What kind of care is needed for fallopian tube obstruction removal surgery

Many female infertility problems are mainly caused by fallopian tube blockage. Unblocking the fallopian tubes can restore the normal function of the fallopian tubes. Blocked fallopian tubes generally require surgical clearance. Although it is a minor operation, surgical care measures are still very important and family members must pay attention to this aspect. So, what kind of care is needed for fallopian tube obstruction clearance surgery? Let’s take a closer look at it below.

1. Preoperative care

Psychological care. Interventional recanalization is an emerging non-vascular interventional treatment that is now widely used in clinical practice due to its minimal trauma, less pain, and high efficacy. However, many patients and their families still do not understand this treatment and are afraid of it. In order to ensure close cooperation of patients during the operation, we explain the methods, objectives, advantages of interventional recanalization, as well as possible symptoms and situations during and after the operation to patients and their families before the operation. We also publicize this treatment method on radio stations, newspapers, etc. to let more patients know about it.

Patient preparation. Before the operation, assist the physician in conducting various routine gynecological examinations on the patient. Perform an iodine allergy test one day before the operation and keep careful records. Before the skin test, understand whether the patient has risk factors that induce iodine allergic reactions, including renal insufficiency, cardiopulmonary disease, diabetes, asthma, urticaria, eczema, history of contrast agent allergy, etc. Allergy tests should be performed with caution on patients with risk factors. Patients who are allergic to iodine should use non-ionic contrast agents such as Omnipaque and Ultravist, and take 10 mg of dexamethasone prophylactically 30 minutes before surgery to prevent allergic reactions. The patient should take a shower and change into clean clothes one day before the operation, and check the vulva for infection or damage. Oral antibiotics should be taken for 3 days before the operation, and vaginal irrigation should be performed for 2 days. Do not eat or drink 4 hours before surgery to avoid vomiting and aspiration during surgery. Prepare interventional recanalization instruments, materials and drugs. Prepare monitoring and rescue items: such as ECG monitor, oxygen, suction device, and defibrillator.

2. Intraoperative care

What does the patient need to do during surgery to clear the blocked fallopian tubes? Interventional recanalization is performed under X-ray television navigation. Safety protection measures must be taken, and lead clothing should be used to cover non-treatment areas other than the lower abdomen to reduce X-ray damage. Establish intravenous access to facilitate intraoperative medication administration. Connect the ECG monitor and observe the heart rate, heart rhythm and blood pressure. Accurately deliver the items and medicines required for the operation. The nurse must repeat the name, dosage, and usage of the medicines used. They can only be used after they are accurate, and the ampoules must be retained for verification. During the operation, the nurse should regularly observe for any adverse reactions and immediately report any abnormalities to the physician for treatment.

3. Postoperative care

Pay attention to the patient's consciousness, spirit, whether he has iodine allergic reaction, whether he has abdominal pain, etc. If any problems are found, give symptomatic treatment and the problems can be eliminated. All patients will have a small amount of vaginal bleeding after the operation, which does not require special treatment. If the amount of bleeding is heavy, it is necessary to report to the doctor in time and assist the doctor in taking measures to stop the bleeding. The patients experienced varying degrees of nausea, vomiting, profuse sweating, and pale complexion. All symptoms were improved after intramuscular injection of 0.5 mg of atropine. After the operation, oral antibiotics are given for 3 to 5 days, and sexual intercourse and bathing are prohibited for 2 months. Two months after the operation, the patient should be given a laxative treatment 3 to 7 days after the menstruation stops to prevent re-adhesion of the fallopian tubes.

The above is an introduction to the care required for fallopian tube obstruction clearance surgery. I hope it will be helpful for patients to understand. Fallopian tube unblocking surgery is the same as common surgery. Surgical care measures are very important. Although they are some details, family members are better at doing this kind of care so as to achieve the best therapeutic effect of the surgery.