If the patient chooses an interval tubal ligation, the procedure will typically be performed under general anesthesia in a hospital setting. Most tubal ligations are accomplished laparoscopically, with an incision at the umbilicus and zero, one, or two smaller incisions in the lower sides of the abdomen. It is also possible to perform the surgery without a laparoscope, using larger abdominal incisions. It is also possible to perform an interval tubal ligation hysteroscopically, which may be performed under local anesthesia, moderate sedation, or full general anesthesia. While no methods of hysteroscopic sterilization are currently on the market in the United States as of 2019, the Essure and Adiana systems were previously used for hysteroscopic sterilization, and research trials are investigating new hysteroscopic approaches.
If the patient chooses an interval tubal ligation the procedure will typically be performed under general anesthesia in a hospital setting Most tubal ligations are accomplished laparoscopically with an incision at the umbilicus and zero one or two smaller incisions in the lower sides of the abdomen It is also possible to perform the surgery without a laparoscope using larger abdominal incisions It is also possible to perform an interval tubal ligation hysteroscopically which may be performed under local anesthesia moderate sedation or full general anesthesia While no methods of hysteroscopic sterilization are currently on the market in the United States as of 2019 the Essure and Adiana systems were previously used for hysteroscopic sterilization and research trials are investigating new hysteroscopic approaches