Tubal ligation – laparoscopic surgery – Tubal sterilization

Description tubal ligation

Perevyazka – the operation to close the fallopian tubes in women. Fallopian tubes are from the ovary (organ, where the egg develops) to the uterus. Closure of the fallopian tubes leads to ago, that a woman can not get pregnant.

Causes of tubal ligation

Tubal ligation is performed, if a woman does not want to get pregnant. But even after this operation, the woman will still be ovulating and menstruation. Blocking the fallopian tubes prevents the egg with the sperm from the merger. Without merging egg and sperm fertilization and pregnancy impossible.

Tubal ligation is not recommended as a temporary or reversible procedure. Check, that you and your partner are finally ready to conduct this operation.

Possible complications of tubal ligation

Complications are rare, but no procedure does not guarantee the absence of risk. Before, how to perform a tubal ligation, you need to know about possible complications, which may include:

• Infection;
• Bleeding;
• Complications from anesthesia;
• Damage to other organs;
• Pregnancy – If pregnancy occurs, there is an increased risk, that the fetus will develop outside the uterus.

Some factors, that may increase the risk of complications:

• Smoking;
• Obesity;
• Previous abdominal surgery.

We need to discuss these risks with your doctor before the procedure.

How is tubal ligation?

Preparation for the procedure

Before the surgery, your doctor may be imposed or carried out following:

• Medical checkup
• Discussion of the causes of the procedure;
• Pregnancy test.

In anticipation of a tubal ligation:

• Tell your doctor about taking any medications. A week before surgery, perhaps, you need to stop taking certain drugs:
  • Aspirin or other anti-inflammatory drugs;
  • Blood thinners, such as clopidogrel (Plaviks) or warfarin;
• On the eve of the evening before surgery you can eat a light meal. Do not eat or drink anything the night.

Anesthesia

They can be used the following types of anesthesia:

• General anesthesia – blocks pain and the patient support in a sleep state during operation. Administered intravenously in the arm or hand;
• Spinalynaya anesthesia – blocks pain in the lower body, from the chest down, the patient is awake. Was injected in the back.

Procedure tubal ligation

The doctor makes a small incision in the navel. Through this incision it is pumped into the abdomen harmless gas. This will allow the doctor to see the internal organs better. Then he inserts into one of the slits long, delicate instrument (called a laparoscope). This tool has a small camera on the end of the light source, that allows the doctor to see the internal structure of the abdominal cavity. The doctor performs a second incision just above the pubic hair, to insert a tool to capture the fallopian tubes. The pipes will be closed in the following ways:

• Binding and Cutting (perevyazka);
• The seal and the creation of scar tissue;
• Removal of a small portion of the pipe;
• Closing with plastic clips or clamps.

Then the tools will be removed and the openings closed with stitches.

In some cases, the physician may switch to open surgery. To do this, it performs a small incision above the pubic hair or below the navel, or a 5-10 cm incision in the abdominal cavity, and continue to conduct operations.

Immediately after the procedure, tubal ligation

You will be directed to the recovery room until, until the anesthesia wears off.

How long will the tubal ligation?

20-30 minutes.

Tubal ligation – Will it hurt?

You will experience pain and discomfort during recovery. The doctor will give pain medicine.

You may also feel some “inflation” or pain in the shoulders of the gas, used during the procedure. The discomfort may last up to three days. Walking, use a warm heating pad or warm shower will help relieve discomfort.

The average time of stay in the hospital after a tubal ligation

Typically, the extract is carried out on the day of surgery. The doctor can extend the period of stay, If there are complications.

Care after a tubal ligation

After returning home, follow these steps:, to ensure the normal recovery:

• Remove the dressing the morning after surgery. The patch itself is dropping out a few days;
• Ask the doctor, when it is safe to shower, bath or expose the surgical site to water;
• Do not drive or drink alcohol, at least 24 hours after surgery;
• Do not lift anything heavy, at least a week;
• If you feel sick, try to have tea, toast or crackers;
• Avoid sexual activity for one week, or to the doctor's permission;
• Be sure to follow your doctor's instructions.

You will be able to return to work after 1-7 days after ligation. The normal menstrual cycle resumes for 4-6 weeks.

Sterilization ensures 99% protection against pregnancy for a year. Tubes may later grow together again, increasing the risk of conception.

Contact your doctor after tubal ligation

After returning home, you need to see a doctor, If the following symptoms:

• Signs of infection, including fever and chills;
• Redness, edema, increased pain, bleeding or discharge from the incision;
• Severe and continuous abdominal pain;
• Cough, breathlessness, chest pain, or severe nausea or vomiting;
• Fainting and dizziness;
• Pain and swelling in one or both legs;
• Nausea and vomiting, which lasted more than a day;
• Heavy vaginal bleeding after surgery;
• Omissions of the menstrual cycle.