tubal reversal surgery

Fallopian tube recanalization is an operation that reconnects and smoothes the fallopian tubes that are artificially disconnected or pathologically disconnected. It is a plastic surgery. The earliest fallopian tube recanalization was performed under the naked eye with a low success rate. Later, the use of microsurgical methods for tubal anastomosis significantly improved the intrauterine pregnancy rate after recanalization, and reduced the incidence of pregnancy in the ovipositor. At present, the intrauterine pregnancy rate after the end-to-end anastomosis reported in China is between 80% and 90%. Indication Fallopian tube recanalization is suitable for women under the age of 35. Women over the age of 35, especially those over the age of 40, are treated with caution. The accidental casualties of women and children of this age are very big for them. They have higher expectations for the success of the operation. If they can not restore their fertility after surgery, they will completely collapse. Therefore, as long as their menstruation is normal, there is no menstrual disorders and menopausal syndrome, physical conditions can withstand surgery and pregnancy, you should be active surgery. Surgical procedure The specific steps of laparoscopic tubal recanalization are as follows: 1. Abdominal routine disinfection, drapeing, and removal of the median longitudinal incision of the abdomen, about 8~10cm long. If it is a transverse incision, the rectus abdominis should be cut to facilitate full exposure of the surgical field and cover the skin towel. 2, check the pelvic organs: into the abdominal cavity, with a large gauze pad wrapped around the intestines to the upper abdomen, and then use a large gauze pad to fill the uterine rectal fossa, so that the uterus, fallopian tubes exposed to the surgical field. Check the degree of adhesion between the fallopian tube and the surrounding tissue. If there is adhesion, use a small dissection scissors to make a sharp separation. Correct the abnormal bending of the fallopian tube. The fine adhesion can also be separated under the microscope. If there is bleeding, use electrocoagulation to stop bleeding. 3. Check the patency of the whole segment of the fallopian tube by injecting the dye solution into the palace. 4. Determine the type of stoma according to the obstruction of the fallopian tube and the extent of the fallopian tube. Commonly used are the fallopian tube ostomy (Fallostomy) and ampullary ostomy, (Am-pullarySalpingostomy). 5. Make a fallopian tube through the mouth after the stoma is completed. 6. Flush the abdominal cavity with saline. 7. Place the liquid in the abdominal cavity with the fallopian tube anastomosis. 8. Suture the layers of the abdominal wall.

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