PLEASE BRING THIS WITH YOU THE DAY OF SURGERY
LAPAROSCOPIC BILATERAL TUBAL LIGATION
WHAT IS A LAPAROSCOPIC TUBAL LIGATION?
It is a surgical procedure to block the fallopian tubes and is a permanent form of birth control.
HOW IS THE PROCEDURE DONE?
1. The procedure is done under a general anesthetic.
2. An instrument is inserted through the vagina to move the uterus into position.
3. A small incision is made at the navel.
4. Gas is inserted to enlarge your abdomen.
5. A laparoscope (telescope-like-instrument) is inserted through the incision.
6. Another small incision may be made in the lower abdomen to insert a surgical instrument to
apply clips to the tubes.
CARE OF THE SURGICAL SITE
You will have 3-4 small incisions (navel, pubic hairline areas).
You may have a small amount of watery blood-stained leakage from your incisions.
The incisions will be covered with clear plastic dressings. Keep covered for 2 days. If they fall
off before then, cover with Band-Aids.
You may shower the next day, with your back to the water. Do not soak in a bath, hot tub or
swim for 1 week.
The sutures will fall out or be absorbed in 4-6 weeks. If the sutures are causing concern,
please call your surgeon.
You may have some vaginal bleeding. It should be less than your normal menstrual period,
and may last up to one week.
Do not douche, use feminine hygiene sprays, or tampons until you see your physician.
Pads should be changed when soiled and every time you go to the bathroom to prevent
infection. Always wash or wipe from front to back to reduce the chance of germs entering the
bladder or vagina.
You may have abdominal cramps.
Your abdomen may be puffy and you may have discomfort in your ribcage or shoulder for a few
days after surgery, due to the gas used during the procedure.
A heating pad or a warm water bottle on your shoulder only, may help relieve the pain.
Take the prescribed pain pills as directed regularly for the first 24 hours after surgery and then
as needed. For less pain, instead of prescription pain pills, use Acetaminophen (Tylenol) plain
or extra strength or Ibuprofen (Advil/Motrin) as instructed on the package.
Prescription pain medication can cause nausea and constipation.
Please turn over →
To help prevent constipation often caused by prescription pain pills:
Drink 6-8 (8 oz) glasses per day of fluids (water, milk, juices).
Increase your fiber intake (fruits, vegetables, bran).
You may use a stool softener (Colace, Soflax) as directed while taking pain pills.
If your bowels have not moved in 2 days, take a gentle laxative like Milk of Magnesia.
You may feel sick to your stomach up to 24 hours after a general anesthetic. For relief, eat light
and try Dimenhydrinate (Gravol). This can be bought without a prescription.
You must have an adult take you home by car or taxi. If you are an outpatient you must
have someone stay with you overnight at home. You should not drive for at least 24
hours after surgery due to the effects of surgery and drugs you have received.
It is normal to feel tired, have generalized aching sore muscles and a sore throat for 24-48
hours or longer after a general anesthetic. Rest for 24-48 hours following the procedure. Avoid
napping longer than 1 hour during the day so that your night time routine is not affected.
Resume your normal activities in 2-7 days. For a “sitting” job, you may be able to return to work
in 2 days; 1 week if heavy lifting is required.
Do not lift anything heavier than 10 lbs (groceries, laundry, children, vacuuming). Avoid
strenuous exercise for 1 week.
No sexual relations until the bleeding has stopped.
You are advised to use contraception until your next menstrual period.
Keep your follow up appointment with your surgeon (usually in 1-2 weeks). If you do not
receive an appointment or need to change it, please call the surgeon’s office to make other
CALL YOUR SURGEON OR GO TO THE EMERGENCY IF YOU HAVE:
fever 38.5C (101F) or higher, or chills, lasting longer than 24 hours
vaginal flow that becomes heavy, bright red, has large clots or is foul smelling
redness, swelling or increased yellow drainage from your incision
increased pain or cramping that is not relieved by your pain medication
abdominal distension that does not decrease in a few days
burning or pain when you pass your water
nausea/vomiting lasting longer than 24 hours and not relieved by Dimenhydrinate (Gravol)
After office hours call: St. Joseph's Health Centre - 519-646-6000
Ask for the Gynecology Surgery Resident on call.
Call St Joseph’s Hospital for URGENT CARE CENTRE hours of operation: 519-646-6000
2011/05/11 revised Laparoscopic Bilateral Tubal Ligation (Preadmission)