Whether the fallopian tube can be successfully repaired surgically depends on the extent and nature of the damage to it. If the fallopian tube is swollen, its diameter exceeds 2 cm, the fallopian tube fimbria cannot be seen, and the pelvis and ovary are tightly adhered. When the above conditions occur, the probability of successful surgery is very small. The patient\’s age and duration of infertility also affect surgical success rates. And even if the operation is successful and the patient becomes pregnant, there is a high possibility that the embryo will implant in the fallopian tube (ectopic pregnancy). If intrauterine pregnancy is not discovered and removed in time, it is entirely possible that it will rupture, and large amounts of blood loss will be life-threatening. In most cases, IVF has a greater chance of achieving pregnancy than surgery. Although some couples are more willing to choose surgery because surgery is covered by medical insurance, while in vitro fertilization is not, they should understand that the success rate of surgery is not only very low, but also the surgery is usually only a temporary success, and adhesions and fallopian tube blockage often recur, and even Worse after surgery.
(1) Repair the end of the fallopian tube: Because the diameter of the end of the fallopian tube is the largest, if the lesion appears in the fallopian tube For distal parts, surgical repair has the highest success rate. Adhesions often prevent the normal movement of the fallopian tube fimbriae, so removing adhesions and simultaneously separating the intertwined fimbriae can help restore the function of the fallopian tube fimbriae. If the opening of the fallopian tube is blocked due to adhesions, inflating the tube can often open it. These repairs are accomplished through fimbriaplasty. If the natural opening of the fallopian tube cannot be restored, a new opening can be created through laparoscopic surgery. The success rate of this repair depends on the severity of the lesion, the age of the patient, whether there are ovarian adhesions preventing eggs from entering the fallopian tubes, and other factors that affect fertility. If the disease is severe, studies show that after 48 months, the chance of pregnancy is 25%.
(2) Repair the fallopian tube blockage near the uterus: If the hysterosalpingogram shows that the blockage occurs in the uterus Where it connects to the fallopian tube, laparoscopy is needed to confirm whether it is really blocked. If the blockage is simply caused by the accumulation of some cellular debris rather than actual tissue damage, surgery is not needed. Just use 1 movable upper endWith the help of a metal wire, the doctor can pass the catheter through the uterus and into the fallopian tube. The catheter carries a small balloon that inflates to open the opening. A study of this procedure showed that skilled physicians using this method successfully opened the openings in most patients with blocked fallopian tubes. Within 12 months of treatment, the pregnancy rate was 39%, of which 13% were ectopic.
(3) Reconstruction of blocked fallopian tubes: If the fallopian tubes are blocked due to tissue damage, experience A skilled surgeon can then remove the damaged tissue and then connect the remaining portion of the fallopian tube to the uterus. This kind of surgery is performed with the help of traditional surgical incision (laparotomy) or laparoscopy. Laparotomy requires a long recovery period. The success rate of this type of repair surgery is very low unless it is used to restore a fallopian tube ligation or severing surgery for birth control. If the cause is hydrosalpinx, or if the end of the fallopian tube is swollen and filled with fluid due to blockage, then the success rate of treatment is not great. This mainly depends on the size of the hydrosalpinx and the severity of the damage to the fallopian tube. If the area of hydrosalpinx is not very large and the lining of the fallopian tube still exists, it is possible to reopen the opening at the end of the fallopian tube or create a new opening to allow the water inside to drain. The chance of pregnancy after this repair surgery can reach 25%, but the possibility of ectopic pregnancy reaches 15% to 50%.
(4) Recovery from sterilization surgery: For women whose fallopian tubes were surgically blocked for contraception Generally speaking, fallopian tube reconnection is a relatively successful repair surgery – especially if you encounter a skilled and experienced doctor. The success of the repair mainly depends on how much of the fallopian tube is left untouched by the sterilization surgery and which section is ligated. If the middle part of the fallopian tube is cut off or clamped with a vascular clamp, and the remaining part is at least 4 to 5 cm, the probability of pregnancy is 50% to 80%. Other factors that affect the surgery include: whether the patient is under 40 years old; whether the fallopian tubes have been damaged due to inflammation or other conditions. The above inspection procedures are all completed by laparoscopy.
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao