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Medical Program for Tubal Ligation by Minimum Access

Tubal ligation is a contraceptive method that involves performing surgery to cause blockage of the fallopian tubes. In this way sperm can not reach the ovum in the tube and therefore there will be no fertilization.
In principle it is an irreversible or definitive method, since unless the woman undergoes a new surgery to recanalize the tubes, they will remain obstructed for life.
Tubal ligation is very safe for most women, but all medical procedures have some risk.
Serious problems after sterilization are rare. In any case, consult your doctor immediately if you experience the following symptoms:
Rash, swelling or difficulty breathing.
Intense and continuous pain in the abdomen.
Unusual odor or vaginal discharge.
Bleeding or pus where the incision was made (the cut).
There is a possibility that the fallopian tubes are reconnected or unblocked after sterilization, but this is very rare. If you become pregnant after sterilization, pregnancy can develop in the fallopian tube, which is called ectopic pregnancy and is very dangerous.
The symptoms of ectopic pregnancy include the following:
Irregular vaginal bleeding
Severe pain in the abdomen or shoulder
Weakness or sudden fainting
Laparoscopy for tubal ligation: small incisions are made in the skin of the abdomen where trocars enter (a kind of punches) and forceps that allow internal surgery without exposing the inside of the abdomen to the outside. It is possible to manipulate the internal organs because a camera is inserted that shows the entire surgical field.
Its advantages are many, such as the smaller size of the incisions in the skin, the rapid improvement in the postoperative and the facility to find the fallopian tubes and explore the pelvis.
Disadvantages include the increased risk of accidentally damaging internal organs or viscera (although in expert hands the risk is minimal). There is an added difficulty if the patients are obese or if the patient has received some previous surgery that has created adhesions in the peritoneum. Even so, success in this type of surgery exceeds 99% of cases.
The recovery after tubal ligation is quick, being able to restart daily life and work in a few days. It is recommended to avoid physical efforts during the week following the operation.
Tubal ligation is indicated in any woman (or partner) who is sure that she does not want or should not have more children and wishes to permanently avoid pregnancy.
It should be considered as an irreversible contraceptive alternative because, although in the case of later regret, the woman can undergo a major tubal patency surgery, only between 50% -80% of these women finally get pregnant.
Medical Program
Hospitalization (1 day)
Hospitalization in a private room (meals included)
Inpatient medical care. (medical round visit)
Initial evaluation and preparation of clinical history
Other medical checkups by specialists
Re-checkup by  specialist   (ambulatory follow-up)
Preoperative investigations
Complete blood count
Minimum coagulogram
Blood group ABO and RH
Serology (VDRL)
Test antibodies against HIV-1/2
Surgery. General anesthesia
Tubal ligation
Medical report,. conclusions and recommendations
Note: Note: Accommodation of the patient's companion: 40.00 CUC per day (meals included)
Medications, disposable material, blood, derivatives or their substitutes and artificial support materials are excluded.
The medical programs are designed to perform the preoperative study on an outpatient basis. If the patient prefers to be hospitalized, the preoperative stay increases in two or three days depending on the scheduled surgery.
The National Center of Minimum Access of Cuba offers you the opportunity to do this procedure.
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Minimal Access Surgery
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