Anastomosis: This is a surgical performed connection of two structures.
Lumen: Medically speaking the lumen is the inner membrane of a vessel in the body.
Proximal End: The end of the tube at the Uterus
Distal End: The end of the tube away from the uterus and closes to the Ovaries

The stent is an incredibly useful tool during the Tubal reversal procedure. It's a nonabsoarbable suture, with a blue pigment to enhance visibility. The moistened stent ends are placed through the proximal and distal portions of the tube whereupon completion of the anastamosis, it is removed. It has a variety of beneficial aspects. First, as an item used to secure the patenecy of the tubal lumen while the anastamosis is being sewn, and secondly acts as insurance to prevent back walling of the tubal lumen. The back walling of the tubal lumen could lead to a surgical-made occlusion of the tube. All the more reason the stent is used to assures that the tube is open for passage of the fertilized egg.

The tubal probe is a stainless steel instrument that acts as a suture passer. It is introduced through the fimbrial end of the tube, and helps to pass the stent through the distal tube's lumen. The tubal probe does not remain in the tube, and it is removed from the stent, taking unnecessary stress off of the tube while it is being sewn.

Surgical loupes have become a standard for high-resolution optics during many surgical procedures. Some to speak of are; dental (Oral), plastic, cardiovascular (Heart), and gynecological (Tubal Reversal) procedures. The loupes allows for veiwing very detailed images with a precise depth-of-field. Microscope grade lens are mounted on lightweight frames, allowing for magnification during a surgical procedure. The benefits are outstanding to include visual accuracy, precision, exceptional clarity, improved posture,and reduced eyestrain. Loupes give a surgeon a flexible system allowing him or her to adjust these critical settings precisely by a change in head position. The view is increased, sharper, crisper with a wide fields of view, and the image becomes three-dimensional; making lightweight, precision optics the preferred way in most microsurgical procedures used worldwide. Optical loupes are fast becoming an essential tool to keep the magnified area clear and accurate, this allow for quality work when the anastamosisis is being created.

Care of the skin and tissues during tubal reversal surgery aids in the healing process and promotes a speedy recovery. Dr. Berger's use of moist laps upon initial skin incision begins the care of skin and subcutaneous tissue. As he approaches deeper tissue, his use of finger retraction or hand held retractors is gentle to surrounding tissue. This use of retraction also promotes visualization for repair of the fallopian tubes. Dr. Berger reconnects the fallopian tubes in one layer, reducing scar tissue, and allowing the fertilized egg the chance to move through the tube to the uterus.