Transvaginal Endoscopic Tubal Sterilization – Surgical Technique Esterilização Tubária Endoscópica Transvaginal – Técnica Cirúrgica WILLIAM KONDO1; RAFAEL WILLIAM NODA2; ANIBAL WOOD BRANCO3; MARLON RANGEL4; SATURNINO RIBEIRO DO NASCIMENTO NETO5; ALCIDES

Tubal sterilization is one of the most widely used options for female contraception. It can be performed in association with pregnancy or as an interval (not pregnancy-related) procedure. The latter is usually performed by laparotomy, laparoscopy, or hysteroscopy. Compared to open surgery, laparoscopy has been demonstrating some benefits due to its minimal invasiveness such as better cosmetic result, shorter hospitalization, decreased pain and faster return to work and to regular activities. Recent developments regarding laparoscopic surgery have been directed toward reducing the size or the number of ports or even eliminating abdominal incisions to achieve the goal of minimal invasive surgery. In this paper we describe the technique of transvaginal endoscopic tubal ligation in an attempt to minimize surgical morbidity and to offer an alternative approach to perform tubal sterilization.