Video of open abdominal tubal ligation surgery

Apr 03, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

The open abdominal tubal ligation procedure is called the "clip and bury method," in which the fallopian tubes are ligated and severed using surgical sutures. The surgery must be performed at a正规 hospital, with the following specific steps: The patient is placed in the lithotomy position to expose the surgical site, and the surgeon performs routine disinfection and draping. After the nurse establishes an intravenous access, the anesthesiologist administers anesthesia. A 2 cm vertical incision is made along the midline of the lower abdomen, two fingerbreadths above the pubic symphysis.

The open abdominal tubal ligation procedure is known as the "Pomeroy method with suture burial," in which the fallopian tubes are ligated and severed using surgical sutures. The surgery must be performed at a正规 hospital, and the specific steps are as follows:

1. The patient is placed in the lithotomy position, exposing the surgical site. The surgeon performs routine disinfection and draping. After the nurse establishes an intravenous line, the anesthesiologist administers anesthesia.

2. Once anesthesia takes effect, a 2 cm vertical incision is made above the pubic symphysis in the midline of the lower abdomen. The skin and underlying tissues are incised layer by layer until the peritoneal cavity is entered, and the isthmic portion of the fallopian tube is located.

3. Sutures are placed to ligate both ends of the fallopian tube segment (approximately 2 cm apart), and the intervening 1–1.5 cm of the tube is excised.

4. After layer-by-layer closure and secure suturing to stop bleeding, the incision is sealed. The patient's vital signs are monitored; once stable and without abnormalities, the procedure is concluded.

Tubal ligation is typically performed by cutting and tying the isthmic portion of the fallopian tube, but possible postoperative complications include abdominal wall hematoma and infection. Patients should rest in bed after surgery and maintain a nutritious diet.

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Tubal ligation surgical procedure steps

Tubal ligation is a permanent method of contraception. The specific steps of tubal ligation surgery are as follows: 1. Empty the bladder, position the patient in supine with hips elevated. Disinfect the lower abdomen and drape the surgical field before the procedure. 2. Make a vertical incision 4 cm above the pubic symphysis in the lower abdomen. 3. Proceed through the incision, locate the ovary or fallopian tube, dissect layer by layer, and then exteriorize the fallopian tube.

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Tubal ligation surgery video tutorial

Sterilization surgery includes male sterilization and female sterilization. Sterilization procedures should be performed at a正规 hospital. Here, taking female sterilization as an example, the specific steps are as follows: 1. Empty the bladder, assume a supine position with hips elevated, and perform routine disinfection and draping. 2. Make a vertical incision in the midline of the lower abdomen, just above the pubic symphysis, with an incision length of approximately 2 cm to 3 cm.

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Is sterilization safe?

Whether tubal or vas deferens ligation is safe depends on factors such as gender, surgical procedure standardization, and postoperative care. If the patient is male, the procedure is generally considered safe. If the patient is female, it is also relatively safe when performed by a qualified physician, with successful surgery and minimal postoperative complications. However, undergoing sterilization at an unqualified medical facility may increase surgical risks.

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Which is better for a tubal ligation reversal: minimally invasive surgery or open surgery?

Recurrent hernia surgery is usually better when performed using minimally invasive techniques. However, if the patient's physical condition is poor, open surgery may be chosen instead. The appropriate approach varies from person to person and requires individualized assessment. Recurrent hernia surgery is a surgical method used to treat hernias and can be carried out either through minimally invasive or traditional open surgery. Before undergoing recurrent hernia surgery, patients should receive a comprehensive physical examination and medical evaluation.