Laparoscopic Tubal Ligation

Tubal ligation is considered one of the most prominent methods of family planning used by women to permanently prevent pregnancy. In this procedure, the fallopian tubes, which connect the ovaries to the uterus and allow the egg to meet the sperm for fertilization, are either blocked or cut. When this procedure is performed, the egg cannot pass into the uterus, preventing pregnancy. Tubal ligation is considered a permanent procedure that cannot be reversed in most cases. It is typically performed using laparoscopy today.

Laparoscopic Tubal Ligation

Laparoscopic tubal ligation is a minimally invasive procedure, where the doctor makes a few small incisions in the abdomen to insert a laparoscope, which is a thin, flexible tube with a small camera and light at the end that allows the doctor to clearly see the internal organs, along with surgical instruments.

What to Expect During the Surgery?

The following steps are typically followed during the procedure:

The woman is initially given general anesthesia.
A small incision is made near the navel, and a laparoscope is inserted. Additional incisions are made to access the internal organs.
Gas is pumped into the abdominal cavity to create enough space between the abdominal wall and internal organs, which helps the doctor better view the area.
The surgeon then uses the appropriate instruments to cut or close the fallopian tubes.

What to Expect After Tubal Ligation?

Most women will be able to return home the same day, after a few hours of monitoring. Normal activities can typically be resumed in a few days. However, the woman should follow these recommendations:

It is best to avoid lifting heavy objects for two weeks after surgery.
It is advised not to drive for at least 24 hours post-procedure.
You may shower normally, but swimming or bathing in a tub should be avoided for at least two weeks till the incision is healed.
It is preferable to avoid sexual intercourse for about two weeks. If the tubal ligation is done after childbirth, it is recommended to avoid intercourse for about six weeks or according to the doctor’s advice.

Advantages of Laparoscopic Tubal Ligation

The laparoscopic tubal ligation procedure has the following advantages:

Compared to traditional surgery, it is less invasive, requiring smaller incisions, which reduces pain and speeds up recovery.
High success rate, Laparoscopic tubal ligation is an effective and permanent form of birth control, with a success rate of around 99%.
Lower risk of complications like bleeding.

Expected Side Effects

The main side effects after the procedure include:

Some women may feel pain or discomfort in the neck, shoulders, or chest due to accumulated gas after the procedure. This may last from 24 to 72 hours. For which pain killers will be prescribed to alleviate symptoms.
Some women may experience mild nausea after the procedure. A light meal such as soup, toast, or crackers may help ease this sensation.
There may be mild bloating in the abdomen for a few days after surgery.

In general, it is important to follow the doctor’s instructions after the procedure and adhere to the prescribed rest period to ensure a quick and safe recovery.

When to See a Doctor After Tubal Ligation?

You should consult a doctor immediately if any of the following symptoms appear:

Persistent nausea and vomiting for more than 24 hours.
A fever higher than 37°C for more than 24 hours.
Redness, swelling, or bleeding around the incision.
Difficulty urinating or a burning sensation during urination.
Inability to have a bowel movement for more than 3 days.
Swelling in the leg, especially if it is worse on one side than the other.
Shortness of breath.

References:

Laparoscopic Bilateral Tubal Ligation | Emory School of Medicine. (n.d.). https://med.emory.edu/departments/gynecology-obstetrics/patient-care/patient-education/bilateral-tubal-ligation/index.html#:~:tex
Professional, C. C. M. (2024c, May 1). Tubal ligation. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/4933-tubal-ligation

Laparoscopic Tubal Ligation