laparoscopic tubal ligation (family planning surgery)

Menopause is a stage in life when you stop having your monthly period. It’s a normal part of aging and marks the end of your fertile, reproductive years. Menopause typically occurs in your late 40s to early 50s. However, people who have their ovaries surgically removed undergo "sudden" surgical menopause.

How is a laparoscopic tubal ligation done?

Typically, you will be given general anesthesia. Your surgeon will make a small incision, about half an inch long, in or below the belly button. A harmless carbon dioxide gas is injected into your abdomen. This raises the abdominal wall off of your pelvic organs, so your surgeon can get an unobstructed view—as well as room to operate. Next, a laparoscope (a small, thin, telescope-like instrument with a light) is inserted through the incision to view the tubes.

Your surgeon will then insert a smaller device used to move, hold, and close off the fallopian tubes. This device could be inserted either through the laparoscope or through a second, tiny cut made just above the pubic hairline. The surgeon closes the fallopian tubes by using rings, clamps, clips, or by sealing them shut with an electric current (electrocautery). The laparoscope is taken out, and your surgeon will then stitch the incision(s) closed.

The procedure takes about 30 minutes. There is very minimal scarring because the incision(s) are small. The smaller incisions also help to reduce recovery time after surgery and lower the risk of complications. In most cases, you will be able to leave the surgery facility within four hours after having a laparoscopic tubal ligation.

Advantages of laparoscopic tubal ligation

Laparoscopic tubal ligation has many advantages over open operation. The principal advantage of laparoscopic tubal ligation is no big cut is made on the skin, which would result in minimal scarring. The procedure requires only minimal tissue handling, so less postoperative adhesions. The smaller incisions will also aid speedy recovery post surgery. Scope of complications is kept minimal. In most cases, patients will be able to leave the hospital post procedure within hours after having the procedure

Recovery post procedure

Once the procedure is over, you will be kept in the postoperative ward so that surgeons can observe you for any potential complications.  You will be given a set of instructions as to how to take care of your body in general and the wound in particular during the recovery phase.  Women can generally resume their activities of daily life and work life three days after the procedure.

The following are the common guidelines to be followed post surgery.

  • There is no restriction on bathing or showering post procedure
  • Bandages (Steri-Strips) can be removed after three days post procedure
  • There is no restriction on sex one week post procedure
  • It is normal to have vaginal bleeding for a few days after the procedure
  • Periods will normally return after four to six weeks after the procedure
  • The first two or three menstrual cycles may be a bit painful, coupled with heavier bleeding and discomfort