Explain: Tubal sterilization.

Content: ATS-Laparosopic.

Clinical Information:

The woman was brought to the operating room and placed in dorsal lithotomy position on the operating table. General anesthesia was performed through endotracheal intubation. Prophylactic antibiotics was given immediately before the operation. The abdominal wall was sterilized with soap solution and alcohol betadine and the vagina and cervix with aqua betadine. The uterine manipulator was placed to secure the uterus. The pneumoperitoneum was established via the Veress were inserted at periumbilical area. The videolaparoscopic system was then introduced through 10 mm trocar at periumbilical area. Two additional 5 mm trocar and cannula were inserted at bilateral lower abdominal quadrant area. The intestioal loop was placed up to the abdominal cavity and the uterus and adnexa were exposed. The pelvic cavity was thus accessed and inspected thoroughly.

The right fallopian tube was grasped, electrocaugulated for hemostasis and cut. Then the left tube was electrocaugulated and cut.

After checking bleeding for hemostasis, the abdominal incision wound was closed. The patient stood the procedure well and emerged from the anesthesia and sent to the recovery room in stable condition. The estimated blood loss was[ ]ml.

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