Hysterosalpingography video full process

The whole process of laparoscopic fallopian tube unblocking is mainly under the monitoring of laparoscopic surgery. Hysteroscopic insufflation or bilateral fallopian tube catheterization and insufflation are used to determine whether the bilateral fallopian tubes are obstructed. If the obstruction is mild, relevant treatment can be performed. If there are some problems in the lumen of the bilateral fallopian tubes, bilateral fallopian tube catheterization and insufflation can be used to see if the tubes can be unblocked. If there are adhesions around the bilateral fallopian tubes, the adhesions can be separated under laparoscopic surgery or hydrosalpinx can be performed to unblock the fallopian tubes. In short, hysteroscopy and surgical treatment can be performed.

The laparoscopic surgery left both fallopian tubes unobstructed, but chronic inflammation of both fallopian tubes caused narrowing or obstruction of the lumen, which was related to multiple miscarriages and chronic gynecological inflammation. If you go to the hospital for a bilateral fallopian tube examination 3-7 days after the menstrual period is over and find that the fallopian tubes are not smooth, you can use laparoscopic surgery. You should enter the abdomen under anesthesia and do bilateral fallopian tube guidewire surgery according to the condition of the fallopian tubes. The main purpose is to dredge the narrow part of the fallopian tubes, and then use drugs to prevent adhesions. At the same time, you need to repeat the intrauterine tube infusion treatment about one week after the operation to prevent adhesions. Pay attention to the cleanliness of the vulva, clean it every day, and go to the hospital for regular gynecological examinations.

Minimally invasive fallopian tube surgery includes bilateral fallopian tube catheterization and hydrotubation under hysteroscopy and selective hydrotubation under hysteroscopy and Cook guidewire. It is best to have the surgery within 3 to 7 days after the menstrual period, and sexual intercourse is strictly prohibited for three days before the operation. After relevant preoperative examinations, everything was within the normal range and all kinds of body indicators were able to withstand surgery. For elective surgery, vaginal disinfection and surgical incision disinfection must be performed before surgery. After surgical treatment, including exploration and treatment, infection prevention treatment is required.

Angiography needs to be performed within 3-7 days after the end of menstruation, and it is required that no sexual intercourse has occurred after the end of menstruation, and there is no acute genital inflammation or genital tract infection. First, a skin allergy test for iohexol is required. Iohexol is the contrast agent required for contrast examination and has a certain sensitizing effect. If the patient is allergic to this drug, contrast examination cannot be performed. If the allergy test is successful, iohexol will be slowly introduced into the uterine cavity under X-ray. The developer can be used to identify the actual shape of the uterine cavity, whether the fallopian tubes are blocked, the degree of blockage and the location of the blockage. The diffusion of iohexol in the pelvis can be used to identify how much iohexol has entered the pelvis and the degree of patency of the fallopian tubes, which can provide a clear indication for further treatment.