Precautions for fallopian tube obstruction surgery

Being able to have a healthy baby is very important for many women of childbearing age. Only in this way can a woman's life be more complete. However, there are many reasons for infertility, among which fallopian tube blockage is the most direct cause of infertility. However, there are many treatments for fallopian tube blockage, among which surgical treatment is the most direct and effective. Let's learn about the precautions of fallopian tube blockage surgery.

Fallopian tube blockage is the main cause of female infertility, accounting for 25% to 35% of female infertility, and the main cause of fallopian tube damage is pelvic inflammatory disease (PID). The incidence of secondary fallopian tube obstruction is directly related to the incidence of PID. Reproductive capacity after fallopian tube reconstruction depends on the site and extent of fallopian tube damage. Women with extensive fallopian tube damage have a lower chance of becoming pregnant, and IVF can improve their pregnancy rates.

Causes

1. Infection

Most cases of fallopian tube disease are secondary to infection, particularly pelvic inflammatory disease (PID). Other possible causes of infection include a perforated appendix, infection after abortion, or postoperative complications, such as endometriosis and inflammatory states caused by surgery, which can lead to occlusion of the fallopian tubes due to adhesions. Rarely, embryologically absent fallopian tubes are a factor in infertility, and the final cause may also be iatrogenic, such as tubal ligation.

Although pelvic inflammatory disease can be caused by a variety of microorganisms, chlamydia is the main cause of infertility. Damage to the fallopian tubes may already exist before the application of antimicrobial therapy. Sometimes the infection may be subclinical and exist in the fallopian tubes for months before diagnosis and treatment. This is in stark contrast to the acute onset of PID caused by Neisseria gonorrhoeae. It is now highly suspected that chlamydia infection damages the mucosa of the fallopian tube through immunopathological mechanisms, while Neisseria gonorrhoeae damages the fallopian tube through related cytotoxicity. Other latent infectious pathogens include Mycoplasma hominis and endogenous aerobic or anaerobic bacteria. Pelvic tuberculosis accounts for 40% of tubal infertility in developing countries.

Infectious abortion is another major risk factor for tubal infertility. Preoperative examinations include bacterial vaginosis and cervicitis. Culture and serological tests should be performed when necessary, and the test results should be understood before surgery. We routinely use preventive antibiotics after abortion.

2. Inflammation/adhesion

Tissue trauma caused by surgical operations can also lead to a pre-inflammatory state or even adhesions. The incidence of postoperative adhesions is approximately 75%, and laparoscopy cannot prevent the occurrence of adhesion sequelae. The application of adhesion barriers (such as anti-adhesion membranes) can reduce the occurrence of adhesions by an average of 50%. The removal of adhesions will increase the rate of infertility. If severe diseases exist, in vitro fertilization-embryo transfer (IVF-ET) may be the only option.

Precautions for fallopian tube obstruction surgery

1. Women must pay attention to their diet and nutrition after surgery to ensure adequate protein intake;

2. Pay attention to the combination of work and rest, do not do too much physical labor, and avoid the harm caused by abdominal pressure;

3. Women should have regular follow-up: after the menstruation is over, they should go to the hospital for re-examination and, if necessary, re-test with B-ultrasound;

4. For patients who have not given birth, women who are preparing to give birth again need to undergo B-ultrasound examination. After the lump disappears, they can undergo corresponding examinations. Pregnancy can only be achieved when both fallopian tubes are unobstructed.

5. Women must pay attention to their own hygiene during menstruation to avoid infection;

6. When women’s resistance is too low, try to go to public places less often to avoid infection;

The female body structure is very complex, but many reasons can directly lead to the symptoms of fallopian tube blockage. After understanding the precautions of fallopian tube blockage surgery, when many women have fallopian tube blockage, don’t always feel that there is no hope. As long as you maintain a good attitude, you can recover well through surgical treatment.