Tubectomy Surgery History

What is Tubectomy

Tubectomy is also termed as Tubal Sterilization which is a surgical method performed on women as a permanent process of contraception. Tubectomy is conducted by gynecologists, general practitioners and laparoscopic physicians.

History of Tubectomy

Tubectomy is a surgery to clog a woman's fallopian tubes. This procedure is also considered to be tubal ligation.

Presently, about 700,000 of these surgeries are conducted every year in the United States. Eleven million US female between 15-44 years of age trust on sterilization as a means of contraceptive to prevent pregnancy. More than 190 million couples across the world facilitate surgical sterilization as a reliable and safe process of permanent birth control.

Before 1960s, female sterilization in the US was usually performed only for medical troubles or when a woman was believed to be "too old" to have children or at risk. The changing cultural environment in the 1960s led to safe, minimally invasive female sterilization processes.

Purpose of Tubectomy

Purpose of tubectomy is child birth control for which this surgery is performed on the female partner when the couple is not willing to have any more children. Blockage of the fallopian tubes by some process to prevent the fusion of the sperm and the egg is the underlying purpose.

Types of Tubectomy

The preferred process that is generally used is laparoscopic approach to ascertain the fallopian tubes on both the sides and place plastic clips to block it.

There are some more surgical types for the tubal sterilization operations which are:

  • Laparoscopy
  • Minilaparotomy
  • Hysteroscopy
  • Vaginal approaches


Laparotomy is an incision created in the abdominal wall for enabling the surgeon view the organs. Bilateral tube ligation may be conducted after closing the uterine opening during cesarean delivery.


Periumbilical minilaparotomy is the most general procedure preferred to be conducted after childbirth.


The theory of this procedure is to insert an implant in the fallopian tubes using Hysteroscope, which is a small telescope-like device, which is inserted into the uterine cavity. The device functions by inducing scar tissue to create over the implant, clogging the fallopian tube and stopping fertilization of the egg by the sperm. The small metallic implant is termed as the Essure System and hence the entire method is known as the Essure procedure.

Vaginal Approaches are seldom used due to the high risk of infection and are no longer recommended.