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Sterilisation and tubal ligation - Coggle Diagram
Sterilisation and tubal ligation
Definition
oTubal ligation is a surgical procedure for female sterilization in which the fallopian tubes are permanently blocked, clipped or removed.
oThis prevents the fertilization of eggs by sperm and thus the implantation of a fertilized egg.
oTubal ligation is considered a permanent method of sterilization and birth control
Indication
For women wanting a permanent method of contraception.
oFor women in whom a future pregnancy could pose a significant risk of medical harm.
Risk factors
Damage to the bowel, bladder or major blood vessels
•Reaction to anesthesia
•Improper wound healing or infection
•Continued pelvic or abdominal pain
•Failure of the procedure, resulting in a future unwanted pregnancy
oAmbivalent patients
oVery young age
oIncapable of making a medical decision
oThe presence of gynecological malignancy
o Morbidly obese patients.
Preop care
oPerform pregnancy test
oPap smear
oUrinalysis
oScreening for STI
oUltrasound of the pelvis if there is suspicion of any pelvic mass on physical exam
oSigning of consent form is a legal document that explains the tests, treatments, or procedures that you may need.
oStarving of patient from midnight
oVital data monitoring
oIdentity belts
oIntravenous fluid to give you medicine or liquids.
Complications
oLow mortality is related to general anesthesia.
oConversion to open laparotomy
oBowel injury from trocar, electrocautery
oVascular injury from trocar
oEctopic pregnancy
oFailure to sterile
oPain
oInfection
oPatient regret
Postop
Drinking of liquids and eat certain foods once your stomach function returns.
o Ice chips at first.
oThen liquids such as water then juice
o Soft foods then slowly begin to eat solid foods.
oAntibiotics help prevent a bacterial infection.
oAntinausea medicine helps calm your stomach and prevents vomiting.
oAnalgesics medicine may be given to promote comfort