Tubal ligation surgical procedure steps
May 26, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
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.
Tubal ligation is a permanent method of contraception. The specific steps for tubal ligation surgery are as follows:
1. Empty the bladder, assume a supine position with hips elevated. Disinfect and drape the lower abdomen before surgery.
2. Make a vertical incision 4 cm above the pubic symphysis in the lower abdomen.
3. Enter through the incision, locate the ovary or fallopian tube, perform layer-by-layer separation, then extract the fallopian tube.
4. Clamp the mesosalpinx and follow it along to the fimbriated end of the fallopian tube to confirm its identity; examine the ovary as well.
5. Isolate approximately 2 cm of the fallopian tube at the posterior aspect of the isthmic portion. Clamp both ends, remove 1–2 cm of the middle segment, ligate both cut ends, and suture them. Ensure one end is embedded within the mesosalpinx and the other outside of it.
Patients should refrain from sexual intercourse for at least one month after surgery. If symptoms such as vaginal bleeding or other discomfort occur postoperatively, seek medical attention promptly. It is recommended to undergo the procedure at a正规 hospital under the guidance of qualified physicians.
