Laparoscopy
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Laparoscopic Bilateral Tubal Ligation
What Is Laparoscopic Bilateral Tubal Ligation?
Laparoscopic bilateral tubal ligation is a surgical procedure to occlude the fallopian tubes, which prevents pregnancy. It is a permanent form of birth control. There are different methods of occluding the fallopian tubes. The common methods used are clips, rings and diathermy. The procedure is simple, safe and usually does not require hospitalisation.
How Is Laparoscopic Bilateral Tubal Ligation done?
The procedure is done under general anaesthesia
An instrument is inserted through the vagina to move the uterus into position during the operation. A small incision is made at the umbilicus (navel). Gas is introduced to distend your abdomen A laparoscope (telescope-like instrument) is inserted through the incision Another small incision may be made in the lower abdomen to insert a surgical instrument to apply clips, rings or diathermies the tubes.

What to expect after surgery?
Some patients may experience mild sore throat or body aches after the anaesthesia. It is not unusual to have slight abdominal discomfort and shoulder ache after the operation, which will usually subside in less than 48 hours. There may be some vaginal discharge or bleeding for up to 2 weeks after the surgery.
When can I go home?
Most of the patients can go home 4-6 hrs after surgery. They should make sure that there is someone to look after them overnight. It is best to take it easy for 2-3 days. You may need painkillers for 2-3 days. Make sure you keep the dressing clean and dry. You are advised to use contraception until your next menstrual period. If termination of pregnancy has been performed, avoid sexual intercourse while there is vaginal bleeding There is no restriction on diet.
What are the risks of Laparoscopic Bilateral Tubal Ligation?
Complications of laparoscopic bilateral tubal ligation are rare. The possible risks are perforation of womb, Injury to other organs (including intestines, vessels and bladder) during surgery requiring repair (which may require a large incision in the abdomen). Unusual reactions to anesthetic drugs and other medication can occur. The failure rate of the procedure is 1 in 200 women over their lifetime. In the event that the woman gets pregnant, the chance of tubal pregnancy is high. Report to the doctor if you think you are pregnant.
Are there any long term health risks associated with the procedure?
There is no long term health risk from sterilisation procedures The procedure is not associated with disturbances in menstrual periods There is no interference with normal body functions
Can it be reversed?
The procedure is intended to be permanent Reversal of sterilisation is costly and is not 100% effective.
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