Group 3 - surgical contraceptives Flashcards
sterilization methods
tubal ligation & vasectomy
Tubal ligation - how many percent of potential pregnants?
16%
Vasectomy - how many percent biological males
5%
reversals success rate
70-80%
minor surgical procedure used as a form of permanent male
contraception, how many percent effectivity?
vasectomy, 99.5%
minor puncture wound known as ? made on the
scrotum during the procedure, the vas deferens on each side are then pulled forward either
cut, sealed, or blocked to prevent sperm from mixing with the semen that is ejaculated.
no-scalpel technique
sperm remaining clears within how many weeks
6-10 weeks
common complications and side effects for vasectomy
pain and discomfort, swelling and bruising, infection, hematoma
serious complications for vasectomy
Chronic Pain (Post-Vasectomy Pain Syndrome), Hematoma, Infection of the Testicles or Epididymis
tubal ligation complications if done by laparoscopy
umbilical hernia, ureter or bowel perforation
some patients develop what during tuballigation
anesthesia. vaginal spotting,
intermittent vaginal bleeding, and even severe lower abdominal cramping
ommon sterilisation method for women, involving the occlusion of the fallopian tubes to prevent the passage of sperm and ova.
Tubal ligation
tubal ligation is achieve through
cautery, clamping, or blocking.
tubal ligation could include
hysterectomy
(removal of the uterus or ovaries), Alternatives like fimbriectomy (removal of the fimbria at
the distal end of the tubes), and salpingectomy (removal of the fallopian tubes) (99.5% success)
procedure of tubal ligation
After a menstrual flow and before ovulation, the patient is put through under
anaesthesia
2. An incision as small as 1 cm is made just under the umbilicus by laparoscopy
technique
3. A lighted laparo- scope is inserted through the incision. Carbon dioxide then may be
pumped into the incision to lift the abdominal wall upward and out of the line of vision.
4. The surgeon locates the fallopian tubes by viewing the field through a laparoscope.
5. The tubes are clamped by plastic, metal, or rubber rings and then cut; they also may
be filled with a silicone gel to seal them or with or with a salpingectomy, the entire
tube and fimbriae are removed
what patient experience in a day after tubal ligatiojn?
abdominal discomfort if clips were used, bloating up to 24 hrs due to carbon dioxide
ead to sharp pain in the diaphragm or shoulders if it escapes under the diaphragm and irritates nearby nerves.
carbon dioxide
risks for tubal ligation:
bowel perforation, haemorrhage, and complications from anesthesia.
patients with tubal ligation can resume sexual activity within
2-3 days
side effects of ligation
Complications of Laparoscopic Tubal Ligation:
Posttubal Ligation Syndrome:
Difficulty of Fallopian Tube Reconstruction:
Silicone Gel Reversal:
Irreversibility of Tubal Ligation:
Alternative for Future Pregnancy:
surgical methods during postpartal period
postpartum sterilization, postpartum pelvic floor repair
