Category: medical

Once you have begun thinking about reversing your tubal ligation, you will probably have a few questions about the tubal reversal surgery itself. This article seeks to give you a quick overview of the surgical procedure.

The tubal reversal surgery as performed by Dr. Gary Berger of Chapel Hill Tubal Reversal Center (CHTRC) will be the basis for this description. There are things you will need to do before and after the operation, but this lets you know a bit about what happens during.

The tubal reversal surgery itself begins with a three inch incision just above the pubic bone. You will be under general anesthesia at this point. Dr. Berger will also use local anesthesia at the location of the incision in order to minimize the pain and trauma. Furthermore, Dr. Berger adheres to the microsurgical tenants of minimizing bleeding, minimizing muscle trauma and gentle tissue handling. This allows most of his patients to get back to their normal activities within one week.

Now there are several layers of different muscles and tissues that must be gone through in order to reach the uterus and fallopian tubes. Dr. Berger is as gentle as possible getting through these various layers.

INTRODUCTION: Morning sickness is the nauseated feeling you get during pregnancy and can be, but is not always, accompanied by vomiting. These nauseating feelings, which can actually occur at any time of the day, can really put a damper on your excitement about being pregnant. It can only become a problem for your baby if you can’t keep any foods or fluids down and begin to lose a lot of weight. This problem and the others that occur around this time are almost always mild enough to manage on your own and occurs in 50% to 80% of new mother’s to be.

NAUSEA AND VOMITING: Nausea and vomiting can be one of the first signs of pregnancy and usually begins around the 6th week after conception and continue beyond your 4th month of pregnancy. These signs usually go away 12 to 14 weeks into pregnancy. Nausea and vomiting are the most common complaints of pregnant women and can be made worse by lying on her side.

This nausea seems to stem, at least in part, from rapidly rising levels of estrogen, which causes the stomach to empty more slowly. You should always contact your health care provider: If you are experiencing excessive nausea and vomiting that prevents you from keeping any food down, If vomiting is accompanied by pain or fever, If nausea and vomiting persists well into the second trimester (after 13th week).

INTRODUCTION: True bone cancer (aka primary bone cancer) affects over 2,000 people in the United States each year. Cancer that originates in the bone – primary bone cancer – is rare. Early diagnosis and treatment of this disease increases the likelihood of survival. Children and young people are more likely than adults to develop cancer of the bones. In the past, amputation was common for bone cancer in an arm or leg.

CAUSE: Often, when people have bone cancer, it is caused by cancer that has metastasized ( spread ) from another place in the body to the bones rather than true cancer of bone cells.

TYPES: There are more than 100 types of cancer, and each type is named for the organ or tissue in which it begins. Certain types of cancers are particularly likely to spread to the bones. It is important to note that when these other types of cancer spread to the bone, they are still named for the tissue or organ where they arose and are not termed “bone” cancer.

Many different kinds of cancer are able to spread to the bones. The most common kinds of cancer that spread to the bones are lung, breast, prostate, thyroid, as well as kidney.

There are several types of sarcomas of the bone, depending upon the kind of bone tissue where the tumor developed. The most common types of primary bone cancer are osteosarcoma, Ewing’s sarcoma, and chondrosarcoma. Other, more rare types include fibrosarcoma, malignant giant cell tumor, and chordoma.