What are the precautions for fallopian tube recanalization?

Fallopian tube recanalization is indeed an effective way to treat fallopian tube obstruction, but whether before or after the operation, various matters and principles should be paid attention to. Some routine examinations of the reproductive organs should also be carried out before the operation, and more attention should be paid to care after the operation.

1. Preoperative precautions

1. Before the operation, the patient's medical history should be inquired in detail, with emphasis on menstrual history, reproductive history, sterilization time, the technical level of the sterilizer, and postoperative conditions, such as fever, abdominal pain, etc.

2. If the patient is remarrying and the man is getting married for the first time or has never had children, routine examinations of semen and reproductive organs should be performed.

3. Determine the site of fallopian tube obstruction and perform hysterosalpingography or laparoscopy if necessary.

4. Explain to the patient and her family the success rate of fallopian tube recanalization and anastomosis and various possible complications, especially that some pregnancies may be ectopic.

5. Fallopian tube recanalization and anastomosis is usually performed within 3 to 7 days after the end of menstruation.

2. Postoperative precautions

1. Patients should be encouraged to get out of bed and move around early after surgery. Generally, the urinary catheter can be removed 12 to 24 hours after surgery, and the patients can get out of bed and move around.

2. Because intestinal motility recovers quickly, a milk-free liquid diet should be given immediately after intestinal motility recovers, and soft food or normal food can be eaten the next day.

3. Use antibiotics for prevention or treatment. The type and combination of antibiotics can be determined based on the intraoperative situation, postoperative body temperature, and blood picture changes. Antibiotics are generally used for 5 to 7 days after surgery.

4. About 5 days after the fallopian tube recanalization and anastomosis, and provided that the routine examination of leucorrhea is normal, the fallopian tube can be insulated 1 to 2 times. During the insufflation process, attention should be paid to aseptic operation and the speed and pressure of the injection of the drug solution.

5. Before discharge, the patient and his family should be informed again of the precautions and health care contents after discharge, such as knowledge on rest, diet, nutrition, hygiene, sexual life, and post-pregnancy, especially the importance of regular check-ups and follow-up visits.