Vasectomy or Tubal Ligation Medical Course

What Is Tubal Ligation?

Tubal ligation is a surgery that provides permanent birth control (contraception) for women.

The procedure is sometimes called "having your tubes tied."

It involves tying, cutting, or blocking a woman's fallopian tubes, which connect the ovaries to the uterus.

Tubal ligation blocks a man's sperm from traveling up the fallopian tubes to the egg, preventing fertilization and pregnancy.

The surgery is one of the most common sterilization procedures performed in women.

Tubal ligation may also lower a woman's risk of developing ovarian cancer.

The Tubal Ligation Procedure

Tubal ligation is performed by a surgeon in a hospital or an outpatient setting. It typically takes about 30 minutes.

The procedure can be done during a C-section delivery, after vaginal childbirth, or at any other time.

You may receive general anesthesia, local anesthesia, or a spinal block during the procedure.

In a typical tubal ligation, a surgeon makes one or two small incisions in your belly.

Gas may be pumped into your belly to expand it, so your doctor can get a better view of your fallopian tubes and uterus.

A laparoscope (thin tube containing a camera and a light) is then inserted in your belly.

The surgeon uses tiny instruments inserted through the laparoscope (or through a separate small cut) to block off your tubes.

Your tubes will be cut, tied, clamped, or banded. They may also be sealed using an electric current.

If you have the surgery after vaginal childbirth, it can be done through a small cut in your navel.

Tubal ligation can be performed during a C-section using the same incision that was made to deliver the baby.

Preparing for Tubal Ligation

Before your tubal ligation, your doctor may tell you to stop taking drugs that could make it hard for your blood to clot. These may include Advil (ibuprofen), Coumadin (warfarin), or aspirin.

Be sure to tell your doctor about all medications you're taking, and ask if you should take them on the day of your surgery.

Also, tell your healthcare provider if you smoke or if there's a chance you might be pregnant.

You'll most likely be asked not to eat or drink anything after midnight the night before your surgery, or for eight hours before the procedure.

After a Tubal Ligation

You can usually go home the same day as your procedure. Be sure to arrange for someone else to drive you.

You may experience abdominal or shoulder pain after the procedure. Your doctor can prescribe pain medication, or tell you which over-the-counter (OTC) drugs to take.

Tell your doctor if you experience any of the following symptoms afterward:

  • Fever
  • Dizziness or fainting
  • Drainage, bleeding, redness, or swelling
  • Vomiting or persistent nausea
  • Severe pain

Avoid heavy lifting and sexual intercourse for one to two weeks after your tubal ligation.

Most women can return to other normal activities within a few days.

Your menstrual periods should remain normal after your surgery.

Risks of Tubal Ligation

Potential risks of tubal ligation include:

  • Incomplete closure of tubes (about 1 in 200 women get pregnant afterward)
  • Greater chance of an ectopic pregnancy if you become pregnant
  • Damage to the bowel, bladder, or blood vessels
  • Infection
  • Feelings of regret after sterilization

Tubal Ligation Reversal

While it's considered permanent, tubal ligation can sometimes be reversed.

However, attempting this may require major surgery that isn't always successful.

More than half of women who have their tubal ligation reversed are able to become pregnant again.

Video: Postpartum Tubal Ligation / Marijan Gospodnetic, MD

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Date: 06.12.2018, 16:42 / Views: 71281