What is fallopian tube recanalization? What to do

Many people are actually relatively unfamiliar with fallopian tube recanalization and do not know what it is. First of all, fallopian tube recanalization is a plastic surgery, also called tubal recanalization, which can make the fallopian tubes unobstructed, and there are many methods for this surgery.

1. It’s a plastic surgery

Tubal recanalization, also known as tubal pregnancy recanalization, is a procedure that uses surgical methods to clear blocked fallopian tubes and allow conception. In recent years, with the rapid development of microsurgery, the technology of fallopian tube reconstitution has been improved and the success rate has increased. Reconstructive surgery is a delicate plastic surgery that requires light manipulation, minimal tissue damage, and accurate lumen anastomosis. The key to the success of reconception surgery, in addition to the surgery itself, is the patient's choice. A clear diagnosis must be made before the operation, that is, the man's fertility is normal and the woman's infertility is indeed due to fallopian tube factors.

2. Salpingostomy:

Suitable for patients with fallopian tube atresia or mild hydrops. If the patient is properly selected and microsurgical techniques are used, the postoperative pregnancy rate can reach 30%. The site of the genital stoma should be selected at the free end of the fallopian tube, as close to the surface of the ovary as possible to facilitate the egg to enter the fallopian tube. This surgery essentially rebuilds the fimbria.

3. End-to-end tubal anastomosis:

It is suitable for women with simple tubal isthmus or ampulla atresia who want to have children, such as those who want to get pregnant again after tubal ligation or those with congenital tubal atresia. This is a surgery that removes the blocked portion of the fallopian tube and then reconnects the two ends. The success rate of surgery is high.

4. Fallopian tube uterine horn transplantation:

Suitable for patients with simple interstitial tubal atresia. The method is to remove the blocked part of the fallopian tube, make a hole in the uterine horn, and then implant the fallopian tube into the uterine cavity. But this method has a low success rate.

5. Lysis of adhesions around the fallopian tube:

It is suitable for patients with adhesions around the fallopian tube, especially around the ampulla, fimbria and ovaries. Surgical methods are used to loosen adhesions and separate the fallopian tubes, making them completely free and allowing them to move freely. In addition, it is important to restore the mobility of the uterus and ovaries. Currently, some people recommend lysing the adhesions around the fallopian tube under direct laparoscopic vision. This method causes less trauma to the patient, but is expensive and has a lower success rate than open surgery.