It is also called as caesarean with tubal removal (salpingectomy) or tubal ligation.
It is a consented procedure carried out on a patient undergoing a C-section for delivery and does not wish to have children after this.
There are two methods to achieve this:
Removal of the fallopian tubes (Salpingectomy)
Tubal ligation: The fallopian tubes are permanently closed, by electrocauterization (a small section of both the tubes is burnt off) or by positioning a clip or a band on both the tubes.
Both methods ensure that the sperm does not reach the eggs for fertilization of eggs to occur.
Doctors usually recommend salpingectomy, as research has shown that this procedure reduces the risk of women for ovarian cancer over tubal ligation.
The time taken for recovery after either of the above-described procedures is the same as the time taken to recover from the C—section.
The procedure may take a few extra minutes than the expected time for a C-section delivery.
It is done under the regional anaesthesia given for the C-section. The most likely being an epidural block or spinal block, which numbs the lower portion of the body.
The doctor makes incisions to cut out a section of both the fallopian tubes. Once these are removed, the doctor then finally sutures the incisions.
The recovery after surgery is similar to that of C-section as the procedure was done as an extension of the delivery.
The mother will be on IV fluids until discharge. Usually, the discharge happens after three days of delivery. This allows the doctor to monitor pain from the surgery and ensure the effectiveness of the anaesthesia effectively wears out.
The patient is made to walk as soon as possible after the procedure to avoid the formation of blot clots and constipation due to immobility.
Other instructions after discharge the patient needs to follow are:
Rest in the following weeks' post-C-section.
Assuming correct posture for effective recovery.
Plenty of fluid intakes to replace those lost during surgery.
Restrain from sex for at least four to six weeks.
Watch for painful breasts, excessive vaginal discharge, discomfort or pain while urinating and fever. These need to be reported to the doctor immediately.
Pain or nausea that worsens.
Fever or chills.
Swelling around the sutured area.
Difficulty emptying the bladder.
Although the time for individuals to recover differs, generally patients take around three to six weeks to fully recover from a combined C- section with salpingectomy or tubal removal surgery.
Tubectomy is merely sterilisation and does not mean it would control sexually transmitted diseases. It is therefore imperative to use condoms during sexual intercourse.
Tubectomy is a birth control procedure that is irreversible. It is a permanent procedure.
The patient might experience -
Nausea in the initial hours after the surgery.
Abdominal pain and cramps
Fatigue
Dizziness
If a patient has been involved in sexual intercourse 48-72 hours before the tubectomy procedure, there are chances the sperms are still available in the fallopian tubes and could fertilise and result in pregnancy in spite of the procedure. The sperms in the fallopian tubes could also lead to ectopic surgery. Ectopic pregnancy is a critical condition and can result in rupture of the fallopian tubes and could also lead to haemorrhage. The worst thing is it could also lead to death.
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