A tubal ligation is considered a permanent method of
birth control. A mini-laparotomy (“mini-lap”) involves
a smaller incision [usually less than
2 in (5 cm) long] than a
regular laparotomy. The incision may be made just at or above the pubic
hairline. The
fallopian tubes are pulled up into or out of the
incision, tied off, and then put back into place.
This procedure is favored for women who have had prior abdominal or
pelvic surgery or who have heart or respiratory diseases.
A mini-lap may not be appropriate for women who are very overweight
or who have a history of disease affecting the fallopian tubes, such as
endometriosis or
pelvic inflammatory disease (PID).