Laparoscopic Sterilisation
Female sterilisation procedures often involve the ligation of both uterine tubes. By blocking off the Fallopian tubes, the sperms that enter the female genital tract are unable to reach the eggs released from the ovary. Either a tight ring (band) is used to clamp off the fallopian tubes or, a small section of the tubes is divided and cut away.
Since tubal ligation is potentially irreversible, it should only be considered once a woman has decided that she has finished bearing children and has no plans to have more children or start another family. The procedure can be done in a single day. A patient is often hospitalised in the morning and discharged in the late afternoon. A 5mm incision within the belly button scar and a 7mm incision on one side of the abdomen
are required. Under general anaesthesia, these incisions are used to introduce the laparoscope camera and the band applicator. If the patient wants more children, has a medical condition that necessitates the removal of the uterus or both ovaries, or is unsure about what permanent sterilisation entails, she is not a good candidate for laparoscopic surgery.
The majority of facilities doing the procedure have been reporting excellent results from this technique.
a one-in-two hundred pregnancy failure rate
The incidence of tubal (ectopic) pregnancy is one in two hundred pregnancies.
Tubal recanalization has a success rate of 40-50% (if one changes their mind and wants to conceive in
the future).
Like other laparoscopic operations, tubal sterilisation might have complications.
To name a few:
Abdominal blood vascular and intestinal injuries.
Complications from anaesthetic.
Conversion to laparotomy (open surgery) may be necessary if any of the following hazards materialize during the procedure:
thermal harm to surrounding structures due to electrocautery.