Lap Tubaligation

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Surgeon(s)/Speaker(s): Dr. Lakshmi Kona

Surgical Procedure: Gynecology-Tubal Sterilization

Location: Yashoda Hospital, Hyderabad Somajiguda, Hyderabad

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Indexsteps

1. Veress needle insertion : Veress needle insertion

2. First 5mm port : First 5mm port

3. 7mm port : 7mm port

4. Lift uterus : Lift uterus

5. Ligament identification : Identity round ligament,ovarian ligament

6. Ring application : Ring application on tubes

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precautionary_measures

1. Precautionary Measures- Tubal Sterilization : * Complete D&C before removing ports before operation * Avoid loading fallop rings too early before operation * Identify-round ligament,ovarian ligament,ovarian vein,Tube & fimbria before operation * Keep longer prong of applicator above shorter prong-or the tube may slip before operation * Lift only the tube 2cm from cornea of uterus using shorter prong before operation * Take in the tube loop into applicator very slowly before operation * Two rings to be applied on each side-to squeeze out any fluid before operation * Make sure a clear loop of tube is visible above the applied rings before operation * Withdraw the prongs into applicator under vision before operation * If tube gets cut-apply two rings on either end,by holding one end at a time and taking it into applicator

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pre_post_measures

1. Preoperative investigations : Surgical profile

2. Preoperative measures : Tab dulcolax 2 at bed time a night before operation :new: Patient position- Supine, if D&C required-lithotomy

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Surgical Instruments

1. Veress needle

2. 5 mm Trocar

3. 7mm Trocar

4. Ring applicator

5. Loading Cone

6. Flanged ring pusher

7. Fallopian Rings