58671 Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Name of the Procedure:

Laparoscopy, surgical; with occlusion of oviducts by device (e.g., band, clip, or Falope ring) Common names: Tubal ligation, laparoscopic sterilization

Summary

Laparoscopy with occlusion of the oviducts is a minimally invasive surgical procedure where a device, such as a band, clip, or Falope ring, is used to block the fallopian tubes to prevent pregnancy. It is performed using a laparoscope, a small camera that allows the surgeon to see inside the abdomen.

Purpose

The primary purpose of this procedure is permanent contraception. By blocking the fallopian tubes, it prevents the eggs from traveling from the ovaries to the uterus, thereby avoiding fertilization and pregnancy.

Indications

• Women who desire permanent contraception
• Those who have completed their families or do not wish to have children in the future
• Patients who cannot or do not want to use other forms of contraception

Preparation

• Fasting for at least 8 hours before the procedure
• Stopping certain medications as advised by your doctor
• Pre-operative tests like blood work or pregnancy test
• A consultation with the surgeon to discuss medical history and procedure details

Procedure Description

1. The patient receives general anesthesia.
2. A small incision is made near the navel to insert the laparoscope.
3. Additional small incisions may be made for inserting surgical instruments.
4. The abdomen is inflated with carbon dioxide gas for better visibility.
5. The surgeon locates the fallopian tubes and places the occlusion device (band, clip, or Falope ring) on each tube.
6. The laparoscope and instruments are removed, and the incisions are closed with sutures.

Tools and Equipment: Laparoscope, occlusion devices (bands, clips, or Falope rings), CO2 insufflator.

Duration

The procedure typically takes about 30 to 60 minutes.

Setting

Usually performed in a hospital or outpatient surgical center.

Personnel

• Surgeon
• Surgical nurse
• Anesthesiologist
• Operating room technician

Risks and Complications

• Common risks: infection, bleeding, and minor pain at incision sites
• Rare risks: damage to surrounding organs, adverse reaction to anesthesia, or complications requiring additional surgery

Benefits

• Permanent method of contraception
• High effectiveness rate (over 99%)
• Typically, quick recovery compared to open surgery

Recovery

• Patients usually go home the same day
• Mild pain and discomfort can be managed with over-the-counter pain relievers
• Avoid heavy lifting and strenuous activities for a week
• Follow-up appointment to ensure proper healing

Alternatives

• Other contraceptive methods like birth control pills, intrauterine devices (IUDs), or hormonal implants
• Pros of alternatives: non-surgical, reversible
• Cons: may not be as effective as permanent sterilization, require ongoing maintenance or follow-ups

Patient Experience

• During the procedure: Patient is under general anesthesia and will not feel anything.
• After the procedure: Some soreness and mild pain at the incision sites, bloating due to the gas used during the surgery, which typically resolves in a few days.
• Pain management: Over-the-counter pain medication and rest are usually sufficient.

This markdown text balances layman's terminology with medical accuracy, ensuring patients and readers understand the procedure comprehensively.