Fallopian tube insufflation procedure

Many women suffer from infertility due to blocked fallopian tubes, which makes many families particularly painful. Therefore, many women in this situation want to know the steps of fallopian tube canalization surgery in order to get pregnant as soon as possible. In order for you to understand it as soon as possible and have your own baby as soon as possible, please read the introduction below.

Procedure

(1) The patient takes the lithotomy position after urination. The vulva and vagina are routinely disinfected, sterile towels are laid, and bimanual examination is performed to understand the position and size of the uterus. Place a vaginal speculum to expose the cervix, disinfect the vagina and cervix again, clamp the anterior lip of the cervix with a cervical clamp, insert a cervical catheter along the direction of the uterine cavity, and make it fit tightly against the external os of the cervix.

(2) Connect the cervical catheter to the pressure gauge and syringe using a Y-type pipe. The pressure gauge should be higher than the level of the pipe to prevent the injection fluid from entering the pressure gauge.

(3) The syringe is filled with 20 ml of sterile saline (containing 80,000 units of gentamicin) and is injected slowly. The pressure should not exceed 21.3 kPa (160 mmHg). If the fallopian tube is blocked, the patient will feel bloating and pain in the lower abdomen when 4 to 5 ml is injected. At this time, the pressure on the pressure gauge continues to rise and does not drop. If the fallopian tube is unobstructed, 20 ml of sterile saline is injected without any resistance, and the pressure is maintained below 8.0 kPa (60-80 mmHg). The patient does not experience abdominal distension or discomfort, and the pressure drops rapidly on its own after the injection is stopped, indicating that the injected liquid has successfully entered the abdominal cavity. The experiment was repeated and the situation was the same. You can also use a syringe to push the injection directly into the cervical catheter without a pressure gauge. If there is no resistance when sterile saline is slowly injected and the patient does not feel any discomfort, it proves that the fallopian tube is unobstructed. If you force yourself to inject 10ml, you will feel resistance. The patient feels distension and pain in the lower abdomen. After the push injection is stopped, the liquid flows back into the syringe, indicating that the fallopian tube is blocked; if it can be pushed forward again after pressurized injection, it means that the original mild adhesion has been separated. If you want to identify which fallopian tube is blocked, you can place a stethoscope on the lower abdomen at the level corresponding to the fallopian tube during the fluid infusion process. If you can hear the sound of fluid passing through water, it indicates that the fallopian tube on that side is unobstructed.

(4) After the operation, remove the cervical catheter and disinfect the cervix and vagina again. Remove the vaginal speculum.

The operating steps of fallopian tube cannulation surgery. For women with problems with fallopian tubes, they must have a specific understanding of these operating steps, and then go to a regular hospital for fallopian tube cannulation surgery. I believe that after this surgery, their fallopian tubes will be unobstructed, which will help them to become pregnant successfully.