Do I need to take an anti-inflammatory injection after the fallopian tube is intubated?

Some women may actually be very familiar with fallopian tube insufflation. When we are sick, we need different treatments. But for some treatments, if we don’t understand them, we will be very worried. So, do I need to get an anti-inflammatory injection after fallopian tube insufflation? In fact, there are big differences depending on the situation. Generally speaking, it is not necessary.

Generally speaking, intravenous infusion is not necessary to prevent infection. You can take Chinese patent medicine orally to prevent infection. Pay attention to hygiene and don't sit for long periods of time.

The fallopian tube is insulated by injecting methylene blue solution or saline into the uterine cavity through the cervix. Then it flows into the fallopian tube from the uterine cavity. The resistance when the medicine is injected and the reflux of the liquid are used to determine whether the fallopian tube is unobstructed. Through a certain pressure of the liquid, the obstructed fallopian tube is restored to patency.

Fallopian tube insufflation was a common method of fallopian tube examination in clinical practice in the 1980s. Simple and easy to operate. It uses methylene blue solution or normal saline to be injected into the uterine cavity from the cervix, and then flows from the uterine cavity into the fallopian tube. The resistance during injection and the reflux of the liquid are used to determine whether the fallopian tube is unobstructed. However, it brings immeasurable harm to patients with tubal infertility.

Hydrotubation is a surgical procedure used to diagnose the patency of the fallopian tubes and treat some minor blockages. Traditional hydrotubation has many hazards, causing trouble to many patients and often misleading doctors' judgment. So, what are the dangers of traditional fallopian tube insufflation? First of all, the misdiagnosis rate is relatively high. After the hydrotubation, it is still impossible to determine the specific location of the blockage and the severity. There is also a high risk of fallopian tube rupture, which brings many difficulties to the treatment and endangers the health of women. And the harms of traditional fallopian tube insufflation are more than that. Because the operation is performed without visual knowledge and the specific internal conditions cannot be seen, many factors cannot be judged, and the help for treatment is very limited. In addition, it also places extremely high demands on the operators. If they are not careful, they may hurt the patient's body and cause great pain.

Liquid flow process

1. The patient's bladder is in 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 with 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. Fill the syringe with 20 ml of sterile saline (containing 80,000 units of gentamicin) and inject 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 4-5 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 stops, 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 directly push the injection into the cervical catheter without a pressure gauge. If 20 ml of sterile saline is slowly injected without resistance and the patient feels no discomfort, it confirms that the fallopian tube is unobstructed. If resistance is felt when 10 ml is injected with difficulty, the patient experiences lower abdominal distension and pain, and the liquid flows back into the syringe after stagnation of the push injection, it indicates that the fallopian tube is blocked. If the liquid 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 flow process. If you can hear the sound of fluid passing through water, it indicates that the fallopian tube on that side is unobstructed (but these are all conjectures, and their reliability is subject to certain limitations).

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