Laparoscopic Tubal Ligation

Laparoscopic tubal ligation is a procedure that closes the fallopian tubes at a time other than right after childbirth. By closing the fallopian tubes, the eggs that are released from the ovaries cannot enter the uterus and sperm cannot reach the egg. Tubal ligation is also known as getting your "tubes tied." Tubal ligation is done so you will not be able to get pregnant or have a baby.

ExitCare ImageAlthough this procedure may be reversed, it should be considered permanent and irreversible. If you want to have future pregnancies, you should not have this procedure.

LET YOUR CAREGIVER KNOW ABOUT:

  • Allergies to food or medicine.

  • Medicines taken, including vitamins, herbs, eyedrops, over-the-counter medicines, and creams.

  • Use of steroids (by mouth or creams).

  • Previous problems with numbing medicines.

  • History of bleeding problems or blood clots.

  • Any recent colds or infections.

  • Previous surgery.

  • Other health problems, including diabetes and kidney problems.

  • Possibility of pregnancy, if this applies.

  • Any past pregnancies.

RISKS AND COMPLICATIONS

  • Infection.

  • Bleeding.

  • Injury to surrounding organs.

  • Anesthetic side effects.

  • Failure of the procedure.

  • Ectopic pregnancy.

  • Future regret about having the procedure done.

BEFORE THE PROCEDURE

  • Do not take aspirin or blood thinners a week before the procedure or as directed. This can cause bleeding.

  • Do not eat or drink anything 6 to 8 hours before the procedure.

PROCEDURE

  • You may be given a medicine to help you relax (sedative) before the procedure. You will be given a medicine to make you sleep (general anesthetic) during the procedure.

  • A tube will be put down your throat to help your breath while under general anesthesia.

  • Two small cuts (incisions) are made in the lower abdominal area and near the belly button.

  • Your abdominal area will be inflated with a safe gas (carbon dioxide). This helps give the surgeon room to operate, visualize, and helps the surgeon avoid other organs.

  • A thin, lighted tube (laparoscope) with a camera attached is inserted into your abdomen through one of the incisions near the belly button. Other small instruments are also inserted through the other abdominal incision.

  • The fallopian tubes are located and are either blocked with a ring, clip, or are burned (cauterized).

  • After the fallopian tubes are blocked, the gas is released from the abdomen.

  • The incisions will be closed with stitches (sutures), and a bandage may be placed over the incisions.

AFTER THE PROCEDURE

  • You will rest in a recovery room for 1—4 hours until you are stable and doing well.

  • You will also have some mild abdominal discomfort for 3—7 days. You will be given pain medicine to ease any discomfort.

  • As long as there are no problems, you may be allowed to go home. Someone will need to drive you home and be with you for at least 24 hours once home.

  • You may have some mild discomfort in the throat. This is from the tube placed in your throat while you were sleeping.

  • You may experience discomfort in the shoulder area from some trapped air between the liver and diaphragm. This sensation is normal and will slowly go away on its own.