How to perform fallopian tube intubation, the most important steps

Fallopian tube diseases are relatively common and are also a major cause of infertility. Therefore, it is necessary to check for these diseases of the fallopian tubes. Fallopian tube insufflation is a common treatment method for fallopian tube diseases, and it has good results at present, but how to do it?

(1) Empty the bladder, assume lithotomy position, disinfect the vulva and vagina, and lay a sterile surgical towel.

(2) Bimanual examination is used to understand the size, position, texture, mobility, shape of the uterus and its relationship with surrounding organs, as well as to determine if there are any abnormalities in the bilateral adnexa.

(3) Place the speculum, expose the cervix, disinfect the vagina and cervix, clamp the anterior lip of the cervix with a cervical clamp, and pull it outward to make the uterus horizontal.

(4) Use a uterine probe to gently probe the uterine fundus along the direction of the uterus, measure its depth, and confirm its curvature and size.

(5) Check that the liquid flow device is intact and leak-free.

(6) Insert the uterine catheter into the cervical canal in the direction of the probe detection and fix it at the pre-selected depth. Clamp the anterior lip of the cervix with a tissue forceps to pull the cervix outward, while pushing the conical head of the catheter inward so that the two fit tightly together. Use a syringe filled with 20 ml of solution to slowly inject the liquid. If 20 ml of liquid is injected smoothly without resistance, there is no leakage outside the cervix, and the patient has no obvious discomfort, it means that the fallopian tube is unobstructed.

(7) If resistance is encountered, apply a little pressure. The patient will have a little abdominal discomfort and the injection can be successfully completed. There is no leakage from the external cervical opening, indicating that the original adhesions have been separated or the spasm has been relieved.

(8) When the fluid is flowing, the sound of fluid coming out from the fimbria of the fallopian tube can be heard by listening with a stethoscope on both sides of the lower abdomen.

(9) When you feel great resistance, fluid overflows from the external cervical opening, and your abdomen becomes bloated and unbearable, it is usually because the fallopian tubes are completely blocked. How to do fallopian tube insufflation? Through the above answers, I believe everyone has understood that experts remind female friends to pay attention to actively treat various gynecological inflammations to avoid serious harm to themselves due to fallopian tube diseases caused by inflammation.