Laparoscopic fallopian tube recanalization

With the advancement of medical technology, there are more and more medical methods to treat infertility, which are becoming more and more advanced, and the chances of successful treatment are also getting higher and higher. Moreover, the invention of some auxiliary medical equipment, such as laparoscope, can increase the chances of successful surgery. Therefore, the fallopian tube recanalization surgery performed with the assistance of laparoscopy increases the pregnancy rate of women. Let’s learn about laparoscopic fallopian tube recanalization.

Laparoscopic fallopian tube recanalization is currently the best technology for treating fallopian tube obstruction. It can magnify the surgical field of view through the camera monitoring system, making the surgical site clearer and more identifiable, thereby greatly reducing the difficulty of the operation and increasing the success rate of the operation. Since the operation is performed in a closed environment, the chances of tissue drying and contamination are reduced, and the risk of foreign matter entering the abdominal cavity is also reduced. Thus reducing the chance of postoperative adhesion formation.

Technical Introduction

The purpose of fallopian tube reconstruction is not only to restore the anatomical shape of the fallopian tube, but also to restore its reproductive function and improve the fertility rate of infertile patients. It has been reported 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 surgery. For those who undergo microsurgical fallopian tube recanalization, it is generally recommended that patients use contraception for 3-6 months after surgery for various reasons, thus missing the best opportunity for conception after surgery. Compared with microsurgery, laparoscopic fallopian tube reconstruction has the advantages of less tissue trauma, fewer complications, and faster postoperative recovery. It allows immediate pregnancy after surgery, thus significantly increasing the chance of postoperative pregnancy.

Technical steps

The surgical steps of laparoscopic fallopian tube recanalization are basically the same as those of microsurgery. The key to the technique is to minimize damage during the fallopian tube separation operation and to use electrocoagulation as little as possible to stop bleeding during the operation to avoid thermal damage to the fallopian tube wall. The main technical difficulty of laparoscopic fallopian tube reconstruction is to perform accurate lumen approximation and intraluminal suturing techniques. Currently, most fallopian tube reconstruction surgeries can be performed laparoscopically.

Indications

1. This examination can be performed when the conventional hysterosalpingography cannot be completed due to the loose cervix.

2. Within 3-7 days after the menstruation is over, there is no infection in the genitals and pelvic cavity.

3. Bilateral or unilateral obstruction of the interstitial part, narrow part, and proximal end of the ampulla of the fallopian tube, resulting in obstruction of the fallopian tube.

4. In case of fallopian tube pregnancy, inserting a catheter into the pregnancy side of the fallopian tube and injecting appropriate drugs can inactivate the embryo, terminate the pregnancy, and treat ectopic pregnancy.

5. If the bilateral or unilateral fallopian tube is obstructed, too thin or twisted, catheter dilation is mainly used to insert the drug through the catheter to reach the affected area to reduce the degree of obstruction.

The following is a detailed introduction to the laparoscopic fallopian tube recanalization surgery. For women facing infertility, this is an opportunity to become pregnant. This type of surgery is becoming more and more well-known and its success rate is getting higher and higher. Therefore, friends who want to undergo this type of surgery do not need to have too many concerns. Just follow the doctor's advice and pay attention to some matters.