Unwanted pregnancy and pregnancy are always one of the main concerns of couples. Among the methods of preventing uterine tubal closure is known as a permanent preventive method. Nowadays, with the advancement of science and technology in the field of surgery, the uterine tubes can be used by laparoscopic surgery to prevent pregnancy. Sterilization by laparoscopy is a surgical procedure that provides permanent birth control for women. Female sterilization involves obstruction or removal of the fallopian tubes. The fallopian tubes are on either side of the uterus and extend toward the ovaries. They receive eggs from the ovaries and transport them to the uterus. Once the fallopian tubes are closed or removed, the man’s sperm can no longer reach the egg.
How to close the uterine tubes with Laparoscopy
Before surgery begins, you will be given anesthesia to sleep. . After your anesthesia is started, you will be positioned for surgery and antiseptic will be applied to your skin to prevent infection. A speculum will be placed in the vagina. A device will be gently inserted into the uterus so that the uterus can be positioned as needed during the procedure. A laparoscope – a thin tube with a camera on the end – is inserted into the abdomen, usually at the sight of your navel, through a small incision. Additional incisions will be made in your abdomen. Air will be used in the abdomen to create more space between your abdominal wall and internal organs. Surgical instruments will be used to either cut or block the fallopian tubes.
A good candidate for laparoscopy
A woman should carefully weigh her decision to undergo sterilization by laparoscopy. Though this procedure has been successfully reversed in some women, the procedure is intended to produce permanent loss of fertility. Women who are unsure if they still want children should choose a reversible form of contraception, such as birth control pills, an intrauterine device (IUD), or a barrier method (such as a diaphragm). Discuss these alternatives with your physician.
Reasons choose sterilization by laparoscopy?
For women who no longer want children, sterilization by laparoscopy provides a safe and convenient form of contraception. Once completed, no further steps are needed to prevent pregnancy. This smaller incision reduces recovery time after surgery and the risk of complications.
Procedures before Laparoscopic surgery
- Do not eat, drink (including water) or smoke after midnight the evening before your surgery.
- Wear low-heeled shoes the day of surgery. You may be drowsy from the anesthesia and unsteady on your feet.
- An adult should accompany the patient on the day of surgery.
- Wear loose-fitting clothing. You will have some abdominal tenderness and cramping after surgery.
- Bring a sanitary pad. You may have some vaginal bleeding after surgery.
Procedures after Laparoscopic surgery
- Don’t drink alcohol or drive for at least 24 hours after surgery.
- You can shower any time after surgery
- You may remove the bandage the morning after the surgery
- Patients can return to work three days after surgery.
- Your abdomen may be swollen for several days after the surgery.
- You may have mild nausea. Try eating a light evening meal the day of surgery.
- Gas in the abdomen may cause discomfort in the neck, shoulders, and chest for 24 to 72 hours after surgery. Try taking a warm shower, using a heating pad or walking.
- Vaginal bleeding up to one month after surgery is normal. Many women do not have their next normal menstrual cycle for four to six weeks after surgery. When your normal cycle returns, you may notice heavier bleeding and more discomfort than usual for the first two to three cycles.
Time to see your doctor after laparoscopy
- Contact your physician immediately if you experience any of the following:
- Persistent nausea and vomiting for more than 24 hours.
- Temperature over 100 degrees Fahrenheit for more than 24 hours.
- Redness, swelling, drainage or bleeding around the incision.
- Heavy bleeding with clots
- Soaking a sanitary pad within two hours.