Sterilisation - Family planning surgery

Sterilisation is a surgical method of permanent contraception that stops or interrupts the meeting of the egg and the sperm. It is suitable only for people who are sure they never want children or do not want any more children.

Sterilization by laparoscopy

Laparoscopic sterilization i.e. Laparocopic tubectomy is done in women to obstruct the fallopian tubes. Tubal ligation is a procedure that involves closing of fallopian tubes so that the man’s sperm can no longer reach the woman-s egg.

Consideration before opting for tubal laparoscopy

Although tubal ligation can be reversed but reversal is difficult, involves major surgery and is expensive, so for all practical puposes it should be taken as irreversible.

Tubal laparoscopy procedure:

Laparoscopic tubal ligation is a minimally invasive procedure performed under general anaesthesia by making a small incision near the navel to insert laparoscopic instruments. A harmless carbon dioxide gas is injected into the abdomen to facilitate better and unobstructed view of the pelvic organs to the surgeon. In addition to laparoscope, a smaller device used to move, hold, and close off the fallopian tubes is inserted either through the same incision or through another incision made above the pubic hairline. Fallopian tubes are closed or ligated by using rings, clamps, clips, or by sealing them shut with an electric current (electrocautery). After the fallopian tubes have been sealed, the laparoscope and grasping device are removed and a small bandage is applied over the incisions.

A tubal laparoscopy procedure takes about 15 minutes.

Advantages of Tubal laparoscopy

  • A safe and convenient form of contraception
  • Smaller incision & minimal scarring
  • Reduced recovery time after surgery
  • Less risk of complications
  • Woman can leave the surgery facility within 4 hours after laparoscopy
  • Patients can return to work the day after surgery
  • After laparoscopic tubal ligation, no further steps are needed to prevent pregnancy
  • No change on a woman’s menstrual cycle and does not cause menopause
  • Laparotomy is a more extensive surgery that requires a larger abdominal incision and a day or two of recovery in the hospital.
Authored by Dr.Deepak Rao

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Dr. Deepak Rao is a gynaecologist and laparoscopic surgeon. A pioneer of endoscopic surgery (laparascopy and hysteroscopy) in Bangalore

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