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Types of Tubal Ligation

Bipolar Cauterization of the Tubes
Bipolar Cauterization of the Tubes

Tubal Ligation/Cauterization Tubal ligation /cauterization (also known as having one’s “tubes tied” (ligation)) is a surgical procedure for sterilization in which a woman’s fallopian tubes are clamped and blocked, or severed and sealed, either method of which prevents eggs from reaching the uterus for implantation.

Fallope Ring (Rubber Band) Tubal Ligation
Fallope Ring (Rubber Band) Tubal Ligation

About Falope Rings®: A tubal ring, also popularly called a Falope Ring®, is a small silastic-ring shaped band which is placed around the loop of the fallopian tube. During tubal ligation, a 2cm to 3cm segment of the fallopian tube is drawn inside a narrow cone-shaped applicator.

Hulka or Filshie Clip Tubal Ligation
Hulka or Filshie Clip Tubal Ligation

Not informing women of the risk of post sterilization syndrome, post tubal ligation sy ndrome (PTLS), and that the medical device that will be used (be it Essure, filshie clips, an IUD, or other) could cause a hypersensitivity reaction or trigger an autoimmune disease (post implant syndrome [PIS]) is a crime of omission which leads to battery which stems from a cycle of abuse.

source: tubal.org
Monopolar Cauterization of the Tubes
Monopolar Cauterization of the Tubes

Monopolar tubal coagulation is less common than bipolar coagulation tubal ligation. With monopolar forceps, electrical current spreads further along the length of the fallopian tube. Consequently, monopolar cautery tends to damage more of the fallopian tube than bipolar cautery. In many cases, the tube is also cut after it has been coagulated.

Pomeroy or Modified Pomeroy Ligation
Pomeroy or Modified Pomeroy Ligation

Pomeroy tubal ligation typically leaves two healthy segments of fallopian tube that can be rejoined through tubal ligation reversal surgery. The amount of tube removed can be determined prior to tubal reversal from the tubal ligation operative report and pathology report.

Salpingectomy
Salpingectomy

Salpingectomy should be the main female sterilization procedure because it is permanent and may prevent some types of ovarian cancer that actually begin in the Fallopian tube, commentary authors say. Salpingectomy should be the main female sterilization procedure because it is permanent and may prevent some types of ovarian cancer that actually begin in the Fallopian tube, commentary authors say.

source: medscape.com

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