Preparation for fallopian tube anastomosis

For some people, the fallopian tube and uterus are not particularly consistent, so it is easy to cause the egg to not be transported to the uterus, so a fallopian tube anastomosis surgery is needed. This surgery is minimally invasive, but it also has certain risks. After the operation, you also need time to rest and supplement more nutrition. So what do you need to prepare before the fallopian tube anastomosis surgery?

Because fallopian tube recanalization is a minimally invasive elective surgery with a strong purpose, the following points should be paid special attention to after the surgery:

(1) Encourage early ambulation: The urinary catheter can be removed 12 to 24 hours after surgery, and patients can get out of bed and move around.

(2) Because intestinal motility recovers quickly, liquid diet is given immediately after intestinal motility recovers, and soft food or normal food can be eaten the next day.

(III) Antibiotics are used 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.

(IV) Early postoperative insufflation: About 5 days after the fallopian tubes are reopened, and provided that the routine leucorrhea examination is normal, the fallopian tubes can be insufflated 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.

(V) Before discharge, the patient and his/her family should be informed again of the precautions and health care matters 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.

The use of surgical magnifiers or microscopes can overcome the natural limitations of human vision, greatly enhancing the surgeon's eyesight and thus improving the ability to distinguish various normal and pathological tissues. Under microscope magnification, fine surgical instruments are used to remove scar tissue or inflammatory obstruction after ligation, and the two broken ends are sutured together, which reduces trauma to the tissue and improves the accuracy of the operation, thereby increasing the patency rate of the fallopian tube and the pregnancy rate after the operation. According to clinical follow-up statistics, the pregnancy rate after hysteroscopic salpingostomy can reach more than 95%.

Common tubal anastomosis procedures in clinical practice include end-to-end tubal anastomosis and tubo-hysterostomy. End-to-end tubal anastomosis is mostly suitable for those who want to get pregnant again after tubal ligation or those who have severe tubal obstruction and have a strong desire to have children.