What are the Different Techniques of Tubectomy?

Tubectomy, also called tubal sterilisation, is a permanent way of contraception carried out in women. In this surgical procedure, the fallopian tubes are blocked to prevent the egg released by the woman’s ovary to reach her uterus. Here’s all about the different methods of this surgery.

How is Tubectomy Performed?

The surgeon makes a few tiny incisions around the belly button. Then he inserts a telescopic device called a laparoscope through one of the incisions. The device has a small camera at its tip to transmit images to the screen. This helps the surgeon view the patient’s internal organs and work through the small cuts. The surgeon inserts special tools to seal the fallopian tubes and blocks them with clips or cuts parts of them.

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Different Techniques of Tubectomy

The best gynecologist in Bangalore performs the following different methods of tubectomy:

• Bipolar Coagulation

This is the most well-known procedure of laparoscopic female sterilisation. In this method, the surgeon uses an electric current to sear parts of the fallopian tube. Based on the number of sections coagulated, the damage is usually 2-3 cm in length only.

If this procedure is reversed, the pregnancy success rate is around 70%.

• Monopolar Coagulation

It is less often performed than bipolar coagulation. In this procedure, the surgeon uses an electric current to sear the tube together. He also lets radiating current damage the fallopian tubes further as it spreads from the targeted site. Often, the tubes are cut after the process.

As a result of the tubal damage from this surgery, pregnancy success rates fall to nearly 45%. But if the length of the remaining tube is still more than 5 cm, the rate of a successful pregnancy can be around 70%.

• Fimbriectomy

This is another method of performing tubectomy. The surgeon removes a section of the fallopian tube that’s closest to the ovary. Thus, the tube disconnected from the ovary. Due to the created gap, the tube cannot receive eggs or send them to the uterus. 

To reverse this process, the remaining fallopian tube is opened and the inner tubal lining is folded out to allow the transmission of the eggs again. This reversal method has the lowest success rate. So, the repair is usually not recommended. Sometimes, in vitro fertilization is preferred in such a case. 

• Tubal Clip

In the Hulka clip or tubal clip method, the surgeon permanently clips the fallopian tube. The clip acts as a blockage in the path, and therefore, the eggs cannot be transferred to the ovary.

If the process is reversed, the success rate for pregnancy can be nearly 85%.

• Tubal Ring

Also called the Silastic band procedure, it involves the application of a silastic band to the fallopian tube to double over it.

If a small part of the tube is damaged, pregnancy success rates after a reversal of the method can be high.

If you want tubal sterilisation, ensure to visit the best gynaecologist in Bangalore. If you think you may want a reversal in future, speak to the expert about the possible success rate of pregnancy.

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