Things to note after tubal intubation: the original steps are as follows

Fluid insufflation is a common method to check whether the fallopian tubes are unobstructed. The steps are also very simple and can usually be completed in half an hour. However, there are many issues that need to be paid attention to after the operation. You must take anti-inflammatory drugs in time and avoid having sexual intercourse within two weeks to avoid symptoms of infection.

1. Steps of fallopian tube intubation

1. Empty the bladder, take the 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, and to check whether there are any abnormalities in the appendages on both sides.

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 the 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 drainage catheter into the cervical canal in the direction of probe detection and fix it at the pre-selected depth. Clamp the anterior lip of the cervix with tissue forceps to pull the cervix outwards, and at the same time push the conical head of the drainage catheter inwards so that the two fit tightly. 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, which means that the original adhesion has 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 opening of the cervix, and your abdomen becomes unbearably bloated, it is usually because the fallopian tubes are completely blocked.

2. Postoperative treatment of fallopian tube insufflation

1. Avoid sexual intercourse within 2 weeks after the operation to prevent infection.

2. Take anti-infection drugs after surgery.

3. Abdominal pain and vaginal bleeding may occur after the operation, which usually disappear in 3-7 days. If bleeding persists for more than 10 days, you should see a doctor.

3. Precautions for fallopian tube intubation

1. Take anti-infection drugs after surgery.

2. Abdominal pain and vaginal bleeding may occur after the operation.

3. Avoid sexual intercourse within 2 weeks after the operation to prevent infection.