For many female friends who want to have healthy children, the occurrence of fallopian tube diseases may have a great impact on our fertility problems. Therefore, it is recommended that female friends have a detailed understanding of fallopian tube problems before giving birth. In general, tubal adhesions are a common phenomenon, so it is recommended that female friends pay attention to avoiding and preventing them. After this situation occurs, we may need to undergo surgical treatment, but is hysteroscopic surgery complicated for tubal adhesions?
Is hysteroscopic surgery complicated for tubal adhesions
The first step of uterine cavity examination is to detect the size of the uterine cavity. As the outer diameter of the hysteroscope body is only 3.3mm, there is no need to expand the uterus. Slowly insert the hysteroscope along the cervical canal, while suspending the lactate Ringer's solution bottle at an appropriate height to ensure a liquid infusion rate of 10-40ml per minute into the uterine cavity, achieving the goal of dilation. Hysteroscopy is used to assess the condition of the uterine cavity and locate the opening of the fallopian tube.
Step 2: Insert the coaxial catheter under the guidance of hysteroscopy. Insert the coaxial catheter directly into the opening of one side of the fallopian tube by about 3mm. After seeing the lumen of the interstitial part of the fallopian tube, carefully insert the platinum tipped guide wire in the coaxial Teflon catheter. Under normal circumstances, when the guide wire enters the fallopian tube lumen 15cm away from the opening, insert the Teflon catheter wrapped around it along the guide wire for about 15cm to reach the fallopian tube umbrella and enter the abdominal cavity.
Can hysteroscopic surgery cure tubal adhesions
After completing the above two steps, remove the guide wire and carefully place the fallopian tube endoscope along the catheter under television monitoring to avoid damage to the mirror caused by deformation and obstruction scars of the fallopian tube, so that the fallopian tube endoscope can easily pass through the interstitial, narrow, and ampulla parts of the fallopian tube and reach the umbrella end.
At the same time, due to the limited brightness of the fallopian tube endoscope, it cannot illuminate larger abdominal cavities. When the image suddenly darkens or active intestines, mesentery, and ovaries are seen, it confirms that the fallopian tube endoscope has entered the abdominal cavity.
Actually, the surgical procedure is not very complicated, but we must closely monitor for any damage or bleeding after the surgery. In addition, postoperative disinfection is also crucial to avoid secondary infections. Therefore, it is recommended that female friends pay more attention to these two issues and develop good lifestyle habits. As long as we can recover in a timely manner, it will not affect our normal fertility.
