Indications for laparoscopic tubal puncture

Laparoscopic fallopian tube opening is currently the best treatment for fallopian tube obstruction. Therefore, for female friends, if it is determined that the fallopian tube is blocked or blocked, you must go to the hospital for a more comprehensive examination and take these treatments according to the doctor's advice.

1. Laparoscopic fallopian tube recanalization is currently the best technology for treating fallopian tube obstruction. It can magnify the surgical field of view through the camera monitoring system, making the surgical site clearer and more identifiable, thereby greatly reducing the difficulty of the operation and increasing the success rate of the operation. Since the operation is performed in a closed environment, the chances of tissue drying and contamination are reduced, and the risk of foreign matter entering the abdominal cavity is also reduced. Thus reducing the chance of postoperative adhesion formation.

2. Technical steps

The surgical steps of laparoscopic fallopian tube recanalization are basically the same as those of microsurgery. The key to the technique is to minimize damage during the fallopian tube separation operation and to use electrocoagulation as little as possible to stop bleeding during the operation to avoid thermal damage to the fallopian tube wall. The main technical difficulty of laparoscopic fallopian tube reconstruction is to perform accurate lumen approximation and intraluminal suturing techniques. Currently, most fallopian tube reconstruction surgeries can be performed laparoscopically.

3. Indications

1. This examination can be performed when the conventional hysterosalpingography cannot be completed due to the loose cervix.

2. Within 3-7 days after the menstruation is over, there is no infection in the genitals and pelvic cavity.

3. Bilateral or unilateral obstruction of the interstitial part, narrow part, and proximal end of the ampulla of the fallopian tube, resulting in obstruction of the fallopian tube.

4. In case of fallopian tube pregnancy, inserting a catheter into the pregnancy side of the fallopian tube and injecting appropriate drugs can inactivate the embryo, terminate the pregnancy, and treat ectopic pregnancy.

5. If the bilateral or unilateral fallopian tube is obstructed, too thin or twisted, catheter dilation is mainly used to insert the drug through the catheter to reach the affected area to reduce the degree of obstruction.