The vast majority of female infertility is caused by blockage of the fallopian tubes. In order to have a normal pregnancy, the fallopian tubes must be unblocked. Generally, surgery can achieve relatively good results. Despite this, many families are very worried about the success rate of the operation. So, what is the success rate of fallopian tube unblocking? Let’s take a closer look at it below. Experts say that after tubal sterilization, those who wish to have another child for various reasons, such as death of children, changes in marriage, etc., can undergo tubal recanalization. Recanalization is a corrective surgery that involves removing the scar at the original ligation site and performing end-to-end tubal anastomosis, ostomy or uterine cornual transplantation. Contraindications and preoperative and postoperative requirements are as follows: 1. Indications for fallopian tube recanalization (1) Aged 40 or below. (2) Those who wish to have another child after sterilization due to various special reasons. (3) The patient is in good health and has no heart, liver, kidney or severe hypertension diseases that are not suitable for pregnancy. (4) Regular menstruation and good ovarian ovulation function. Contraindications of fallopian tube recanalization (1) Those who do not ovulate due to ovarian dysfunction or other reasons. (2) After bilateral salpingectomy. (3) Patients suffering from diseases that are not suitable for pregnancy, or those in the acute stage of various diseases, or those with a history of tuberculous peritonitis. (4) The male partner has a history of infertility. 3. Preoperative preparation for fallopian tube recanalization (1) Inquire about the patient's medical history in detail, with emphasis on menstrual history, reproductive history, time of sterilization, the skill level of the sterilizer, and postoperative conditions, such as fever, abdominal pain, etc. (2) Determine the site of fallopian tube obstruction and, if necessary, perform hysterosalpingography or laparoscopy. (3) If the couple is remarrying and the husband is getting married for the first time or has never had children, a routine examination of semen and reproductive organs should be conducted. (4) Explain to the patient and her family the success rate of recanalization surgery and the various possible complications, especially the possibility that some pregnancies will be ectopic. (5) The surgery is usually performed within 3 to 7 days after the end of menstruation. IV. Postoperative treatment of fallopian tube recanalization (1) Get up and move around as soon as possible after surgery to prevent abdominal adhesions. (2) For patients without stents, the first insufflation should be performed 3 to 7 days after surgery, and the next one should be performed after the next menstruation. (3) If a stent is placed in the abdomen, it can be removed 2 to 3 weeks after the operation. The stent placed in the uterine cavity was removed within 2 weeks after surgery. (4) If a woman does not become pregnant within six months after surgery, she can have the uterus reinsufflated or undergo iodized oil hysterography. If the uterus is not unobstructed, she should be given treatment. The above is an introduction to the success rate of fallopian tube clearance surgery. I hope it will be helpful to patients. At present, the technology in infertility is relatively advanced. In order to increase the success rate during surgery, it is necessary to ensure the legitimacy of the hospital selected. Only hospitals with authoritative technology can guarantee the success rate, which is something that patients must pay attention to. |
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