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Tubal ligation is a surgical method of closing the fallopian tubes to prevent eggs from reaching the uterus. There are several methods of closing the tubes, including clipping or banding, cutting, stitching, or burning. The ligation can be done in one of the following ways:

Laparoscopy
This type of procedure involves making small incisions in the abdomen to insert surgical tools used for viewing the internal structures and performing the ligation. In some cases, the tues may be occluded with specially designed clips, in other cases, the tubes may be divided to effect sterilization.

Mini-Laparotomy
Sometimes called a "mini-lap," this procedure is similar to a laparoscopy but is done through a very small incision, usually about 2 inches in length.

Post-partum
Usually performed as a mini-lap within a day or two after childbirth. At this time the fallopian tubes are higher in the abdomen than normal, so the procedure is usually done through a small incision made below the navel.

Laparotomy 
Sometimes called an "open tubal ligation," this procedure is done through a larger incision and may be indicated if abdominal surgery is needed for other reasons, such as a C-section delivery, or in patients who have other conditions such as chronic pelvic inflammatory disease or endometriosis.

 

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