Gynaecology

Laparoscopic tubal ligation

Description

Laparoscopic tubal ligation refers to the surgical procedure to permanently control the birth by making two small incisions – one below the navel and another just above the pubic hair, and inserting a small thin tube called a laparoscope to cut or block the fallopian tubes. This prevents the sperm from reaching the egg, which averts the pregnancy.

Laparoscopic tubal litigation surgery is mainly used by women who have just had a baby and don’t wish to become pregnant again.

The surgery requires some premedical tests to be done on the patient before the procedure starts to determine whether laparoscopic is right for her. This involves checking the overall health, any abnormalities in the pelvic organs, pelvic inflammatory disease, endometriosis or if she has had a baby recently.

The team will instruct the entire procedure to you and caution you about the possible side effects. You will be given general anesthesia and when you are asleep, two small cuts will be made in the abdomen. A small and flexible telescopic device called laparoscope will be inserted in the above incision to see the insides of the abdomen. Another instrument is inserted from the incision made above the pubic hair to cur the fallopian tubes from the right location and a small clip is placed at the end of each tube. The incisions are then closed with stitches. Laparoscopic tubal litigation leaves tiny scars on the abdomen. After the surgery, you will be shifted to the recovery room and may leave for home in a few hours.

Complications

Immediate complications after laparoscopic tubal litigation surgery may include:

  • Bowel or bladder damage

  • Blood vessel injury or perforation

  • Incorrect anatomical site of sterilization

  • Mortality

  • Uterine perforation

  • Cervical laceration

  • Electrocautery risks

  • Conversion to laparotomy

Late side effects of the treatment are:

  • Menstrual changes

  • Trouble having sexual intercourse

  • Hysterectomy need

Post operative care

After the surgery, you will need to stay for few hours in the recovery room and then you can leave for home. Most women return to their daily activities, however, some women may be advised to take rest for a short period of time.

Sexual intercourse can also be resumed, once the patient is comfortable.

Follow the instructions given by the doctor on how to handle the treatment complications. If severe issues occur, notify your doctor at once.