Description

Laparoscopic tubectomy is one of the most widely accepted permanent methods of female sterilization, offering safety, effectiveness, and minimal invasiveness. Among the various energy sources used to occlude and divide the fallopian tubes, tripolar electrosurgery stands out as an advanced and reliable technique. What is Tripolar Tubectomy? Tripolar tubectomy is a laparoscopic sterilization procedure where a tripolar coagulation device is used to seal and divide the fallopian tubes. Unlike conventional bipolar coagulation, the tripolar system distributes energy through three electrodes, ensuring a more controlled, uniform, and safe coagulation of tubal tissue. Procedure Steps Patient Preparation: The patient is placed under general anesthesia in lithotomy position. A pneumoperitoneum is created, and trocars are inserted under vision. Visualization: The fallopian tubes are identified using a laparoscope. The mesosalpinx and fimbrial end are carefully inspected. Application of Tripolar Energy: The tripolar forceps are applied to the isthmic portion of the fallopian tube, around 3–4 cm from the cornual end. Multiple coagulation points are applied along a 2–3 cm segment of the tube to ensure complete occlusion. Tubal Division: After achieving adequate coagulation, the tube is divided. The tripolar energy minimizes lateral thermal spread, reducing the risk of injury to adjacent structures. Final Inspection: Hemostasis is confirmed. Instruments are removed, pneumoperitoneum is released, and port sites are closed. Advantages of Tripolar Technique Superior Coagulation: Provides uniform sealing across the tubal lumen, reducing the risk of recanalization. Minimal Thermal Damage: Controlled energy reduces collateral injury compared to monopolar methods. Time-Saving: Single-step coagulation and division. Safety: Less risk of complications like bowel or vascular injury. High Success Rate: Ensures permanent and effective sterilization. Clinical Outcomes Studies and clinical experience show that laparoscopic tubectomy using tripolar energy is associated with: Low operative time (typically 15–20 minutes). Short hospital stay and faster recovery. High patient satisfaction due to minimal postoperative pain and scarring. Long-term effectiveness with a negligible failure rate. Conclusion Laparoscopic tubectomy by tripolar is a safe, effective, and advanced technique for permanent female sterilization. With the benefits of minimal invasiveness, precise energy application, and excellent outcomes, it has become a preferred choice in modern gynecological practice, especially in centers equipped with advanced laparoscopic facilities.