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Laparoscopic tubal sterilization
Gynecology / Dec 23rd, 2016 5:30 am     A+ | a-

Laparoscopic tubal ligation is a surgical family planning sterilization procedure in which a woman's fallopian tubes are either clamped and blocked or severed and sealed. There are two type of tubal sterilization procedure. Disadvantages of laparoscopic tubal ligation include the need for anesthesia and cost of laparoscopic equipment. The laparoscopic tubal sterilization procedure is usually performed under general anesthesia, which has its own risks. There is inherent risk with any minimal access surgery in which the peritoneal cavity is entered, including the rare risks of bowel injury, hemorrhage through great vessels, transfusion, and, with some sterilization methods, thermal injury. All sterilization methods have risks of failure and regret.

1. Destructive
  • Unipolar, 
  • Bipolar 
  • Coagulation using thermal cautery 
2. Occlusive
  • Fallope ring, 
  • Hulka clip, 
  • Filshie clip

Both methods prevent eggs from being fertilized. Tubal ligation is a permanent method of sterilization. The percentage of couples who used sterilization doubled from 1973 (16%) to 1998 (36%).
Advantages of Laparoscopic Sterilization:
  • Diagnostic advantage
  • Less pain postoperatively
  • Low intra & postoperative complications
  • Early return to work
  • Cosmetically better outcome
  • Less tissue dissection and disruption of tissue planes
There are few potential complication also which can happen.
Early Complication
  • Injury to viscera
  • Hemorrhage
  • Infection
  • Other complications related to laparoscopy
Late Complication
  • Re-canalization of tubes
About 20% of women choose tubal ligation as their contraceptive method, making it the second most common form of female contraception. The use of tubal ligation increases with parity: 59% of women who have had 3 children undergo sterilization versus 13% after 1 child. Of women who decide not to have more children, 44% choose sterilization over reversible contraceptive methods.
Dr. Geeta Bhardwaj
Apr 26th, 2020 6:14 am
Very good dissection, very skillful surgery. Thanks for sharing of Laparoscopic tubal sterilization video.
Dr. Nadeem
May 12th, 2020 11:44 am
Thank you for sharing, this is very informative video of Laparoscopic tubal sterilization.Thank you very much sir.
Dr Vikash kumar
May 16th, 2020 9:29 am
This video is very helpful and lot's of information. Thanks Dr Mishra it is very clear and very nice explanation i understand very easily Thank you so much for sharing this very informative video of Laparoscopic tubal sterilization.
May 21st, 2020 11:37 am
Thank you for your amazing information about Laparoscopic tubal sterilization. Thanks again It was a really very interesting information.
Dr. Himanshu
May 22nd, 2020 12:40 pm
Excellent lecture of Laparoscopic tubal sterilization. The lecture notes are precise and the content is really interesting.
Dr. Hriday Nath Shahi
Jun 11th, 2020 6:36 am
Thank you so much.... This was so helpful. I watched your video of Laparoscopic tubal sterilization. Once again thanks. Such an amazing work.
Dr. Dipankar Das
Jun 14th, 2020 7:34 pm
Thank you very much, sir, that you gave us such a good informative and educative video of Laparoscopic tubal sterilization. Thank u so much sir. i really love to study by sir your explanation very simple to understand. god bless u sir.
Dr. Sameera Jain
Jun 14th, 2020 7:39 pm
Thank you very much for your excellent video. I'm watching your videos. I'll appreciate. content are very interesting and so informative easily understand. Thanks for your better explanation and wonderful topic.
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