The colpotomy method of tubal ligation was once the preferred female sterilization technique. But now, doctors usually use laparoscopy or laparotomy since these abdominal tubal ligation procedures do not have as many risks as a colpotomy. A colpotomy is a type of incision that is made in the back wall of the vagina. During a tubal ligation, your doctor can use a colpotomy (also known as a vaginotomy) as one of the ways to reach your fallopian tubes. A tubal ligation that uses a colpotomy incision is considered to be minimally invasive surgery.
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Women's Health and Complications 