Table of contents:
- Indications for Tubectomy
- Tubectomy Warning
- Pre Tubectomy
- Tubectomy Procedure
- Post Tubectomy
- Complications That May Occur After Tubectomy
Tubectomy is a procedure of cutting or closing the fallopian tubes or fallopian tubes that connect the ovaries to the uterus. After a tubectomy, the eggs will not be able to enter the uterus so they cannot be fertilized. This procedure will also block sperm from entering the fallopian tubes
As a permanent method of family planning, tubectomy has proven to be very effective, but does not affect the menstrual cycle. This process can be done at any time, including after undergoing a normal or caesarean delivery process.
Indications for Tubectomy
Sterile family planning with tubectomy is one of the permanent methods to prevent pregnancy. Therefore, this procedure is only recommended for adult women who are absolutely sure that they do not want to become pregnant.
This process can also reduce the risk of developing ovarian cancer, especially in women over the age of 40, or who have a family history of ovarian cancer.
There are a number of factors that should be considered before a woman undergoes a tubectomy. Some of them are:
- Advantages and risks. Discuss the advantages and risks of this procedure with your doctor with your partner or closest family so you don't have any regrets.
- Certain conditions. Inform the doctor if there are certain conditions that need to be considered, for example whether the patient is pregnant or not, medications or supplements that are being used, diseases that suffered, use of illegal drugs, or consumption of liquor.
- Use of contraception. If the tubectomy is performed outside the delivery process, use contraception at least 1 month before the tubectomy. This step is taken to prevent pregnancy.
Before undergoing a tubectomy, the doctor will ask the patient to take certain steps so that the operation can run smoothly while minimizing the risk of complications.
A few days before surgery
- Stop taking drugs that have the potential to inhibit blood clotting. For example, ibuprofen, aspirin, or warfarin.
- Quit smoking, drinking, or using illegal drugs.
- Patients who are about to undergo a selective tubal occlusive procedure (STOP), are recommended to use hormonal drugs for at least 2 weeks.
On the day of operation
- Fast for at least 8 hours before surgery.
- Take a pregnancy test to make sure the patient is not pregnant.
Tubectomy can be performed under local or general (total) anesthesia. The type of anesthesia will be determined by the doctor based on the patient's condition and the type of surgery he underwent.
Tubectomy can be done at the same time as Caesarean section. However, if it is done outside of a Caesarean section, there are 2 types of tubectomy procedures to choose from, namely laparoscopy and minilaparotomy.
This method is the most commonly chosen because of the procedure and its relatively fast recovery period. The procedure includes:
- Make 1 or 2 small incisions near the navel.
- Pumping gas into the stomach so that the fallopian tubes and uterus are clearly visible.
- Inserting a laparoscope (mini-camera tube) into the stomach to view the fallopian tubes.
- Inserting an instrument to close or cut the fallopian tube through a laparoscope or other small incision.
- Burning or blocking the fallopian tubes.
- Take out the laparoscope and other tools, then sew the incision.
This method is performed through a small incision below the navel and is recommended for patients who are obese, have recently undergone abdominal or pelvic surgery, and have experienced pelvic infections that affect the uterus or fallopian tubes.
Besides surgery, a tubectomy can be performed with a hysteroscopic procedure. This method is performed through the cervix, so it does not require surgery and rarely requires anesthesia.
After undergoing a tubectomy, patients under general anesthesia are advised to stay overnight in the hospital. Meanwhile, patients undergoing local anesthesia can go home on the same day after 1 to 4 hours after surgery.
Just like all surgeries, tubectomy also has the potential to cause side effects. Some of these include pain at the surgical site, feeling tired, dizzy, stomach pain or cramps, shoulder pain, and flatulence. The doctor will give you painkillers to deal with it.
There are also a number of things to keep in mind while the patient is recovering after surgery. Some of them are:
- Keep the scar from getting water for 2 days, and not rubbing the surgical wound for at least 7 days after surgery.
- Dry the surgical scars carefully.
- Avoid lifting heavy weights for 3 weeks, such as carrying a child.
- Do not engage in strenuous activity or sex for at least 1-2 weeks, and do activities gradually.
- For patients undergoing a tubal occlusive procedure, it is recommended to continue using contraception for 3 months after the procedure.
If the side effects do not go away or there are worrying indications, the patient should immediately see a doctor. Especially if you experience:
- Fainting repeatedly.
- severe abdominal pain or bleeding from the surgical wound that doesn't go away 12 hours after surgery.
- Constant discharge from the surgical wound.
Complications That May Occur After Tubectomy
Most women who undergo tubectomy are able to return to their daily activities without experiencing complications. Examples of complications that may occur as a result of this operation are:
- Disorders or injuries to the intestines, bladder and major blood vessels.
- Continuous pelvic or abdominal pain.
- Infection of the surgical wound.
Tubectomy is also not able to protect a woman from sexually transmitted diseases. Therefore, keep using condoms if you doubt your partner's he alth or you have more than 1 partner.
The chances of getting pregnant after this operation are very small. Even if it does, there is a high probability that it is an ectopic pregnancy. Therefore, immediately take a pregnancy test if your period is late.