Laparoscopic fallopian tube recanalization is the best technology for treating fallopian tube obstruction at present. It can enlarge the surgical field of view and make the surgical position clearer through the camera monitoring system, thus greatly reducing the difficulty of the operation and improving the success rate of the operation. The purpose of bilateral fallopian tube reconstruction is not only to restore the anatomical shape of the bilateral fallopian tubes, but also to restore their reproductive function and improve the fertility rate of infertile patients. Some reports suggest that the pregnancy rate within the first year after fallopian tube recanalization is higher than that in the second year and thereafter, and the highest rate is within three months after the operation. For those who undergo microscopic surgical fallopian tube recanalization, based on various reasons, it is generally recommended that patients take contraceptive measures for 3-6 months after the operation, otherwise they will miss the golden period for pregnancy after the operation. Compared with microscopic surgery, laparoscopic bilateral fallopian tube reconstruction has the advantages of less tissue trauma, fewer complications, and faster recovery. It allows pregnancy immediately after surgery, thus continuously increasing the probability of pregnancy after surgery. The surgical procedure of laparoscopic fallopian tube recanalization is basically the same as that of microscopic surgery. The technical key lies in minimizing the damage when performing the separation operation of the bilateral fallopian tubes and avoiding the use of electrocoagulation to stop bleeding as much as possible to avoid thermal damage to the bilateral fallopian tube walls. The key technical difficulty of laparoscopic bilateral fallopian tube reconstruction is to carry out accurate tubal apposition and intracavitary surgical suturing technology. At present, most bilateral fallopian tube reconstruction surgeries can be performed under laparoscopy. |
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