Tubal Ligation Methods

Post-partum or C-Section Tubal Ligation

Most commonly done after vaginal delivery or at the time of C-Section. A portion of the fallopian tube is ligated and cut (removed). The Operative Note should note where and how much tube was removed. This method is usually reversible due to the small amount of tube taken.

Clips (Filshie, Hulka); Bands or Rings (Fallope, Yoon) Tubal Ligation

This is the most successful type of tubal reversal since it usually damages the least amount of fallopian tubes thereby providing adequate amount of tube left to repair.

Cauterization or "Burning" of the Tubes

There are two types of "burn" methods; bipolar and unipolar. Both use an electric current that is passed through the tube to cauterize or "burn" the tube. Unipolar methods are not used now days because it's considered more dangerous and damages much more tube. Bipolar burns can be reversed as long as there was not multiple or extensive burn areas performed on the tubes. Again, the Operative Note can be very helpful in determining the amount of tubal damage done.

Fimbriectomy

This is an older technique where the end of the tube (fimbriae) is removed. The fimbria is the most important part of the tube since its function is to sweep over the ovary and pick up the egg. This tubal ligation technique is rarely used now days but is generally considered not reversible.

Essure

A new tubal sterilization technique that uses a micro-coil device to block the opening of the tube with no incisions or anesthesia needed. Tubal reversal cannot be performed in this case since the opening of the tube is blocked and the micro-coil is permanently placed into the tube.