Laparoscopic surgery to reconstruct and reconnect the fallopian tube

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor I Le Thi Phuong - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Ha Long International Hospital
Laparoscopic reconstruction and reattachment of the fallopian tubes is surgery to restore the fallopian tubes after procedures such as sterilization, or due to adhesions of the fallopian tubes. After surgery, combined with other treatments such as artificial insemination, helps increase the patient's chances of becoming a mother.

1. Indications for laparoscopic tubal reshaping surgery

Surgery is indicated laparoscopic tubal reconstruction in the following cases:
Reconnecting the fallopian tubes after sterilization Inflammation of the fallopian tubes, distal tubal occlusion For proximal tubal occlusion (interstitial, segmental, and proximal tubal occlusions). waist) due to infection or irreversible damage to the fallopian tubes, surgery is not indicated.

2. What should the patient prepare before laparoscopic surgery?

In order to conduct laparoscopic reconstruction and reconnection of the fallopian tubes, patients with salpingitis need:
General and specialized examination to evaluate comorbidities. Learn about the risks, complications, and complications of surgery. Perform complete infertility tests. Hysterosalpingogram - Hysterosalpingogram to evaluate the function of the 2 fallopian tubes and uterus.

3. Steps to perform laparoscopic surgery and reconnect the fallopian tube

After preparing the position and being anesthetized, the patient will be operated on in turn according to the following steps:
Step 1: Diagnostic laparoscopy
Place the trocars in turn on the lower umbilicus and 2 pelvic fossa left and right. In case of need more, add trocar to the superior border of the joint. Observe the organs above the navel, especially the liver Observe the organs below the navel to evaluate the uterus, 2 ovaries, 2 fallopian tubes, and Douglas pouch. Assess tubal patency. Step 2: Shaping the fallopian tubes
Carry out tubal shaping based on the principle of minimizing trauma to adjacent organs and at the contact site. Remove adhesions at 2 fallopian tubes, 2 ovaries, sac with Douglas. Expand the faucet speaker if it is found to be narrow, selective hemostasis after the procedure Open the faucet speaker, create speaker loops, selective hemostasis to limit damage to the faucet in case the faucet speaker forms a seal pocket. Check tubal patency. Final examination, hemostasis and abdominal lavage. Step 3: Reconnecting the fallopian tube
After removing the adhesions, cutting the scar and checking the degree of patency of the fallopian tube, the surgeon will proceed to reconnect the fallopian tube according to the end-to-end anastomosis technique. The suture is sewn at the mesenteric margin of the faucet to assemble the two nozzles together. The remaining stitches can be sewn around 1 to 3 more stitches. Check the patency of the fallopian tubes. Perform the same technique on the opposite tubal. Recheck for lesions, if any, stop bleeding and wash the abdomen.

After laparoscopic reconstruction and reconnection of the fallopian tubes, it is necessary to monitor postoperative fluid, vital signs, and urine. Re-scan the uterus after a few months (if necessary). Indications for artificial insemination (IUI) from 4 to 6 cycles.
In order to help customers detect and treat other gynecological diseases early, Vinmec International Hospital has a basic gynecological examination and screening package, helping customers detect early inflammatory diseases Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding.

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