What are the procedures for fallopian tube recanalization?

What are the types of fallopian tube recanalization surgeries? There are many types of fallopian tube recanalization surgeries. Today's technology is very advanced and medical technology is becoming more and more advanced. There are more and more fallopian tube recanalization surgeries, and many of them are relatively effective methods. So if the fallopian tubes are blocked, it is still possible to get pregnant. The fallopian tubes can be restored through fallopian tube recanalization treatment, so don't despair.

A surgery to reconnect and open the fallopian tubes that have been artificially or pathologically blocked. It is a plastic surgery. The earliest fallopian tube recanalization surgeries were performed under the naked eye and had a low success rate. Later, the application of microsurgical methods for fallopian tube anastomosis significantly increased the intrauterine pregnancy rate after recanalization and reduced the incidence of fallopian tube pregnancy. The intrauterine pregnancy rate after end-to-end anastomosis reported in China is mostly between 80% and 90%.

This operation can be performed on healthy women who are under 40 years old, have regular menstruation, have fallopian tubes that are still 5 cm long in the normal position, and wish to restore their fertility without contraindications.

For those with ovarian dysfunction or anovulation due to other reasons, surgery should be performed after recovery from treatment. Patients with a history of diffuse peritonitis are not suitable for this surgery.

Generally, it is necessary to explore the pelvic organs before surgery to understand the adhesions between the fallopian tube ligation site and the surrounding area or the site and length of drug blockage in order to decide on the surgical method. There are three main surgical methods depending on the blockage situation: ① end-to-end anastomosis. Suitable for after tubal ligation or silver clip surgery, the scar area can be removed first, and during the anastomosis, care must be taken to maintain the normal anatomical relationship of the fallopian tube. ②Salpingostomy. Suitable for after tubal fimbria resection or distal ampulla ligation. ③ Fallopian tube and uterine horn transplantation. Suitable for those with blockage in the proximal isthmus or interstitial part. Patients should get up and move around as soon as possible after surgery to prevent abdominal adhesions. For those who have not become pregnant within six months, fluid insufflation or angiography can be performed, and treatment can be given if the anus is not unobstructed. Contraception is recommended for 6 months after fallopian tube horn transplantation.

Tubal Reversal - Advantages

1. It does not require surgery or general anesthesia, is painless, safe and effective;

2. Small damage, fast recovery, good effect, little interference to the body, and protection and preservation of normal tissues and organs to the greatest extent;

3. Outstanding efficacy: The treatment of interstitial and isthmus blockage of the fallopian tube directly replaces the original surgical operation and can preserve normal tissue;

4. For malignant tumors that have no cure yet, interventional therapy can limit the drugs to the site of the lesion as much as possible, thereby reducing side effects on the body and other organs.

Fallopian tube reversal - Preoperative preparation

1. A gynecological examination must be performed before fallopian tube interventional recanalization to rule out acute or subacute inflammation. Gynecological examination for inflammation cannot be replaced by other tests.

2. Routine examination of leucorrhea should exclude fungal, Trichomonas, mycoplasma, and chlamydia infections.

3. Vaginal disinfection. Prevent infection.

4. Blood routine and blood drawn before intervention are to check blood routine and four blood coagulation items, mainly for preparation for surgery, to understand whether there is any coagulation mechanism disorder. If there is a coagulation mechanism disorder, bleeding may not stop during and after the operation, such as hemophilia patients, these patients cannot undergo surgery, and can also understand anemia, thrombocytopenia, white blood cell count, etc.

Fallopian tube recanalization can treat the problem of fallopian tube obstruction. Friends who have fallopian tube obstruction should pay attention to timely treatment. You can achieve recovery by choosing the fallopian tube recanalization surgery that suits you and adhering to the treatment. However, there are also many issues that need attention in fallopian tube recanalization surgery, so everyone should pay attention.