Bilateral Tubal Ligation

PRE OPERATIVE PATIENT INFORMATION

This is an operation in which the tubes that connect the ovaries to the uterus are cut or banded. The purpose of this operation is to prevent pregnancy. This operation should only be done if permanent prevention of pregnancy is desired. There is 1 in 300 chance that this operation will fail and the woman can become pregnant.

PRE OPERATIVE MEDICAL INFORMATION:

1. The office has pamphlets and a movie explaining the surgical procedure called a bilateral tubal ligation. We encourage you to read and view this information. The week prior to your surgery you will have an appointment with the doctor to answer any questions or concerns you may have regarding your surgery. We recommend you make a list of questions to bring to that appointment.

2. A bilateral tubal ligation is done as an outpatient. You should plan on being at the hospital about 6-8 hours the day of your surgery. Plan to have someone to drive you home form the hospital.

3. Recovery time after a tubal ligation is 1-3 days. During this time you should plan to stay home, rest and recuperate. Some women return to work the next day depending on their job requirements.

4. The NIGHT BEFORE SURGERY you should have a light dinner, then NOTHING TO EAT OR DRINK after 12 midnight. If you are on medication please check with the doctor prior to taking the medication the morning of surgery.

DAY OF SURGERY INFORMATION:

1. Please do not chew gum or smoke the day of surgery. You should remove jewelry, nail polish and contact lenses prior to coming to the hospital. Do not bring large amounts of cash or valuables to the hospital.

2. Arrive at the hospital 2 yours prior to the scheduled surgery.

3. At the hospital laboratory test on your blood and urine will be done to determine if there are any abnormalities that may be of importance to your surgery. A chest x-ray may also be done depending on your health needs.

4. You will speak to an anesthesiologist regarding your anesthesia prior to surgery.

5. The surgery will take approximately 45 minutes. You will remain in the recovery room until you are fully awake. At this time you will be allowed to go home.

POST OPERATIVE PATIENT INFORMATION

Pain
You may have minor pain and bruising at the incision sites. Changing position will help to relieve the discomfort. Holding support at the sites when moving or coughing will increase comfort. You will be given a prescription for a pain medication to use the first 2 days after surgery. After your prescription is finished you should use Extra Strength Tylenol or Advil, 1-2 tablets every 4-6 hours, unless otherwise directed by the doctor.
You may have aches in your shoulders and chest from the carbon dioxide used to inflate your abdomen. This pain will disappear in a few days.

Sore throat
It is possible to develop a sore throat from the airway tube used in your windpipe during your anesthesia. Hard candy and/or Cepacol throat lozenges can provide relief.

Activity
You should have someone to drive you home from the hospital, then not drive on your surgery day. Avoid exercise or lifting greater than 25 pounds for 7 days. Some women feel like going back to work the next day, depending on their type of employment. You should be able to return to work no later than 3 days after the surgery.

Diet
You may resume your diet as you become hungry. Start with bland foods the night after surgery than resume your regular diet the next day. It is best to avoid drinking carbonated beverages for 48 yours. Some women experience gas retention after surgery. If this is a problem you can use Mylicon Chew Tablets as directed.

Bathing
You may bathe as desired.
Vaginal bleeding
It is normal to have slight vaginal spotting.

Sexual Activity
You may resume sexual activity in 7 days.

REASONS TO CALL THE DOCTOR:

  • Excessive vaginal bleeding.
  • Fever over 100 degrees.
  • Acute pain that lasts longer than 24 hours or is not relieved by position change and/or medication.
  • Persistent nausea/vomiting.

 

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