What to do if there is hydrops at the distal end of the fallopian tube

If hydrops of the distal fallopian tube occurs, it must be treated well. There are many treatment methods. The best treatment method can be selected based on a good diagnosis. For patients, timely treatment is necessary, especially for women who want to have children. This can easily lead to infertility. In addition to regular treatment, good conditioning and health care can also help the treatment.

Conservative treatment: When the amount of hydrosalpinx is small, the fallopian tube is only adhesion hydrosalpinx after evaluation of the hysterosalpingography film. Conservative treatment is generally used at this time.

Salpingostomy: Salpingostomy is suitable for patients with unobstructed proximal fallopian tubes and hydrops and atresia at the distal end. If the hydrops at the fimbria of the fallopian tube has a greater chance of recovering function after salpingostomy, surgical treatment can be adopted. Surgical treatment can be divided into open surgery and laparoscopic surgery.

Hysteroscopy and laparoscopy: After a soft catheter is inserted into the fallopian tube through the hysteroscopic operation channel, methylene blue solution is pressurized and pushed inward to clear the interstitial blockage. The patency of the fallopian tube is judged based on the injection pressure, speed, presence of liquid overflow, and presence of reflux after stopping the injection. However, since the flexibility of operating instruments is not as delicate as that of hands, although the surgical openings are just a few holes and there are no large wounds, the instruments can easily cause trauma to internal organs and adjacent organs, thereby causing unnecessary damage.

When chronic salpingitis occurs, the fimbria of the fallopian tube may become adhered and closed due to inflammation, and transudate and exudate gradually accumulate in the lumen of the fallopian tube.

Some cases of hydrosalpinx are transformed from pyosalpinx. The pus cells and necrotic tissue in the lumen are decomposed and cleared by phagocytes, and the pus gradually turns into clear watery fluid.

When symptoms of chronic salpingitis occur, the fimbria of the fallopian tube may become adhered and closed due to inflammation, and transudate and exudate gradually accumulate in the lumen of the fallopian tube.