Minimally Invasive Tubal Ligation Techniques

Tubal ligation, historically, has generally been performed by laparoscopic procedure. This ultimately involves general anesthesia and introduces a laparoscopic trocar in the abdominal cavity, which involves post –operative pain as well as a possible risk for complications. For some patients considered high risk; such as patients carrying excess weight, having had previous surgeries, pelvic adherences, or other abdominal surgeries, this can translate into trauma to neighboring organs.

In my opinion these complications are unnecessary considering the elective nature of tubal ligation. We now offer tubal ligation techniques through hysteroscopy (i.e; via the natural route). This means that a minute camera is inserted within the uterine cavity through the patients’ natural channels in order to visualize the fallopian tubes junction into to the uterine cavity and to proceed to its’ ligation by means of different modalities. This minimally invasive approach avoids the need for general anesthesia and can be performed under local anesthesia, as well as avoiding post-operative pain due to an abdominal incision.

These techniques, by natural channels, are quick, approximately 15 to 30 minutes, and the patient may leave one to two hours following the procedure as well as resume her daily activities the following day without any long convalescence. Clearly, this procedure has many advantages and this is the way of the future. Unfortunately, this technique is not available in all hospitals nor is it offered by all gynecologists due to the high level of training and skill involved in performing this procedure.

I am very proud to be able to offer this technique to my patients. If this is of interest to you and should you wish to have more information with regards to this advanced technology for tubal ligation by way of hysteroscopy though natural channels, kindly do not hesitate to contact me and I will gladly answer your questions.

If you would like to learn more, don’t hesitate to contact Dr. Sabbah