Process of Tubectomy
Some lab tests are conducted prior to surgery to evaluate if any contraindications to the surgery are present.
- Urine Test: Human chorionic gonadotropin (HCG) to identify pregnancy, which manifests positive nearly 1 week after conception.
- Urine test is conducted to assess any urinary tract infections.
- Complete haemogram to detect anemia and bleeding disorders.
- Gonorrhea and chlamydia scanning to conducted to detect any pelvic infections.
- Ultrasonography may be suggested when a pelvic mass is diagnosed during the preoperative clinical examination.
Preparation for Tubectomy
Pre-operative preparations involves counseling and steps to improve the result of surgery.
- A written consent is taken from the patient before the surgery.
- In preoperative counseling, the patient is informed that the surgery of tubal sterilization is permanent and that a small chance of failure also exists. The likelihood of an ectopic pregnancy is enhanced when sterilization failure occurs.
- It is suggested that the patient should not eat or drink for 6 hours prior to the scheduled operation or after midnight if the operation is expected to be performed in the morning.
- Painkillers and antibiotic may be prescribed prior to the procedure.
- A sedative can also be administered to relax the anxiety of surgery.
- The stomach and genital area may be cleaned and shaved for the surgery.
- An enema maybe suggested to the patient prior to the surgery. Sometimes a laxative maybe administered to clear the bowels prior to the surgery.
Process of Tubectomy
Tubal sterilization can be conducted within 72 hrs of a normal delivery. If it is conducted in any other occasion it is called interval sterilization.
Local anesthesia is administered for more than 75% of sterilizations across the world. Laparoscopic sterilization is conducted under local anesthesia. Spinal anesthesia is preferred for procedures done after delivery of the baby. Local anesthesia is common for the hysteroscopic approach, and it may be supported by oral or IV sedation if needed.
The actual process is done in an operating room, either in a hospital or a surgical center. At present, laparoscopy is the most popular method of female sterilization in non pregnant women. It is performed under the influence of general anesthesia. The surgery takes almost half an hour.
In the laparoscopy process, the stomach is filled with carbon dioxide gas by inserting a needle so that the abdominal wall can stretch away from the uterus and tubes.
The surgeon makes a tiny incision under the navel and introduces a laparoscope, a small telescope-like device.
A next incision is created above the pubic hairline to permit the other small device to enter that can allow the closure of the fallopian tubes. Usually Falope rings or clips are placed on the fallopian tubes to clog the tubes. In some cases the tubes are cut and closed.
The skin incision is then stitched with one stitch or a tape. The patient may feel fine enough to go home from the outpatient surgery center after a few hours.
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