Minilaparotomy Tubal Ligation

What you should know

Minilaparotomy Tubal Ligation (Precare) Care Guide

  • A minilaparotomy tubal ligation is surgery to tie the fallopian tubes. It is also called a minilap, tying the tubes, or being sterilized. A fallopian tube is attached to each side of your uterus. Each month one of your ovaries releases an egg. The egg then travels through one of the tubes and into your uterus. The tubes are tied and cut, burned, or have clips put on them during this surgery.

  • Having a tubal ligation means you cannot have anymore children. You must be sure you do not want more children. You will still have monthly periods. It should not change the way you feel about having sex.

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

There are always risks with surgery. You may bleed more than usual, get an infection, have trouble breathing, or get blood clots. Caregivers will watch you closely for these problems. A tubal ligation can be reversed once you have it done. But, it does not mean you will be able to get pregnant again. Call your caregiver if you are worried or have questions about your surgery or care.

Getting Ready

The Week Before Surgery:

  • Ask your caregiver if you need to stop taking aspirin or any other blood thinning medicines before your procedure.

  • Ask your caregiver before taking any over-the-counter medicine, vitamins, herbs, food supplements, or laxatives.

  • You may need blood tests before your procedure. 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 Surgery:

  • You may be given a pill to take to help you sleep.

  • Ask caregivers about directions for eating and drinking.

The Day of Surgery:

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

  • Ask your caregiver before taking any medicine on the day of surgery. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of your medicines or the pill bottles with you to the hospital.

  • Do not wear contact lenses the day of surgery. You may wear your glasses.

  • If you are staying in the hospital after surgery, bring your personal belongings with you. These include your bathrobe, toothbrush, denture cup (if needed), hairbrush, and slippers. Do not wear jewelry or bring money to the hospital.

  • An anesthesiologist may talk to you before your surgery. This is the caregiver who gives you medicine before and during surgery so that you do not feel or remember the surgery.

  • Informed Consent: You have the right to understand your health problem in words you can understand. You should be told what tests, treatments, or procedures may be done to treat your problem. Your doctor should also tell you about the risks and benefits of each treatment. You may be asked to sign a consent form that gives caregivers permission to do certain tests, treatments, or procedures. If you are unable to give your consent, someone who has permission can sign this form for you. A consent form is a legal piece of paper that tells exactly what will be done to you. Before giving your consent, make sure all your questions have been answered so that you understand what may happen.

Treatment

What Will Happen:

  • You will be asked to change into a hospital gown. You may be given medicine in your IV to help you relax or make you drowsy. You will be taken on a cart to the operating room. You may get medicine called regional anesthesia that will numb you below the waist. Or, you may get general anesthesia to keep you completely asleep. You and your caregiver will decide which type is best for you.

  • A caregiver will clean your abdomen (belly) with soap and water. A 1 to 2 inch incision (cut) is made above the pubic hairline in your lower abdomen. The incision is made just below your naval (belly button) if the surgery is done within 48 hours of having a baby. Your tubes are tied and cut, burned, or clips are put on them. The incision is closed with stitches (thread) or staples.

After Surgery:

You will be taken to a recovery room. You will be there until you either wake up or get the feeling back in your legs. You will then be able to go home or will be taken back to your room. A bandage will cover your stitches or staples. Do not get out of bed until your caregiver says it is OK.

Waiting Room:

This is where your family can wait until you are ready for visitors after surgery. Your doctor or nurse can then find them to let them know how the surgery went. If your family leaves the hospital, ask them to leave a phone number where they can be reached. When it is time for you to go home after surgery, an adult should drive you home and stay with you for 24 hours. Do not drive home alone.

Contact a caregiver if

  • You have a fever.

  • You cannot make it to your surgery appointment on time.

  • You have questions or concerns about your surgery.

© 2013 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.

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