Hydrosalpinx laparoscopic surgery for one year without pregnancy

Laparoscopic can only see the fallopian tube and the umbrella end opening, hydrosalpinx, the first thing to see is the degree. If it is mild hydrostagnant water, it is possible to push the stagnant water through without surgery, and if it is severe hydrodip, it should be judged according to the situation. In view of your situation, I recommend you to do tubal iodized oil angiography, the iodized oil angiography image is clear and intuitive, the diagnosis of cervical and uterine problems is clear, and the diagnosis of subtle lesions of fallopian tube access, impassability, inflammation, and hydrops is more accurate, which reduces the rate of missed diagnosis and misdiagnosis, and focuses on dredging the fallopian tubes.

Traditionally, salpingography or fluid is used for patients with tubal obstruction, in which the contrast has both the role of examination and dredging, and the fluid is gradually eliminated.

Most patients with mild adhesions in the fallopian tubes can be recanalized after a radiography, or combined with some traditional Chinese medicine, physiotherapy and other methods, can have a better effect. If the adhesions are severe, surgery is still required.

The fallopian tubes are not open and unobstructed—laparoscopically unblocked.

Laparoscopy can be used to unblock the fallopian tubes, i.e., when there is debris, exfoliated cells, or blood clots, or when the fallopian tubes are too thin and curved, or when the fallopian tubes are adhesions. For extraductal adhesions, they can also be cut and decomposed by laparoscopy to "loosen" the fallopian tubes. Menstruation**, most patients can get pregnant normally.

Tubal occlusion-uterine and abdominal surgery.

The fallopian tubes are occluded, but the damage is mild, but most of the fallopian tubes are normal. In this case, tubal unclogging or 24-hour catheterization can be performed with combined uterine and abdominal surgery. Generally speaking, the surgical effect is good, and the success rate can reach more than 90%.

Fallopian tube problems are a key factor in your infertility, so choosing laparoscopy is the right choice. Because the ampulla is blocked, the possibility of adhesion at the end of the umbrella is taken into account. The intervention of women and children in the country** must be that there is no adhesion at the end of the fallopian tube, so it is not an option.

I don't know how big the fibroids are? Is it subserous or submucosal or intermuscular? The availability of myomectomy during laparoscopy should be determined by the surgeon on a case-by-case basis.

In general, small intramural or subserosal fibroids can be left untreated because they do not affect pregnancy. After the fallopian tube problem was solved after the operation, the chance of pregnancy increased significantly, from impossible to possible, which is a qualitative leap, and the surgery itself is generally free of complications and sequelae, and there is no life-threatening operation. You should ask Dr. Sun Cuixiang of the hospital to perform this surgery.

Lanzhou Tianlun Infertility Hospital is an infertility hospital in Gansu Province integrating medical treatment, scientific research, prevention and infertility, with female infertility group and male infertility group. The hospital has a medical team composed of a number of infertility medical personnel, with professional technology, equipment, and services to help patients conceive.

What tests do you do to diagnose hydrosalpinx, what is the degree of hydrosalpinx, and iodized oil contrast is recommended to confirm the diagnosis. Moderate or less hydrops can be anti-inflammatory** and can be conceived naturally, severe hydrops can be treated with salpingoplasty or ligation, there is a chance of natural pregnancy after plastic surgery, and only IVF can be done after ligation.

This is still rare.

At least we didn't encounter it in our hospital.

What you describe is atypical.

The patient can be asked to go to a nearby hospital for a check-up.

Medicine is a practical science.

You can't just say a few words online.

Make any judgments.

Good luck.

Don't worry about the treatment of hydrosalpinx, as long as you get better, you can get pregnant, and the most important methods of hydrosalpinx are:

1. Surgery**:

Fallopian tube umbrella end stoma, laparoscopy.

2. Conservative**; It is a more stable method, using --- Shu tube to help pregnancy: decoction of water, the drug circulates the whole body, the channels are channeled, the blood can be activated, the stasis can be broken, the adhesion pipes are dredged, and the effect of hydrosalpinx is sent to the rent.

Disadvantages of Surgery**Slippery:

For hydrosalpinx, Western medicine can only use tubal umbrella ostomy surgery or laparoscopic surgery**, fallopian tube umbrella ostomy surgery, to cut the abdominal wall in the whole layer, the trauma to the body is large, and it will cause new damage due to adhesion again. Laparoscopic surgery, on the other hand, is expensive and uses electrocoagulation and electrocautery during the operation, which can easily cause damage to the fallopian tube tissue. Even if the duct is unobstructed after surgery, it is difficult to restore its function.

The success rate of both surgeries is about 20%, and the postoperative pregnancy rate is low and easy to lead to complications such as ectopic pregnancy, which is not the best choice for patients.

After the accumulation of our years of clinical experience, the best principles for hydrosalpinx are summarized as follows:

For tubal umbrella end blockage, it is necessary to have an experienced tubal specialist accurately assess the degree of disruption of the tubal umbrella end function according to the salpingogram examination**, the patient's medical history and relevant medical information.

If there is a greater possibility of restoring function after the umbrella end transsalpingostomy, surgery can be used**.

If the function of the fallopian tube umbrella has been irreversibly damaged, it can only be IVF**, but because the fallopian tube umbrella end is often blocked with hydrosalpinx, because the hydrosalpinx will reflux into the uterine cavity to cause a series of effects on the embryo, the success rate of IVF can be reduced by 50%, and the miscarriage rate can be increased by two times, so if there is hydrosalpinx and need to undergo IVF**, laparoscopic minimally invasive surgery is required before IVF**, In order to avoid the impact of hydrophasing on IVF.