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Tubectomy Explained: Indications, Techniques, and Recovery Process.

Dr. Pujil Gulati, IVF Specialist with over 9 years of experience in Assisted Reproductive Techniques BabyBloom IVF Gurgaon

December 26, 2024

Tubectomy Meaning – Tubectomy, also known as tubal sterilization, is a permanent contraceptive method for women. It is a surgical procedure in which the fallopian tubes are blocked to prevent the eggs released from the ovaries from reaching the uterus.

Many of us still don’t understand the full details about Tubectomy, commonly called tubal ligation, is a permanent method of contraception for women. The main purpose of this procedure is to provide a permanent solution to birth control. In this, the fallopian tubes are blocked, which prevents the eggs from reaching the uterus from the ovaries and prevents pregnancy.

Indications for Tubectomy: When Should You Choose This Procedure.

Tubectomy is recommended when a woman who does not wish to become pregnant in the future voluntarily opts for this permanent method of sterilization.

Before opting for tubectomy (tubal ligation), a woman should consider some important things, such as:

The reason for deciding on permanent sterilization
Whether tubal ligation is the most appropriate option for her
The possible side effects, risks and complications associated with the procedure
Whether other methods of contraception may be better for her

The Surgical Technique of Tubectomy: -

It is a surgical procedure that involves cutting, clipping or tying the fallopian tubes together to prevent eggs from reaching the uterus. This procedure is done by making small incisions near the navel. The surgeon inserts a laparoscope (telescope-like instrument) through this incision.

The laparoscope has a tiny camera on the end that sends pictures of internal structures to a monitor during the operation, allowing the surgeon to act in the right direction. The surgeon then uses special instruments to cut or clip the fallopian tubes and seal them, preventing eggs from reaching the uterus

Recovery Tips After Tubectomy:-

Patients can usually be discharged from hospital the same day following a tubectomy. However, after surgery, patients may experience some common symptoms, such as:

Mild pain and nausea in the first four to eight hours (which may require short-term painkillers)
Abdominal pain and cramps
Fatigue
Dizziness

The stitches are usually removed after a week or ten days. Additionally, a follow-up check-up with the surgeon is necessary after six weeks. Your recovery depends on your health and the type of surgery. If you had laparoscopic tubal ligation (laparoscopic sterilization), you may be ready to resume normal activities in a few days. If you had tubal ligation after childbirth, recovery may take a few weeks, as you are already recovering from pregnancy and childbirth.

If you had other abdominal surgery or a C-section with tubal ligation, your recovery may extend to eight weeks. It is very important to follow all post-operative instructions. Your healthcare provider will schedule follow-up appointments to make sure you have healed and there are no complications

How to Take Care of Yourself After Tubectomy:-

It is very important to follow the surgeon’s advice for post-surgery care. Some important tips to improve your recovery are:

Avoid intense exercise for a week.
You can return to work within a few days.
Avoid sex for a week after tubectomy.
Painkillers can be helpful to control the pain, but if the pain is too severe, contact a doctor immediately.
If symptoms such as high fever, bleeding from the wound, or fainting occur, see a doctor immediately.

Tubectomy is a major surgery and is irreversible, carrying some risks. Hence, it is important to consult experienced doctors at trusted gynecology hospitals like Babybloom before undergoing surgery.

FAQ’s

Q. How long does a tubectomy surgery take?

Tubectomy surgery typically takes between 30 and 60 minutes. The exact duration depends on the method used and the patient’s specific circumstances. For example, a laparoscopic tubectomy usually takes around 30 to 45 minutes, while a mini-laparotomy can take 30 to 60 minutes

Q. Are there any side effects of tubectomy?

While tubectomy is generally safe, it can have some side effects and complications, including:

Pain and discomfort around the incision site
Infection at the incision site
Internal or external bleeding
Rarely, ectopic pregnancy if the procedure fails
Changes in menstrual cycles, although tubectomy does not stop periods
Potential risks associated with the use of anaesthesia”

Q. Is tubectomy 100% safe?

Tubectomy is generally considered very safe, but like any surgery, it carries some risks. Rare complications may include infection, bleeding, adverse reactions to anaesthesia, and ectopic pregnancy. It’s important to discuss all potential risks and benefits with your healthcare provider before undergoing the procedure.

Q. How soon can I resume normal activities after tubectomy surgery?

Most women can return to normal activities within a week after tubectomy surgery. However, it’s advised to avoid strenuous activities, heavy lifting, and intense exercise for a few weeks to ensure complete healing. Always follow your doctor’s specific post-operative care instructions.

Q. Can I get pregnant after a tubectomy?

Pregnancy after tubectomy is extremely rare due to the procedure’s high effectiveness. However, in very rare cases, if the fallopian tubes reconnect, pregnancy may occur. An ectopic pregnancy, where the fertilized egg implants outside the uterus, is also a rare risk if the procedure fails