CHAPTER 29

Laparoscopic Tubal Occlusion

Tubal occlusion is the interruption of the fallopian tubes for the purpose of permanent sterilization.

Possible equipment needed for the procedure includes a laparoscope, an electrosurgical unit, Falope rings, and D and C retractors.

A brief description of the procedure follows:

1. A Cohen cannula is inserted into the cervix vaginally to elevate the uterus.

2. The laparoscope is inserted in the usual manner.

3. A manipulation probe is used to expose the fallopian tube.

4. The Endoflex retractor is used to retract the structures away from the tube.

5. Babcock forceps are used to stabilize the tube.

6. A Falope ring applier with Silastic band is introduced.

7. The ring is placed over a loop of the fallopian tube or the Jarit bipolar forceps are used to coagulate the tube.

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