Minilaparotomy for Female Sterilization

An Illustrated Guide for Service Providers

Minilaparotomy played a major role in transforming female sterilization into a quick, highly effective, safe outpatient procedure that can and should be performed under local anesthesia. The number of women protected from pregnancy by contraceptive sterilization has doubled since the 1970s, when the minilaparotomy technique was developed.

Minilaparotomy for Female Sterilization: An Illustrated Guide for Service Providers is an easy-to-use reference for providers interested in learning about minilaparotomy. It presents a detailed description of the procedure and also illustrates the step-by-step surgical technique to follow in performing a suprapubic or subumbilical minilaparotomy under local anesthesia, with or without sedation. In addition, the guide reviews basic requirements that are essential to ensure the safety and effectiveness of any female sterilization procedure. Experienced providers of female sterilization who want to change from other surgical techniques to minilaparotomy, providers who have never performed female sterilization services and who want to begin to do so using minilaparotomy, and trainers and trainees will all find this illustrated guide to be useful.

You can view or download the illustrated guide in its entirety by clicking on the first link below. Portions of the illustrated guide can also be viewed or downloaded separately.

• Download the full publication (PDF, 2.7 M)
• Cover through Acknowledgments (PDF, 204 KB)
• Introduction; Personnel (PDF, 152 KB)
• Facilities, Equipment, Instruments, and Supplies; Counseling, Preoperative Assessment, and Scheduling (PDF, 444 KB)
• Anesthesia; Preoperative Preparation (PDF, 317 KB)
• Surgical Approach to the Tubes: Suprapublic Minilaparotomy (PDF, 760 KB)
• Surgical Approach to the Tubes: Subumbilical Minilaparotomy (PDF, 575 KB)
• Occluding the Fallopian Tubes; Closing the Abdomen; Postprocedure Tasks and Client Recovery; Emergency Prevention and Management (PDF, 535 KB)
• Appendixes (PDF, 234 KB), including
  • A: Minilaparotomy Equipment, Instruments, and Supplies;
  • B: Informed Consent Form for Sterilization Clients;
  • C: World Health Organization (WHO) Screening Guidelines for Female Sterilization;
  • D: Provider Checklist for Reproductive Health Services: How to Be Reasonably Sure a Client Is Not Pregnant;
  • E: Sample Preoperative and Postoperative Instructions to Clients (Oral and Written);
  • F: Emergency Management Equipment and Drugs
• References (PDF, 66 KB)

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