What to do if there is hydrops on the left fallopian tube

Gynecological diseases can cause great harm to women's bodies. In particular, once the fallopian tubes are diseased, it will lead to infertility in women to a great extent. Sometimes it will seriously affect the happiness of the family, especially causing great harm to the physical and mental health of many women. Among them, hydrosalpinx is a relatively common gynecological disease. Sometimes such symptoms will appear in one side of the fallopian tube, so many women ignore its treatment, which makes the disease become more and more serious. Let's learn about what to do if the left fallopian tube is hydrosalpinx.

What to do if the left fallopian tube is hydrosalpinx

salpingostomy

Salpingostomy is suitable for patients with unobstructed proximal fallopian tubes but hydrops and atresia at the distal end. Laparoscopic salpingostomy surgery first fully frees the adhesions between the fallopian tube and other tissues. The fallopian tube is insulated through the cervix to expand the distal atretic fimbria of the fallopian tube, and the fallopian tube is fixed to the fundus of the uterus with non-destructive forceps. Whenever possible, make a cross incision at the original fallopian tube opening using a carbon dioxide laser or microscissors.

If the original opening cannot be identified, a "cross" incision can be made in the thinnest avascular area of ​​the fallopian tube wall. Place the grasping forceps into the incision and open and close it several times until the incision is the desired size. The incision should be made towards the ovary as much as possible to facilitate egg collection in the future. Use atraumatic forceps to grasp the fallopian tube lining at the new incision and turn it outward. In order to keep the incised valve in an everted state and prevent the new incision from adhering again, the serosal surface of the newly incised valve can be treated with a defocused laser or low-power micro-bipolar electrocoagulation. The surface tissue shrinks to achieve the purpose of everting the incision edge. You can also use 4-0 absorbable sutures to directly suture the everted valve to the serosa of the fallopian tube.

During the operation, the wound was continuously irrigated with heparin-containing Ringer's lactate solution (5000U/L). After the operation, lactated Ringer's solution, sodium hyaluronate, antibiotics, corticosteroids, antispasmodics and other drugs can be placed in the pelvic cavity to prevent adhesion. If adhesions are found around the fallopian tube during the operation, peri-fallopian tube adhesion separation can be performed to restore its normal physiological function as much as possible.

Lysis of fallopian tube and ovarian adhesions:

Adhesions of the fallopian tubes and ovaries are very common in patients with infertility and chronic pelvic pain. It is often caused by infection, endometriosis and previous surgery. Usually the attachments are fixed to the posterior leaflet of the broad ligament or to the lateral pelvic wall. The fimbria of the fallopian tube is often encapsulated. In severe cases, the appendages may be wrapped in the rectouterine fossa, making it very easy to damage the intestine during surgery.

The above is an introduction to what to do if there is hydrosalpinx on the left side of the fallopian tube. When encountering such a problem, female friends must go to a regular hospital for examination and treatment in time. In addition, they must also pay attention to maintaining a good attitude in daily life and pay attention to keeping their body warm, especially during the menstrual period, they must pay attention to maintaining good personal hygiene.