by AK Team
WHAT IS TUBECTOMY?
Tubectomy is a permanent method of fallopian tube sterilization in women. This is a method of permanent contraception in women (also read VASECTOMY – A BETTER CHOICE)
It is a surgical method in which the fallopian tube is blocked or sterilized so that the eggs that are produced by the ovary do not reach the uterus and hence pregnancy is prevented. Fallopian tube is a tube like structure that is present in females. One end of the fallopian tube is attached to te uterus and the other end is attached to he abdomen.
Tubectomy is the most common method of sterilization in women now a days as it is a permanent and the most successful method of sterilization. Its success rate is about 99 percent.
TYPES OF TUBECTOMY
The blockage of the fallopian tube can be done in several ways. There are various types of tubectomy options available, some of them are listed below :
- In fimbriectomy, a portion of the fallopian tube that is the most closest to the ovary is removed.
- This method does not allow the fallopian tube to catch eggs from the ovary and transfer them to the uterus.
- This is a reversible procedure
- If this procedure is reversed, the remaining fallopian tube is opened up, and the inner tubal lining is folded so that the fallopian tube again gains the ability to catch eggs from the ovary.
- Frimbriectomy has the most less success rates and due to this reason it is a quiet uncommon method
- In irving procedure, two ligatures or sutures are made around the fallopian tube and the segment of tubal lining is removed that is present between the ligations
- At the end, to complete the entire procedure, the fallopian tube ends are again attached to the uterus and the abdomen
- This type also is quiet uncommon amongst individuals
- This is the most common and the most popular method of sterilizationin in females.
- This is a laproscopic female sterilization method
- Bipolar coagulation uses electric current to cauterize or to block the fallopian tube
- Molopolar coagulation is a bit less common than bipolar coagulation
- This also uses electric current to cauterize the fallopian tube, but it also allows further damage of the fallopian tubes
- Its success rate is not much high
- As the name suggests the tubal clip technique, in simpler words just puts a permanent clip on the fallopian tube to block it.
- This method is also knows as hulka clip technique
- The success rate for this procedure is about 80 to 85 percent
- In tubal ring method,the fallopian tubes are duble fallopian tubes are double folded and then a silastic band is applied on them
- By doing this the fallopian tubes are blocked permanently
- As this method uses silastic band, therefore this method id also known as silastic band method
Pomeroy tubal ligation
- Pomeroy tubal ligation is also termed as cut, tried and burned method
- In this, firstly a loop of the fallopian tube is formed and then it is strangled
- This method is reversible
- In this method, firstly your fallopian tubes are heated up (just a small portion of the fallopian tube)
- After that small silicon pieces are kept inside the fallopian tube to ensure the blockage of the tube
- In essure method of tubal ligation small metal pieces or some fiber coils are placed inside the fallopian tube to block them
BENEFITS OF TUBECTOMY
Tubectomy is one of the most preferred method of permanent sterilization among women. It comes with various benefits. Some of them are listed below :
- This is the most successful method of permanent sterilization as its success rate is about 99 percent amongst individuals
- It is very effective method for preventing pregnancy
- This method do not cause any side effects or hormonal imbalance disturbances
- Most of the times tubectomy is reversible as when. So if someone plans to have a baby even after getting tubectomy done, they can still undergo for that by reversing the procedure
- Tubectomy also reduces the chances of having fallopian tube cancer
SIDE EFFECTS OR DISADVANTAGES OF TUBECTOMY
Along with many benefits, tubectomy also has some of its disadvantages. Some of them are listed below :
- Some of the tubectomy methods are permanent and cannot be reversed
- Tubectomy does not provide protection against sexually transmitted dieases (STDs)
- Sometimes it may lead to ectopic pregnancy ( ectopic pregnancy is a type of pregnancy in which the egg attaches to any other part of the female reproductive system other than the uterus)
- Sometimes the tubectomy surgery might be risky as well
- Its very rare but sometimes tubal ligation may fail and the person might get pregnant
PROCEDURE OF TUBECTOMY
Pre – operative phase
- In the pre operative phase the doctor might just ask you to get a pregnancy test done to make sure that you are not pregnant
- Firstly, to inflate the abdomen either with carbon dioxide or with nitrous oxide, an incision is made through the patient’s belly button
- In some cases, an another small incision may be made by the doctor to insert certain instruments
- These instruments help in blocking the fallopian tube
- If any person wants the tubal ligation to be done after the child birth is done, the doctor will make a small incision near the belly button of the patient
- This provides an easy pathway to the doctor to reach the uterus
- If the tubal ligation has to be done after C section, then there is no need of making an incision
- The doctor will use the incision that was made to deliver the baby
Post – operative phase
- The gas that was filled in the operative phase in the abdomen will be removed after the procedure is done
- There might be some discomfort after the procedure is done at the incision site’
- The patient might have fatigue, dizziness, abdominal cramps, shoulder pain and bloating
- The patient can take a bath 48 hours prior to the operation
- Tubectomy usually do not require a hospital in stay after the procedure, but in some cases the doctor might suggest you to stay in the hospital for few hours or few days