Some lab tests are conducted prior to surgery to evaluate if any contraindications to the surgery are present.
Pre-operative preparations involves counseling and steps to improve the result of surgery.
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.