31. Surgical sterilization is available in the form of tubal ligation for women and vasectomy for men. 32. Of that number, 41 opted for tubal ligation . 33. Applewhite is accused of improperly performing the tubal ligation , elective surgery, when the patient had an infection. 34. He said he did the first tubal ligation reversal using microsurgery in 1977 in St . Louis. 35. The women had previously had tubal ligations . 36. In it, Locke writes of how she endured two abortions and a tubal ligation at Eastwood's behest. 37. Tubal ligation is considered a permanent procedure.38. Tubal ligation can predispose to ectopic pregnancy.39. But as less invasive and reversible methods have become available, the number of tubal ligations has dropped. 40. Mrs . McCaughey stayed in surgery about 1 { hours, having a tubal ligation after the delivery.
