Laparoscopic tubal ligation is one of several forms of sterilization. The operation is commonly called "tying the tubes." Inside your abdomen, two fallopian tubes connect each of your ovaries to your uterus. Once a month, an egg travels down one of the tubes and into the uterus, where fertilization---and pregnancy---can occur. The possibility of this can be completely eliminated simply by closing off the tubes---which is what a tubal ligation accomplishes.
There are always risks with surgery. You may bleed more than usual, develop an infection, have trouble breathing, or get blood clots. However, the doctor is prepared to deal with such problems.
Before You Go : -
- The Week Before Surgery:
- You'll probably need to stop taking aspirin and ibuprofen; the doctor will tell you when. If you're taking aspirin for your heart, don't stop without asking the doctor first. Also ask whether you can take any over-the-counter medicines.
- Your doctor will tell you whether you need to have blood drawn.
- The Night Before Surgery:
- Your physician may suggest you take a sleeping pill.
- Just before surgery, you should not eat or drink anything (even water). Your doctor will tell you when to begin fasting.
When You Arrive ?
- Check with your doctor before taking insulin, diabetes pills, blood pressure medicine, heart pills, or any other medication on the day of surgery.
- Do not wear contact lenses to the hospital. You may wear glasses.
What to Expect While You're There ?
You may encounter the following procedures and equipment during your stay : -
- Taking Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
- Blood Tests: You may need blood taken for tests. It can be drawn from a vein in your hand or from the bend in your elbow. Several samples may be needed.
- Chest X-ray: This is a picture of your lungs and heart that will help the doctor during the procedure.
- Heart Monitor: (Also called an electrocardiogram [e-LEK-tro-KAR-di-o-gram] or EKG). Three to five sticky pads are placed on different parts of your body. Each pad has a wire that is hooked to a TV-type screen or to a small portable box (telemetry unit) that shows a tracing of each heartbeat. Your heartbeat will be carefully monitored throughout the operation.
- IV: A tube placed in your vein for giving medicine or liquids. It will be capped or have tubing connected to it.
- Pulse Oximeter: To check the amount of oxygen in your blood, you may be hooked up to a pulse oximeter (ox-IM-uh-ter). It is placed on your ear, finger, or toe and connected to a machine that reads the level.
- Anesthesia: This medicine will make you comfortable during surgery. Depending on the type of anesthesia, you may be awake during the operation, or completely asleep. You and your doctor will decide which approach is best for you.
There Are Three Possibilities : -
- Spinal Anesthesia: With this type of anesthesia, a pain-killing medication is injected into your spine. It will leave you awake during surgery, but numb below the waist. Feeling will return in about 2 hours.
- Epidural Anesthesia: This approach requires insertion of a tiny tube into the spinal area. The tube is left in place so that you can be given additional pain-killing medication, if needed. As with spinal anesthesia, you will be awake during surgery, but numb below the waist.
- General Anesthesia: This type of anesthesia puts you completely to sleep. It is given either as a liquid in your IV or as a gas through a face mask or endotracheal (END-o-TRA-kee-ull) tube placed in your mouth and throat.
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