Laparoscopic Sterilisation

What is laparoscopic sterilisation?

Sterilisation is a permanent method of contraception for women desiring not be pregnant in the future. The laparoscopic technique is a minimally-invasive procedure, and has gained popularity in recent years owing to its advantages over the traditional approach.

What is laparoscopic sterilisation?

Laparoscopic sterilisation is a technique of tubal ligation to block or close the fallopian tubes, the pathway for sperms to reach eggs for fertilisation. Fallopian tubes, located on either sides of the uterus pick up eggs released from the ovaries and transfer them to the uterus. So, if these tubes are closed, sperms fail to reach the eggs, and thus fertilisation will not occur.

How is laparoscopic sterilisation performed?

During laparoscopic sterilisation, you will have general anaesthesia administered so that your muscles remain relaxed and no pain is felt. A device that helps move the uterus is slowly inserted into the vagina. A small incision is made near the belly button through which a laparoscope is passed. The abdomen is inflated so that the surgeon gets an improved view of the internal organs.

A second incision is made at the pubic hairline through which a special device is inserted, used to grasp the fallopian tubes. Next, the fallopian tubes are sealed off either with an electric current that coagulates the tube (electrocoagulation) or by placing a band or clip over the tubes. In some circumstances, the tubes may also be cut. Once the tubes are sealed, both the laparoscope and grasping device are withdrawn and a small surgical dressing is placed over the incisions on the skin.

What can you expect following laparoscopic sterilisation?

You may return home after the observation period, once you have recovered. A follow-up visit will be scheduled within the next 2 to 8 weeks. Vaginal bleeding, which may continue for up to 1 month after the surgery, is considered normal.

What is the outcome of laparoscopic sterilisation?

Laparoscopic sterilisation is considered to cause permanent loss of fertility; hence a well-informed, careful decision should be taken, bearing in mind the other alternatives of contraception before you decide to undergo laparoscopic sterilisation.

What are the advantages of laparoscopic sterilisation?

Laparoscopic sterilisation offers a safe and convenient form of contraception that requires no additional measures to prevent pregnancy. It also does not affect the menstrual cycle. Laparoscopic procedure is more advantageous over the traditional procedure. The smaller incisions require short recovery period and the risk of complications are minimal.

RANZCOGCalvary John James HospitalCanberra HospitalAustralian  National UniversityWomens HealthICS