salpingectomy

The fallopian tube is an important internal reproductive organ of women, so if the fallopian tube is damaged or congenital malformation can directly affect the conception of women and cause infertility. However, for the treatment of female infertility caused by fallopian tube factors, fallopian tube resection is generally not used clinically, but for severe hydrosalpinx, tubal adhesions and other diseases, it is still necessary to perform fallopian tube resection, and sometimes to do bilateral fallopian tube resection. . If tubal infertility patients have severe pelvic adhesions and ovarian fallopian tube adhesions, huge hydrosalpinx or fallopian tube torsion, and the tissue has no vitality. One side of the fallopian tube is normal, while the contralateral fallopian tube disease is severe, you have to undergo a fallopian tube resection. Is that a fallopian tube resection, especially for women with bilateral salpingectomy, there is no hope of childbirth? In fact, this is not the case. With the emergence of assisted reproductive technology and continuous development and improvement, the function of the fallopian tube is not irreplaceable. Within the scope of indications, women who cannot recover the fallopian tube function or have no fallopian tube can be treated with artificial fertility to achieve their fertility desire. In addition to these serious fallopian tube lesions, salpingectomy is mainly used for tubal pregnancy, especially for emergency treatment of internal bleeding with shock. When the fallopian tube pregnancy is ruptured, the bleeding is uncontrollable, or the ipsilateral fallopian tube occurs more than 2 times in ectopic pregnancy, clinically, one side of the fallopian tube resection is usually required. However, for some contralateral fallopian tubes, women who are also debilitated should be treated according to the patient's condition, requirements and pathology. If necessary, bilateral salpingectomy should be performed. In short, whether it is abortion or ruptured tubal pregnancy, or one side of the fallopian tube resection or bilateral salpingectomy can play a role in timely hemostasis and save lives. Treatment of diseases: tubal pregnancy, chronic tubal oophoritis Indication Severe pelvic adhesions and ovarian fallopian tube adhesions, huge hydrosalpinx or fallopian tube torsion, and tissue has no life. One side of the fallopian tube is normal, and the contralateral fallopian tube disease should also be treated with fallopian tube resection, tubal pregnancy rupture, bleeding can not be controlled, or the ipsilateral fallopian tube occurs more than 2 ectopic pregnancy. Contraindications If fallopian tube hemorrhage occurs during conservative surgery on the patient and is uncontrollable, fallopian tube resection should be performed immediately to avoid excessive bleeding that threatens the patient's life. Preoperative preparation Fallopian tube electrocoagulation resection will put the uterus into the uterine cavity, keep the uterus in front of the tilting position, fully expose the affected side of the fallopian tube, use a grasping forceps to lift the fallopian tube umbrella end, start from the umbrella end with bipolar electrocoagulation forceps close to the fallopian tube clamp, Electrocoagulation of the oviduct mesangium, and then cut the mesentery with scissors, so that the mesangium is gradually cut until the corner of the fallopian tube, and the affected fallopian tube is removed. The purpose of the mesothelial mesangial membrane near the fallopian tube is to reduce the effect of electrocoagulation on the ovarian mesangium and its blood supply. It is also possible to use a bipolar electrocoagulation forceps with a knife, which has the advantage that the blade can be immediately pushed down after electrocoagulation, the tissue is cut off, and the surgical instrument is not required to be repeatedly replaced, thereby shortening the operation time. Surgical procedure 1. The electrocoagulation method relies on monopolar, bipolar coagulation or internal coagulator to perform electrocoagulation treatment one by one at the junction of the resected part and the normal tissue, including the oviductal mesenteric and the proximal uterine horn. Usually it is edged and cut. 2. The ferrule ligation method firstly inserts the ferrule into the abdominal cavity from the same side operation hole, and the opposite operation hole uses a separating forceps to place the ferrule on the affected side fallopian tube, so that the ferrule encircles the fallopian tube, and then the fallopian tube is clamped by the circle. Tuck the ferrule over the fallopian tube and tighten the ferrule at the near corner. 3, cut with a coagulation shear at 1cm at the ligation site, and carefully cut the coagulation treatment again, be careful not to burn the sleeve. 4, the specimen is taken out: the smaller specimen can be taken out through the 10mm casing sheath, the larger one can be put into the specimen bag, the bag mouth is first put out, and the specimen is taken out by the bag mouth. The removed specimen should be carefully examined for presence or absence of pregnancy (flock and embryo tissue). complication 1. Pain. 2, vaginal bleeding. 3, allergies. 4, uterine muscle wall vein, lymphatic contrast agent dispersion. 5, fallopian tube perforation and muscle wall damage. 6. Radioactive hazards.