Analysis of the process of tubal ligation surgery

Tubal ligation is actually a way to help women with contraception. It is mainly for those women who have already given birth and do not plan to have children again. However, when it comes to such an operation, many women are worried due to misunderstandings. But in fact, the operation is a relatively minor operation nowadays. The following is a detailed introduction to its surgical process.

1. It is best to choose a longitudinal incision, but a transverse incision can also be selected. The length is about 2 to 3 cm. For those who have undergone postpartum ligation, the height of the uterine fundus should be determined. If the uterus is too soft after delivery, gently massage it to harden it. The upper edge of the incision should be two horizontal fingers below the uterine fundus. For those who undergo ligation after menstruation, the lower edge of the incision is two horizontal fingers away from the pubic symphysis (upper edge), that is, 3 to 4 cm.

2. Cut the skin and subcutaneous fat layer by layer, cut the anterior sheath of the rectus abdominis muscle, and bluntly separate the rectus abdominis muscle. Extract the peritoneum, avoid the bladder and blood vessels, and avoid clamping the subperitoneal bowel. The peritoneum was confirmed and cut open to enter the abdominal cavity.

3. When searching for the fallopian tube, you must be steady, accurate and gentle. You can use the following methods to extract the fallopian tube.

(1) Fingerboard method: If the uterus is in the posterior position, first return it to the anterior position. Use your index finger to enter the abdominal cavity and touch the uterus, slide along the uterine horn to the back of the fallopian tube, then insert the pressure plate, place the fallopian tube between the finger and the pressure plate, slide them together to the ampulla of the fallopian tube, and then gently take them out together.

(2) Hook method: Place the hook along the anterior abdominal wall through the bladder-uterine pouch, with the back of the hook close to the anterior uterine wall, slide to the back of the uterine fundus, then slide to one side of the fallopian tube, hook the fallopian tube ampulla, and gently lift it up. Under direct vision, use toothless forceps to clamp the fallopian tube and gently lift it out. {Fallopian Tube Professional Team of the Infertility Center of Minquan County Traditional Chinese Medicine Hospital, Shangqiu City, Henan Province} If the hook feels too tight when lifted, it may hook the ovarian ligament. If it is too loose, it may hook the intestinal flexure.

(3) Oval forceps removal method: If the uterus is in retroverted position, first return it to the anterior position. After inserting the toothless and buckled oval forceps into the abdominal cavity, slide it along the anterior abdominal wall through the bladder-uterine pouch, over the anterior wall of the uterine body to the uterine horn, then separate the two leaves of the oval forceps, slide it toward the fallopian tube, rotate it inward 900, loosely clamp the ampulla of the fallopian tube, and lift out the fallopian tube.

4. All proposed fallopian tubes must be traced back to the fimbria to confirm that the fallopian tubes are correct. Routine examination of both ovaries.

After reading the process of tubal ligation introduced above and understanding some common sense, female friends should pay attention and have a comprehensive understanding of these common sense, so that in life, when they do not have these operations, they will not panic and fear, and use these treatments correctly.