Laparoscopic surgery for blocked fallopian tubes

Tubal blockage can usually be treated with laparoscopic surgery. The advantages of laparoscopic surgery are that the pregnancy rate is not lower than that of open surgery and has the advantage of less postoperative adhesions and faster recovery. In addition, laparoscopic consultation is the gold standard for infertility evaluation. If the patient’s condition is more severe, combined treatment through hysterolaparoscopy is possible. The procedure of laparoscopic surgery for tubal blockage is as follows: 1. position: let the patient take the bladder truncated position; 2. establishment of artificial channel: after sterilization, place the tubal catheter in the uterine cavity, then make 3-4 holes in the abdominal wall to establish the artificial channel; 3. surgical exploration: probe the pelvic cavity through laparoscopy to see whether there are adhesions in the pelvic cavity, whether there is fluid in the fallopian tubes, whether there is parcel at the umbilical end of the fallopian tubes, and then treat the patient accordingly according to her condition; 4. 4. treatment measures: including separation of pelvic adhesions, freeing the umbilical ends of the fallopian tubes, restoring the anatomical shape of the fallopian tubes, and injecting Mylan reagent into the fallopian tubes to determine whether there is obstruction of the fallopian tubes, etc., and to provide symptomatic treatment according to the patient’s condition, for example, for severe tubal effusion or with obvious vaginal drainage, tubectomy or ligation is recommended to block the inflammatory For example, in severe cases or those with significant vaginal drainage, tubal resection or ligation is recommended to block the adverse effects of inflammatory fluid on the endometrium and provide favorable conditions for the next step of assisted reproductive technology. It is forbidden to have sexual intercourse, bathing and vaginal irrigation for 2 months after laparoscopic tubal evacuation. Postoperative antibiotics can be applied under the guidance of the doctor to prevent infection. Pay attention to a light diet and do not eat spicy, greasy or stimulating food.