Tubal ligation
What is tubal ligation?
Tubal ligation is a surgical procedure that sterilizes a woman. This operation prevents the egg and sperm from meeting and thus prevents pregnancy. After this procedure, it is no longer necessary to use other contraceptive methods. However, it does not protect you against sexually transmitted infections, and it is recommended that you use condoms if you have unprotected sex.
Efficiency
Tubal ligation is 99.9% effective and IRREVERSIBLE: it should only be used when one is absolutely certain that one no longer wants children.
Sterilization method
Tubal ligation is most often performed laparoscopically. Small incisions of 5 mm to 1 cm are made in the navel and abdomen to allow the insertion of the laparoscope (a tube equipped with a camera) and other surgical instruments. Carbon dioxide gas is insufflated into the abdomen to allow visualization of the fallopian tubes; this gas is released into the body after the procedure.
Benefits
The advantages of this method in the postoperative period are:
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Pain reduction
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Reduction of the surgical wound
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The reduction in the length of hospital stays and convalescence.
The procedure
Filshie clips are used for tubal ligation. They reduce operating time and the risk of complications associated with other techniques. For example, cauterization with cut fallopian tubes carries a risk of accidental bowel burns.
What do I need to know after the procedure?
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You can resume a normal diet the next day and hydrate yourself as much as possible.
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Gradually resume your regular activities over the first 2-3 days. Avoid lifting, pulling, or pushing heavy objects for approximately 3 weeks.
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You can shower two days after the operation, taking care to remove the dressings before showering. Afterwards, leave the wound uncovered without reapplying a dressing.
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The wound is covered with small adhesive strips called Steri-Strips. Leave them in place; they will come off on their own. If they haven't all come off after a week, remove them yourself in the shower.
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The stitches are dissolving and will disappear on their own in 7 to 14 days.
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Pain in the abdomen, shoulders, and neck may occur due to the gas insufflated into the abdominal cavity. This discomfort will disappear within 2-3 days following the procedure.
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Menstrual cramps are normal for the first 2-3 days. Your doctor will have prescribed a pain reliever for you.
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It should be noted that if the contraceptive pill was used as a method and had regulated menstrual cycles, menstrual irregularity and more painful periods may follow, this being secondary to the cessation of oral contraceptives.
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Tubal ligation does not cause weight gain. Once the fear of becoming pregnant is eliminated, the woman can feel more comfortable in her sexual relationships because the procedure has no effect on desire, performance, or sexual pleasure.
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Sexual relations can be resumed as soon as the wound has healed and is no longer sensitive (a delay of approximately two weeks).
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Your return to work is recommended after 4 weeks.
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It is recommended that you see your doctor every year for cervical cytology (screening for cervical cancer) and breast examination.
