What are the different ways of performing a tubal ligation?
Tubal ligations may be performed laporoscopically (with bipolar coagulation, clips or silastic rings) or by a small mini Pfannensteil (“bikini”) or infra-umbilical incision (post-partum) or at the time of a laparotomy done for an unrelated indication. Vaginal tubal ligation involves removal of a portion of the fallopian tube through the upper vagina. Although this method avoids an abdominal incision it is associated with slightly higher rates of postoperative complications. The choice of occlusion method depends upon the surgeon’s training, personal experience, and the technical facilities and equipment available. It will also depend on whether the sterilization is performed remote from a pregnancy (interval sterilization), post-abortion, or post-partum.
