Tubal ligation can be performed at the time of an elective Caesarean Section, hysteroscopically, or most commonly laparoscopically once you have completed your family. A minilaparotomy involves making a small incision on your abdomen and is another way to approach this surgery. Most gynaecologists would avoid this surgery as the recovery with a cut on the abdomen takes longer and the pain is usually worse.
- At the time of your elective C-section, the tubes can be ligated or excised in their entirety. There are no added risks to the procedure and this is an excellent option if you are certain you have completed your family.
- Hysteroscopic sterilization is a procedure involving the insertion of a scope into the uterus through the cervix and the vagina. This allows the gynaecologist to view the openings of both tubes. Coils are then inserted into the tubes under direct vision. Scarring forms in the tubes and complete occlusion occurs within three months. The procedure can be done under anaesthesia or with light sedation and local anaesthetic.
- Laparoscopic Sterilization involves a keyhole procedure, inflation of the abdomen with gas followed by either placing clips on the tubes or removing the tubes entirely. This is minimally invasive surgery and is considered a day surgery.
Since 2010 there has been a large body of evidence in the medical literature looking at ovarian risk reduction surgery. This evidence points to the tubes as a potential source or a cause of ovarian cancer. The recommendation to our patients presenting to Sunnybank Centre for Women for advice on permanent contraception is to have bilateral salpingectomies (Surgical removal of the tubes) for permanent contraception and ovarian risk reduction as opposed to tubal ligation.
Both Dr Nelson Gonzalez and Dr Joseph Jabbour can perform the different types of sterilization. Contact our rooms Sunnybank Centre for Women for an appointment if you wish to discuss permanent contraception.