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What Happens During Laparoscopic BTL?

Clip Number: 12 of 40
Presentation: Women's Health -- Common Conditions, Tests, and Procedures
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Reviewed By: Arthur Schoenstadt, MD
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After your anesthesia takes effect, your abdomen and vagina will be washed with a special disinfectant solution. Your feet will then be placed in stirrups. A catheter, or small tube, will be placed in your bladder to empty it of urine. The catheter will be taken out before the procedure begins.
Your doctor will begin by placing a speculum into your vagina. A small instrument will then carefully be placed into the end of your cervix. This makes it possible for your doctor to gently move the uterus into different positions, so that your pelvic structures can be seen more clearly through the laparoscope.
Then a small incision, or cut, will be made in or just below your navel. A tube, called a trocar, will then be inserted into your abdomen. Through this, your doctor will fill your abdomen with carbon dioxide gas, which is like the air you breathe out. This gas helps your doctor see your pelvic structures more clearly. The laparoscope will then be inserted. Through this, your doctor will view the inside of your abdomen on a video screen. The laparoscope can also take pictures and videotape the procedure.
Your doctor will then begin the process of locating your first fallopian tube. After this is located, another incision may be made just above your pubic hair. Through this second incision, your doctor will insert the appropriate instruments to block your tubes. Several options are available to do this.
One choice is to use electric current. For this, your doctor will insert forceps, which are connected to an electrical source. When the tube is grasped, the electrical current gives a small burn to the tube, which safely and painlessly scars it, sealing it off. The procedure is then repeated on the other tube.
Your doctor can also use a clip or a rubber band-like device to close each tube. All of these methods are effective in blocking the fallopian tube and preventing pregnancy.
Once both tubes have been closed, the instruments are removed and the gas is released. The incisions are then closed with stitches and covered with a bandage. These stitches will be absorbed by your body over time, usually about 2-4 weeks.

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