Which of the following is the most common site of tubal ligation:: (A) Ampulla, (B) Isthmus, (C) Interstitial, (D) Fimbria
Answer is B. In India tubal ligation is still done by the Pomeroy operation and entry is mostly by Minilap, though Laparoscopic procedures have increased substantially. A loop is made by holding the tube by an allis forceps in such a way that the major pa of the loop consists of isthmus i.e. at the junction of proximal and middle third. Isthemic sterilization is best since , if required, a re anastomosis at the isthmo isthmic site has the best chance of success