Incision Tubal Sterilization
There are two major types of tubal sterilization: incision, and non-incision. Incision methods include tubal ligation, which involves cutting the fallopian tubes and tying the ends. Electrocautery is another incision method, when the tubes are cauterized so that eggs cannot travel through. Sometimes incision methods use clamps or rings to hold the tubes shut. Other operations involve removing a portion of the fallopian tube.
The best way to choose which type of tubal sterilization is suited for you is to speak to your doctor. Some of the factors that your doctor will bring up include your past surgeries, which might affect your options. Often, health and weight affect your choices for permanent birth control as well.
These incision methods of birth control can be performed through three possible types of surgery: a laparoscopy, mini-laparotomy, and laparotomy. The first two are the most common.
With a laparoscopy, your organs are filled with carbon dioxide, a harmless gas. The doctor makes an incision in the abdomen, and then uses a scope to locate the fallopian tubes, and then performs a method of sterilization (electrocautery, tubal ligation, etc). Sometimes a second incision is used for the sterilization. This procedure takes about a half an hour and can be performed at outpatient clinics.
With a mini-laparotomy, the doctor makes a small incision in the abdomen, locates the fallopian tubes, and performs the sterilization. A full laparotomy involves a much larger incision (up to five inches). This takes a general anesthesia, and dramatically increases the recovery time.
The recovery time for a laparoscopy or a mini-laparotomy is generally a few days. There is no extended hospital treatment required.
