Absolutely yes. What works well for one surgeon may not do so well in another’s hands. There are some methods like robotics or laparoscopy that have limits related to the equipment. There are some who claim the only way is with an operating microscope but others (like me) feel that head mounted magnification is better because you can see at an angle not just straight on. Dr. Turner and I just did our 3000th tubal reversal last summer and we have changed our technique in many ways since we started doing nothing but reversals in 2001.
We used to tell patients to wait a month before trying but some got pregnant right away and nothing bad happened. We had given that advice based on what we were told by the people who taught us how to do reversals. We don’t recommend waiting now. We were the first surgeons to do an Essure reversal. If you don’t know what that is, Essures are a newer contraceptive device that block the tubes from the inside. There was no book to read to tell us how because it was supposed to be impossible. We tried things that were reasonable but were not the best and we moved on. I have many times been disappointed to find someone who felt their way was the only way. In my opinion they were limiting their ability to serve their patients.
-William Greene Jr. MD