Laparoscopic Tubal Ligation

What you should know

A laparoscopic tubal ligation is surgery to close your fallopian tubes to prevent pregnancy.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

You may bleed more than expected, have trouble breathing, or get an infection. Blood vessels or organs such as your bowel or bladder could be injured during surgery. Although pregnancy is unlikely after a tubal ligation, there is still a small chance that you may get pregnant. If pregnancy does occur, there is an increased risk for an ectopic pregnancy (tubal pregnancy). A tubal ligation can be reversed, but it does not mean you will be able to get pregnant again.

Getting Ready

The week before your surgery:

  • Write down the correct date, time, and location of your surgery.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • You may need to have blood tests before your surgery. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for each test.

The night before your surgery:

  • Your stomach needs to be completely empty (no food or water) for 6 to 12 hours before your surgery.

  • Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

One or more small incisions will be made in your abdomen. The scope and other instruments will be inserted into the incisions. Your abdomen may be filled with a gas called carbon dioxide. This makes it easier for your surgeon to see inside your abdomen. Your fallopian tubes then are closed with a type of clip or heat, or they are cut. After the surgery is done, the incisions are closed with stitches or staples.

After your surgery:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room. A bandage will cover the staples or stitches closing the incisions in your abdomen.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You have a fever.

  • You took medicine that you were told to stop taking, such as a blood thinner. Your surgery may need to be done later, after you have stopped taking the medicine for a period of time.

  • You have questions or concerns about your surgery.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Laparoscopic Tubal Ligation (Precare)

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