TUBAL LIGATION
December 29th, 2006 Posted by: admin
Tubal ligation (informally famous as effort one’s “tubes tied”) is a imperishable modify of someone sterilization, in which the fallopian tubes are cut and sealed, in visit to preclude fertilization.
In women, a tubal ligation crapper be finished in whatever forms, finished a vaginal approach, finished laparoscopy, a minilaparotomy (”minilap”), or finished a lawful laparotomy. Also, a secernment is prefabricated between postpartum tubal ligation and quantity tubal ligation, the latter not existence finished after a past delivery. There are a difference of tubal ligation techniques; the most worthy are the Pomeroy identify that was described by Ralph Pomeroy in 1930, the Falope anulus that crapper easily be practical via laparoscopy, and tubal operation finished commonly via laparoscopy. In addition, a joint salpingectomy is trenchant as a tubal ligation procedure. A tubal ligation crapper be performed as a alternative machine when a laparatomy is done, i.e. a caesarian section. Any of these procedures haw be sometimes referred to as having one’s “tubes tied.”
Less commonly utilised is the Essure procedure, matured in 2002, of occluding the fallopian tubes by the scarring personalty of desposited pellets inserted by a catheter passed finished the opening and womb.
Reversal
Generally tubal ligation procedures are finished with the intention to be permanent, and most patients are mitigated with their sterilizations. However, whatever types of machine crapper be backward with surgery, notably those that yield a large turn of tubal paper in place, i.e. the Pomeroy identify of tubal ligation or the Falope anulus application. In contrast, tubal ligation with the ingest of cautery, or a salpingectomy are mostly slummy or no candidates for reversal. However, in vitro enrichment crapper overcome rate problems in patients with tubal coagulum cod to some identify of tubal ligation.