How is Tubal Reanastomosis Performed?

The fallopian tube is a very important reproductive part of women and is prone to problems. A typical example is the blockage of the fallopian tube, which has caused many women to lose their fertility. Once diagnosed with fallopian tube blockage, recanalization is necessary, and tubal recanalization surgery is a typical method. Many women are concerned about the specific procedure when they need to undergo this surgery. So, how is tubal recanalization surgery performed? Let's take a look.

Tubal recanalization surgery mainly involves making a transverse incision in the abdomen, locating the ligated fallopian tube within the pelvic cavity, re-freeing the ligation site, and reconnecting and recanalizing the ligated fallopian tube. However, after recanalization, the fallopian tube may not be completely unobstructed, so it is necessary to consider performing a tubal patency surgery until the fallopian tube is completely unobstructed before preparing for pregnancy.

1. Bilateral or unilateral proximal blockage of the interstitial, isthmic, and ampullary parts of the fallopian tube, with incomplete patency.

2. Routine hysterosalpingography cannot be completed due to excessive looseness of the cervical os, and this examination can be performed.

3. Bilateral or unilateral fallopian tubes with incomplete patency, too fine or twisted. Catheter dilation is mainly used, followed by catheter insertion for drug administration to reach the lesion site and reduce the degree of obstruction.

4. Tubal pregnancy. A catheter is inserted into the side of the tubal pregnancy, and the corresponding drug is injected to inactivate the embryo, terminate the pregnancy, and treat ectopic pregnancy.

1. A gynecological examination must be performed before interventional recanalization surgery to exclude acute or subacute inflammation. Gynecological examination is irreplaceable for other laboratory tests in detecting inflammation.

2. Leukorrhea routine examination to exclude mold, trichomonas, mycoplasma, and chlamydia infections.

3. Blood routine and coagulation tests are performed before interventional recanalization surgery. The purpose of these tests is mainly to prepare for surgery, understand whether there are coagulation disorders, and prevent intraoperative or postoperative bleeding, such as in patients with hemophilia. These tests can also assess anemia, thrombocytopenia, and white blood cell count.

4. Vaginal disinfection to prevent infection.