Laparoscopic Tubal Ligation

This is a permanent method of contraception or birth control. In this procedure, a woman’s fallopian tubes are tied and blocked or cut and sealed thereby preventing fertilization of eggs by the sperm. Laparoscopic surgery is performed by making small incisions in the abdomen. It is a major surgery involving the use of general anesthesia. Tubal ligation can be performed at the time of a caesarian delivery or immediately after a normal delivery. Some of them are also performed at any remote time from the pregnancy.

Advantages

The advantages of performing a laparoscopic Tubal Ligation are

  • Provides speedy recovery
  • Provides an opportunity to explore the pelvic area especially if you experience problems like pelvic pain
  • Involves short operating time and is 99% effective

Disadvantages

  • This procedure requires use of general anesthesia which carries its own risks
  • The risk of failure is associated with any sterilization procedure

Laparoscopic Tubal Ligation is performed in those women who have completed childbearing or have a desire for complete sterilization.

 

Complications

Some immediate complications of tubal ligation are as follows

  • Injury or perforation in the bowel, blood vessel or bladder
  • Anatomical site of sterilization being incorrect
  • Transection of the fallopian tube
  • Conversion to laprotomy
  • Electrocautery complications
  • Perforation in the uterus or cervical laceration
  • Mortality

These complications are very rare. Delayed complications include

  • Failure
  • Ectopic pregnancy (i.e. pregnancy in the tubes)
  • Changes in menstrual cycles
  • Regret
  • Hysterectomy

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