Pregnancy

What Is Tubal Ligation? – Tubal Ligation Methods

Tubal ligation is a surgery to close the fallopian tubes of a woman. These fallopian tubes connect ovaries to uterus. A woman who undergo this surgery cannot become pregnant any more. This is a voluntary and permanent birth control form. This is also called “

tubal sterilization, tying the tubes and tube tying

”.

Tubal ligation is done in women who want to avoid future pregnancies. This is often choose by women who do not want to become pregnant, but are sexually active and fertile potentially. This is birth control method is also chosen by women who should not become pregnant for health purposes.

TUBAL LIGATION METHODS:

Mainly there are four procedures for tubal ligation. These are carried out on isthmic portion of fallopian tube, i.e., thin portion of tube that is closer to uterus.

  • Clips:

    These clamp the tubes and inhibits the flow of blood to the portion and causes small amounts of fibrosis or scarring. Hence, prevents fertilization. “

    Filshie clip

    ” is the most commonly used clip. This is made up of titanium. “Wolf clip or Hulka clip” is another widely used clip. This is made of plastic. These clips are easy to insert, but requires special tools to place it.

  • Partial salpingectomy:

    This is the widely used method for tubal ligation. Fallopian tubes are incised and are realigned by joining and do not allow free passage. “

    Pomeroy technique

    ” is the most commonly used method in partial salpingectomy. In this procedure, a small tube is tied with suture and cuts off top portion of loop. This can be applied easily through “laparoscopy”. This is an easy, safe and effective method and doe not need any specially manufactured equipment for partial salpingectomy. This can be done along with suture and scissors. Generally partial salpingectomy cannot be used along with laparoscopy.

  • Cauterization or Electrocoagulation:

    electric current burns or coagulates a tiny portion of fallopian tubes. This uses “

    bipolar coagulation

    ”, that is, an electric current enter and leaves from the two ends of forceps which is applied on the tubes. This is safe, but less effective than the unipolar coagulation. In unipolar coagulation, electric current leaves through the electrode that placed under thigh. Usually, this is done through laparoscopy.

  • Silicone Rings:

    These are tubal rings that are similar to clips. Mechanically, these tubes are blocked by silicon rings. This encircles a tiny loop of fallopian tube. This blocks the blood supply to small loop and results in scarring the passage of egg or sperm. Yoon ring is made of silicone and is widely used.

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