FEMALE STERILISATION (TUBAL LIGATION): HOW IS IT DONE?
Tubal ligation is most often done by laparoscope A laparoscope is like a little telescope that can be used inside the pelvis. It has a fibre-optic light that allows the doctor to see exactly where your tubes are. It is inserted into the abdomen through a small incision about 1 cm long, just under your belly button. The abdomen is filled with carbon dioxide gas so that the organs separate and can be easily seen and accessed. You will probably have another small incision near your pubic hair line, just above your pubic bone so that the instrument that does the sterilization procedure can be inserted through there.
There is another procedure called a mini laparotomy, which involves having a slightly larger incision, near the pubic hairline. Another kind of instrument that helps the doctor to see inside easily is inserted through the incision in your abdomen. A second instrument is inserted through your vagina into the uterus and pushes the uterus and tubes into a position where the doctor can work with them. Both laparoscopy and mini laparotomy can be done with a local anaesthetic, but are more commonly done in Australia under general anaesthetic.
Some women have a laparotomy. With this method you will need to have a general anaesthetic and you will stay in hospital for a few days. You will have a larger incision, about 7 cm long, across the lower part of your abdomen. Each Fallopian tube is lifted up and tied or clipped. Sometimes the doctor will remove a part of the tube between two ties.
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