on the message board. It took me a short time to get my log on information but a longer time to get up the nerve to come onto this message board - because there seem to be so many serious veteran posters!
I just wanted to reassure everyone that any patient will always be getting my best effort.
For some of my background- I completed my residency training at the University of North Carolina at Chapel Hill in 2001. Since then I have been an Assistant Clinical Professor under the UNC OB/GYN department but practicing at Wake Med hospital in Raleigh. I have been delivering babies and doing many different and difficult gynecology surgeries for the last seven years.
I have been working/training with Dr. Berger since January 2008 and it has been an incredible experience! In my first two days I did more tubal reversal surgeries than the average Reproductive Endocrinology fellow does in 2-3 years of training!
I will be trying to spend my every free moment with Dr. Berger between now and my official start date in July 2008. Even after I start Dr. Berger will be readily available should I have any questions. It is truly a privilege for me to be taken in by his practice and to train with a person who one patient called, "The best doctor in the world!"
I can promise any patient- if I do your surgery I will try to repair the fallopian tube in such a way as to only get the best possible result.
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I have had the pleasure of working with Dr. Monteith and he definitely knows what he is doing, very nice guy and professional. I'am looking forward to working more with him. Welcome Dr. Monteith Matt Murphy, ST
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Dear Tonya, It was a pleasure speaking with you today. It is very exciting to have Dr. Monteith here learning from the best. See you soon. Rhonda
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When a door closes - God always opens a window.
This message board was my window today. Yesterday I was really down, feeling as though I would never make it to surgery. The last $900.00 plus travel expenses was what I was battling. BUT, today....I was able to schedule with Dr. Monteith. I'm confident that Dr. Berger would not bring Dr. Monteith in unless he was absolutely certain he would be successful.