Easy Recovery After Tubal Ligation Reversal Surgery

Pam Mills, a Certified Registered Nurse Anesthetist (CRNA), shares her story of working as part of the anesthesia care team at Chapel Hill Tubal Reversal Center. Pam has been working with Dr. Gary Berger spanning two decades and believes her experience with Dr. Berger has given her the opportunity to work one-on-one with tubal reversal patients in an outpatient setting and to ensure they receive the best medical care they have ever experienced. Ms. Mills explains that the anesthesia team talks with patients individually so gather information about past anesthesia experiences and to develop a personalized anesthesia plan. But Pam is also a believer in the power of positive thinking and works closely with patients to ensure they are calm and informed, with the seed of positive thought planted. She and the rest of the anesthesia staff go the extra mile to ensure the patient's safety, comfort, and sense of well-being before, during, and after the tubal reversal procedure.

Anesthesia for Tubal Ligation Reversal

Submitted by Pam Mills, CRNA

Being part of the anesthesia care team at Chapel Hill Tubal Reversal Center has given me the opportunity to work one on one with tubal reversal patients in an outpatient setting and to assure they receive the best medical care they have ever experienced.

For anesthesia purposes, we record pain scores and the incidence of postoperative nausea for all of our patients. We conduct comprehensive reviews of our data and implement changes to our anesthesia protocol, if necessary. This performance improvement activity is the beauty of working in a small private setting.

All of our patients receive individual attention and care. We have had patients tell us, “This is the first time in my life I have not been sick after anesthesia!” and “This was the easiest anesthesia I have ever had!”

I can’t think of anything more rewarding than to have helped our patients have a safe and pleasant experience while they are here for their tubal ligation reversal procedures.

Personalized Anesthesia Plan

If a patient tells me that she experienced nausea after an anesthetic in the past, I sit down with her and discuss our anesthesia plan and how it is designed to optimize her comfort and well being during her postoperative recovery. I want her to be confident that she will be well taken care of and that we will do everything in our power to make this anesthetic different from what she experienced previously. Our patients receive two medications through their IV to prevent nausea, and for patients with special needs I give what is is fondly referred to as my “special cocktail”. This cocktail has a combination of two additional anti-nausea medications, also given through the IV before the patient wakes up. This covers all the possible trigger centers in the body that can cause nausea.

Power of Positive Thinking

I usually end our discussion of postoperative nausea by telling the patient and family member that this will be the last we will mention of this subject, as I am a firm believer in planting the seed of positive thought. So from then on I want them to focus on positive thinking, knowing that she will be well taken care of and anticipating that she will wake up feeling well and free of pain or nausea.

Patient Care at Chapel Hill Tubal Reversal Center

Our dedication to patient care and outcome is evident in our patient follow up care. Every patient is entered into our computerized database. This database includes information from the day of surgery, their postoperative recovery, follow upcontacts by our nurses, as well as every pregnancy following the tubal reversal procedure through to its outcome. There is no better place for women to have tubal reversal surgery than at Chapel Hill Tubal Reversal Center. Our anesthesia staff goes to extra lengths to ensure the patient’s safety, comfort, and sense of well-being during and after the tubal reversal procedure.

Tags: anti-nausea medications, chapel hill tubal reversal center, nausea, outpatient anesthesia, pain, performance improvement, postoperative recovery, sick after anesthesia, tubal reversal procedure

1. May 5th, 2008 at 6:19 pm
   One of the benefits of having tubal reversal performed at Chapel Hill Tubal Reversal Center is the excellence and dedication of our professional staff that ensures safe and comfortable surgery for our patients. I believe we pay much more attention to the small details that make this a positive experience for each patient. I have received many messages from patients who have said it was the best medical experience they ever had. Pam’s explanation of the anesthesia component helps to explain why this is so.
   


2. Julia Smith RN Says:
   May 5th, 2008 at 6:45 pm

For many women, anesthesia is the scariest part of the surgical experience. I hope that reading about the anesthesia team at Chapel Hill Surgical Center - their experience, compassion, and professionalism - will go a long way toward alleviating some of those fears for our patients.

1. Rhonda Brown RN Says:
   May 5th, 2008 at 8:10 pm
   I think that this is wonderful information for our potential patients wanting to become pregnant after tubal ligation. I think one of the biggest fears that patients have is being put to sleep. I think that we have the best anesthesia team around. They truly put their patients’ safety first. They are dedicated to the best experience for all tubal reversal patients.
   
   
2. Charles Monteith MD Says:
   May 5th, 2008 at 10:09 pm
   The anesthesia team at the Chapel Hill Surgical center is very professional and impressive. It is a pleasure to come to work and experience the positive energy of Pam Mills. She is the best CRNA I have worked with!
   


3. Ericka Pamplin Says:
   May 6th, 2008 at 6:12 am
   Personalized anesthesia plans, documenting pain scores and constant review of performance is evident in the anesthesia team at Chapel Hill Tubal Reversal Center!
   


4. jgokun Says:
   May 6th, 2008 at 8:04 am
   All surgery patients are normally apprehensive about being put to sleep with general anesthesia. Chapel Hill Tubal Reversal patients may rest assured that they are receiving the best possible anesthesia care by a team that works with only our tubal reversal patients. Performing anesthesia for the same surgery and the same type of patient population allows the anesthesia team to provide the most specialized and highest quality anesthesia care possible.
   


5. Dr. Hertz Says:
   May 6th, 2008 at 9:03 am
   The Anesthesia Department works together with Dr. Berger and Dr. Monteith as team to provide the best individualized care for our patients. We look forward to meeting each of our patients, and personalizing their experience!
   


6. Sally Muncy RN Says:
   May 6th, 2008 at 10:44 am
   It is the personal attention and the attention to detail that most of the patients mention when I see them post operatively and in the post operative phone calls that I make. They really appreciate that they were free of nausea and acute pain even though this hasn’t been true for them in the past.
   


7. Stephanie Duncan RN Says:
   May 6th, 2008 at 11:32 am
   Pam and the whole anesthesia team do put a lot of time and thought into making the plan of care specific for each patient. Not everyone is alike and it is great that so much attention to detail is given to everyone who comes to Chapel Hill Tubal Reversal Center.
   


8. Brandon Martin-Williams ST Says:
   May 6th, 2008 at 12:02 pm
   I see it everyday and it still amazes me how well the patients do after their procedure. The anesthesia team here really knows their patients.
   


9. Matt Murphy ST Says:
   May 6th, 2008 at 1:49 pm
   Patients are always say that after there tubal ligation reversal surgery that they are amazed at how well they feel! The extra attention the patients receive is one of the many benefits of having their tubes untied here at Chapel Hill Tubal Reversal Center.
   


10. Donna Blalock RN Says:
    May 6th, 2008 at 2:06 pm
    Having the time to devote to each patient and give such personal attention,is one of my top reasons for working at Chapel Hill Tubal Reversal Center. The entire anesthesia team here is unlike any other facility I know.
    


11. Sarah Meachem RN Says:
    May 7th, 2008 at 10:54 am
    I have had many patients tell me that they can’t believe how easy the tubal reversal surgery was, particulary the anesthesia. The anesthesia department here definitely works as a team and strives to provide the best patient care for each and every woman.
    


12. Kathy Scrone ST Says:
    May 8th, 2008 at 8:30 am
    Pam has written an extensive and thoughtful description of exactly how individualized each patient is cared for at Chapel Hill Surgery Center. Patients can and do feel rest assured of their anesthesia experience and on their way to a positive recovery from their tubal reversal surgery.