Tubectomy or tubal ligation is a surgical process of sealing the woman's fallopian tubes so that the eggs released from the ovaries are prevented to reach the uterus for implantation and even the sperms are restricted to reach the eggs. Tubectomy treatment is a process of permanent contraception for women so that she does not get pregnant in her entire lifetime as the menstrual cycle is blocked. However, tubal ligation reversal procedure helps the women to regain her fertility if required. In this process, the gynecologist reopens the fallopian tubes to pass the eggs into the uterus to meet the sperm. Tubectomy is not suggested for patients with a history of bladder cancer. During the tubectomy surgery, the patients are given local, general, or spinal anesthesia. Traditionally, two slits are made on either side of the abdomen to reach the fallopian tubes and then ligate them to prevent the movement of an egg from the fallopian tube to the uterus. There are many advanced procedures for tubectomy, such as bipolar coagulation, monopolar coagulation, fimbriectomy, irving procedure, tubal clip, tubal ring, pomeroy tubal ligation, essure tubal ligation, and adiana tubal ligation procedures. These surgeries take approximately 2 hours and the patient may be released within 3-4 hours. But sometimes, women may be asked to stay back for 1-3 days in the hospital. Most women resume normal activities within 1.5-2 weeks. The complications or side effects of this procedure is very less, though it may include bleeding or infection in the nearby areas. Tubectomy is successful in approximately 99% of women. Among the failures, 15-20% are ectopic pregnancies and 85% occurred one in a year.
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