bilateral tubal ligation
Permanent sterilization procedure involving surgical occlusion or division of both fallopian tubes to prevent pregnancy.
Full Definition
Bilateral tubal ligation is a permanent contraceptive procedure that involves surgical interruption of both fallopian tubes to prevent sperm from reaching the ovum. Multiple techniques exist including cutting and tying, electrocautery, mechanical clips, or rings, each with specific advantages and failure rates. The procedure can be performed via laparoscopy, mini-laparotomy, or at the time of cesarean section. While considered permanent, tubal ligation has a failure rate of approximately 1 in 200, with higher rates of ectopic pregnancy if conception occurs. Patients require thorough counseling about permanence, alternatives, and potential regret, particularly in younger women or those with limited parity.
Usage
Usage note: Always specify 'bilateral' to clarify both tubes are involved.
In Context
- "The patient requested bilateral tubal ligation during planned cesarean section for permanent contraception." — surgical consent
- "Postoperative instructions following laparoscopic bilateral tubal ligation included activity restrictions for one week." — discharge planning