We interviewed the gynecologist Alina Cárdenas, to answer the frequent questions of our readers about the Tubal Ligation.
Tubal ligation, also called a salpingectomy, is a permanent method of birth control. For this reason, it has some more specific indications than the rest of the contraceptive methods.
The profile of patients who are candidates for a tubal ligation are those women who are of an age at which they are of sufficient maturity to determine that they do not want to have more children.
There are other indications to perform it also in patients in whom pregnancy conditions a significant risk to their life and, therefore, being a permanent contraceptive method of high effectiveness, they are also recommended. In addition there are some peculiar cases in which it is studied carefully which is the indication in which we are going to use it.
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Are preoperative tests necessary?
The preoperative is quite simple. Tubal ligation is a surgical intervention so it is a specific contraceptive method. The preoperative check-up is simply a good history. What we take into account are the risk factor's generally.
What pathologies does the patient suffer from, if she is allergic to any medication, an anesthetic control is carried out and an analysis is done to know how her hemodynamic profiles are. This includes how hemoglobin is, white blood cells, what group and factor it has, and how is its clotting.
How is the surgical procedure of a tubal ligation?
It is a simple procedure, a Outpatient surgery that usually has no complications. However, as every surgical procedure has its risks. It is a technique that is performed with General anesthesia and we currently do laparoscopically. Laparoscopy is a very minimally invasive surgery.
It makes a small periumbilical incision, and another small incision to the sides in some patients. There are other times when the lateral incision is not necessary.
It is a simple surgery that is done by a electrocoagulation and cutting technique. What I know burning is the fallopian tube and it cuts. It is a quick intervention, which lasts between 30 and 45 minutes at most, an hour if it is a more complicated patient.
Normally the patient goes to an observation room after the intervention, and goes home two to six hours later to the surgical procedure. That is assuming no complications have arisen, which is in most cases.
The postoperative of a tubal ligation
The postoperative period is usually quite calm, since the patient walks home on her own feet, without any hassle. What causes the most discomfort in patients are intra-abdominal gases, which is what we use in the intervention. Usually the patient goes home very satisfied without any pain or discomfort.
