What are the methods of ligation: Traditional fallopian tube ligation

That is, surgical ligation. The incision is only two to three centimeters, and the fallopian tube is ligated with surgical sutures. ,shear. The advantage is that it is simple and effective, and can usually be performed with only partial anesthesia or even local anesthesia. There is no need to be hospitalized after surgery and the cost is relatively low. The timing of the surgery is usually the day after natural delivery, because the postpartum uterus has not yet retracted and the fallopian tubes are close to both sides of the belly button. Therefore, the surgery can be performed in the depression of the belly button skin, so that the postoperative wound will be less obvious. Of course, ligation can also be performed at ordinary times, but at this time, the position of the fallopian tube has returned to the pelvic cavity, and the ligation wound will be more obvious. As for ligation during caesarean section, it is also common in clinical practice. This kind of surgery does not increase the problem of scars at all. What are the types of ligation: Transtubal ligation

The advantage of this surgery is that there is no scar problem on the belly. The surgery is performed under general anesthesia and does not require hospitalization after the surgery. However, the operation is more difficult, with more chances of bleeding, infection, and complications. It is also not suitable for postpartum surgery, so fewer people use it. What are the ligation methods: needle-fixed small incision method

Use an injection needle to insert for infiltration anesthesia. The needle tip points to the capsule below the vas deferens, infiltrating one side and penetrating it on the other. When the vas deferens is on the needle tip, use your fingers Twist the skin tightly and push it downward; push the needle upward with another finger, and at the same time pass the needle through the skin on the opposite side to fix the vas deferens. Use a blade to make a longitudinal incision in the scrotal skin to reach the lumen of the vas deferens, insert a small vas deferens hook into the lumen of the vas deferens to hook the wall of the vas deferens, remove the injection needle, gently lift the vas deferens, and then free ligate the vas deferens.

What are the ligation methods: threading method

Insert a medium-sized straight round needle with a thick silk thread into the anesthesia needle hole, and insert the silk thread into the vas deferens as the anesthesia needle withdraws below, and then pierce the original straight round needle back through the puncture hole, but pass it through the top of the vas deferens, and pierce it through the original puncture hole. Tighten both ends of the thick silk thread, and a crack will appear in the scrotal skin. Cut it and expose it to the crack. The outer membrane of the vas deferens is picked out and the vas deferens is separated and ligated. What are the ligation methods: Needle pick method

Use the thumb and forefinger of the left hand to fix the vas deferens separately under the skin of the scrotum for local anesthesia. Use a pointed blade to directly penetrate the vas deferens, and use mosquito forceps to free the vas deferens. , then insert the injection needle close to the lower part of the vas deferens, pick out the vas deferens, and loosen the fixing fingers. Cut the outer membrane of the vas deferens longitudinally, use another injection needle to penetrate the wall of the vas deferens, pick out the separation and ligation.

What are the ligation methods: direct vision forceps method

Place the vas deferens between the middle finger and thumb of the surgeon’s left hand, so that the vas deferens is firmly fixed on the surface of the scrotal skin. district. Use a No. 5 or No. 6 needle to aspirate 1% procaine to make a 1 cm diameter blood drop on the front wall of the scrotum, and then perform local anesthesia with seminal vesicle block and closure method. Use an extracutaneous vas deferens fixation forceps to insert the vas deferens and the scrotal wall into the forceps ring at the local anesthesia needle insertion point. Raise the tip and pull down the scrotal skin in front of the forceps ring to increase the tension of the scrotal skin in front of the forceps ring. Vas deferens herniation. Use the vas deferens separation forceps to directly pierce the most prominent part of the vas deferens in front of the forceps ring of one blade. When the vas deferens tissue is penetrated, there is often a "breakthrough feeling". Take out the separation forceps, close the tips of both sides tightly, and then Through the punctured hole, use even force to slowly separate the forceps tips to separate each layer of the skin and vas deferens at a time. The length of the slit is slightly greater than 2 times the diameter of the vas deferens. At this point, the bare wall of the vas deferens can be seen. Put the forceps tip of the separation forceps downward, use the forceps tip on one side to re-insert into the lumen of the vas deferens toward the distal testicular end of the vas deferens, then rotate the separation forceps clockwise so that the forceps tips face upwards, gently close the forceps tips, and clamp Hold the front wall of the vas deferens, loosen the external skin fixation forceps, and then use the skin external fixation forceps to clamp the bare vas deferens. Remove the separation forceps, lift out the vas deferens, free 1 cm of the vas deferens, and then perfuse the seminal vesicles. Use 5 ml of 1/3000 Xinjielin. Inject it slowly and uniformly into the vas deferens at the end of the seminal vesicle, then compress and ligate the vas deferens, check that there is no bleeding in the vas deferens stump, and isolate the stump in layers. Treat the contralateral vas deferens in the same way. What are the ligation methods: Medical sterilization

Medical sterilization does not require surgery. It is through injecting chemical drugs into the fallopian tube through the uterine cavity to block the fallopian tube lumen to achieve the purpose of sterilization. a method. Since the currently used drugs are corrosive and require high adhesion and plugging techniques, improper control can cause serious reactions. If you want to conceive again for some reason, there is almost no chance of recanalization, so it has not yet been promoted. What are the methods of sterilization: Male sterilization

Male sterilization is a permanent contraceptive method suitable for families who do not want to have more children. The principle of male ligation is that the vas deferens is relatively superficial and can be fixed through the skin. Then perform infiltration anesthesia on both sides of the scrotum in areas with sparse blood vessels, cut the skin, lift out and free the vas deferens, cut it slightly away from the epididymis, remove about 8 mm, ligate the two ends respectively, and embed them, check that there is no bleeding, and then Suture the skin. Male vasectomy is simple and effective. Health Tips

Although female fallopian tube ligation is a simple birth control measure with many benefits, compared with male vasectomy, it is simpler, more convenient, safe and reliable.

Those who believe that male sterilization will greatly damage the vitality and that the family cannot be without the support of "manly" are wrong. At present, most women in our country have sterilizations. This is because of this kind of thinking. It is not because female sterilization is better than male sterilization. Therefore, we must establish a scientific point of view and promote male sterilization.