What is tubal ligation?
The procedure is performed to block, tie, cut, or remove the fallopian tubes. There are various ways to perform the procedure. It is considered a permanent method of birth control. Tubal ligations may be performed at any time hysteroscopically in the office, laparoscopically in an outpatient surgery facility or operating room, or may be performed postpartum (after delivery) through a small incision below the navel. The procedure is typically minimally invasive, low risk, and involves a fairly quick recovery.
What is the Purpose of a tubal ligation procedure?
Tubal ligation is used as a permanent birth control method. This procedure should only be considered if you are confident you do not want to get pregnant in the future. Although this procedure is highly effective, the failure rate can be as high as 1 in 100 for certain methods of tubal ligation. In addition, there is a higher risk of ectopic pregnancy (pregnancy outside the uterus) in the event that pregnancy occurs after a sterilization procedure.
How is the procedure performed?
There are a few different methods of tubal ligation.
Laparoscopic tubal ligation- One small incision is made in the navel. The gynecology surgeon will then use a viewing scope and surgical instruments to cut, clamp, cauterize, or remove the fallopian tubes. General anesthesia is required for this procedure. There are more risks to this procedure compared to the hysteroscopic procedure and recovery may take a few days.
Postpartum Tubal Ligation- This procedure is performed soon after a woman gives birth. It is performed during this time because the fallopian tubes are located higher up in the abdomen due to the uterus being enlarged. The incision is made directly below the navel. The tubes are then cut and tied or cauterized. This procedure may be performed with an epidural or general anesthesia.
Open Tubal Ligation- A larger incision is made in the abdomen for this procedure. The tubes are then accessed, cut, clamped, tied or removed. Open tubal ligation is usually performed at the time of a cesarean section.
Recovery
Recovery for tubal ligation depends on the procedure performed and the extent of the procedure itself. Women may experience cramping and spotting or light bleeding for a few days.
Gynecology and Laparoscopic Surgeons, PC provides tubal ligation surgery for patients in Raleigh, Cary, Chapel Hill, and surrounding areas of North Carolina. For more information about our gynecology services, contact us at our North Raleigh location.