Laparoscopy of the fallopian tubes. Reviews
For the diagnosis and treatment of infertility today is very widely used laparoscopy of the fallopian tubes – the most modern and highly effective method. With it, you can restore the patency of the pipes, and, make it minimally traumatic.
Indications for laparoscopy of the fallopian tubes
The main indication for laparoscopy of the fallopian tubes is infertility. Laparoscopy allows you to accurately diagnose genital pathologies and eliminate them. An important plus of this operation is the possibility of diagnosis and treatment at the same time. Also, laparoscopy of the fallopian tubes is prescribed for:
– ectopic pregnancy; – sterilization.
Basically laparoscopy is performed to check the patency of the fallopian tubes, to restore patency. It is known that precisely the obstruction of the fallopian tubes is one of the most common causes of female infertility.
With timely detected ectopic pregnancy developing in the fallopian tube, laparoscopy makes it possible to preserve the tube with all the functions. During this operation, only the fertilized egg is removed.
How is laparoscopy
Laparoscopy is an operation involving surgery, which means that it requires serious preliminary preparation. So, before performing laparoscopy, it is necessary to pass a series of tests (blood, urine, feces), make an ultrasound of the internal genital organs, an electrocardiogram, get a conclusion from the therapist about the resolution of the operation (no contraindications). Laparoscopy most often carried out under general anesthesia, much less frequently under local, on the 7-10th day of the cycle, before the onset of ovulation.
First, the abdominal cavity is inflated with carbon dioxide. This is necessary to raise the abdominal wall, to provide maximum access to the internal organs. Next, the doctor makes several punctures on the patient’s body (very small, 5 mm in diameter) for insertion of a laparoscope – an instrument equipped with a mini-camera, an enlarged view of the internal organs on the monitor, and medical surgical instruments. The doctor monitors and monitors the progress of the operation using a monitor.
To determine the place in the pipe where there are adhesions, a contrasting color solution is passed through the pipes. During the operation, the doctor dissects and removes detected adhesions in the pelvic cavity and restores the lumen in the tubes as much as possible.
How successful can a fallopian tube be? It all depends on how strongly the adhesive process was developed, and in which part of the pipe there was an obstruction. The chances of success are much higher when only the outer side of the pipe is affected by the adhesive process (60%). If the internal part of the pipe is affected by adhesions, only 10% have hope of restoring the patency. It is believed that laparoscopy is effective for partial obstruction of the fallopian tubes and is useless if there is complete obstruction.
Although laparoscopy is a surgical operation, normal health after it is restored very quickly: hospitalization is required for only a few days. After laparoscopy, scarring practically does not remain.
Pregnancy after laparoscopy of the fallopian tubes
Within 3-4 weeks after surgery, a complete rejection of sexual intercourse is necessary. After this time, it is possible to plan conception – in some cases – immediately, in some – after preliminary hormone therapy prescribed by the attending physician. After laparoscopy, pregnancy can come pretty quickly; the experience of many women confirms this. Usually, pregnancy after laparoscopy is accompanied by a woman taking medication to maintain normal hormonal levels.
After laparoscopy, the maximum effect of the operation lasts for six months, after which the likelihood of re-adhesions appears.
Will pregnancy come after laparoscopy? It depends on the individual characteristics of the patient’s body and the diagnosis made to it. If the long-awaited pregnancy after laparoscopy has not come, the operation can be repeated.
Fallopian tubes are impassable. Catheter Hysteroscopy
Pregnancy after laparoscopy: reviews from the forums
Made laparu about cysts. Pregnancy occurred 2 months after surgery. Without laparoscopy with endometriosis and cyst, pregnancy alone will not occur.
INFERTILITY. Laparoscopy in the treatment of female infertility
Girls do not worry, I did laparoscopy in 2011. was endometriosis and cysts of both ovaries. adhesions of the pelvis. After propyl Janine year. and here I am happy mommy. I gave birth on February 15, 2013. I hadn’t planned it before, but here I’ve seen it from the first time. Good luck everyone.
They made me lapar at the cysts of both ovaries, during the operation they discovered extensive endometriotic foci, as it turned out, 2-3 degrees, adhesions. All this was safely removed, checked the patency of the pipes. Operated in TsPSiRe on Sevastopol passage. After the surgery, the OC was not prescribed, they recommended urgently getting pregnant, because from the experience of the doctors, while you are taking the pills there is a high probability that the adhesive process can begin again. As a result, pregnancy began on the 4th cycle after surgery.
I had laparoscopy twice, there was an extensive adhesive process in the pelvis and salpingo-oophoritis, fluid accumulated in the right tube. After two months saw "Novinet". Five months later, the long-awaited pregnancy came, now my baby is one month old. Girls, the main thing is not to despair, do not dwell on the pregnancy, just live a full life and pregnancy will surely come as I did.
Little girls, almost a year ago, I sat down and, with tears in my eyes, wrote that I wanted to give my husband a son, that I did lapar, and the doctor said there was almost no chance, and I almost resigned myself that I would no longer have children. But eight months after the lapar I learned that I was pregnant, I just sobbed, I couldn’t believe it, that I could, I wasn’t even prescribed any treatment, they said that there would be no sense anyway. Now I am in the fifth month and I will still have a son, as we have been dreaming. Girls have a chance at all believe and never despair and all you have to do it! Go ahead with your head up and listen to your heart, it just never deceives you!
I also did lapar
Girls! Do not be afraid of anything! True, and I also recently experienced, was on the verge of collapse and thought:"God, what is this for me !?". I had laparoscopy in September (an endometrioid cyst + foci of endometriosis were found, a commissure in one of the tubes). To say that I was terrified – to say nothing, before this problem has never existed like a woman. I wanted to put a cross on myself. 2 months saw hormones, the last cycle – no. And so M did not wait! I can not believe it. Every five minutes I review my striped tests. Girls, take care of yourself and your nerves – in future motherhood they will definitely come in handy! Believe only in good – and it will definitely come
I could not get pregnant for seven years. so many doctors went around, nobody said anything sensible. and yet one thought to send to lapar. after surgery, the doctor said that he saw no reason for infertility and needed to wait a year, and then do IVF. I was all upset and left the hospital, and a month later I found out that I was pregnant. was shocked still can not believe
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Recovery of the fallopian tubes after laparoscopy
Posted March 8, 2013 – 12:05
Hello everyone! First I want to tell a little about the prehistory about our attempts to get pregnant. My husband and I have been trying to conceive our baby for two years now, but so far without success. My husband was treated, they said no complaints to him, and in November 2012, I underwent laparoscopy: there was a resection of 1/3 of the ovary due to polycystic disease, the adhesions in the tubes and the rudimentary process of one of the fallopian tubes were removed. Janine was appointed for two months, and then they said you can try
Posted March 8, 2013 – 12:33
Hey. I have the same situation. Before laparoscopy, hydro ultrasound was done (with contrast) – the tubes were passable (in the summer of 2012). Now she has done a laparoscopy – the tubes are not passable (February 2013). I talked with girls – they say in the USSR before that they did this procedure for blowing the fallopian tubes, but now they have mostly refused. Perturbation or hydroturbation is called. The bottom line is that they first make an anesthetic injection, then a ball is introduced into the uterus, it is inflated, tubes are passed into the tubes – a saline is fed through them under pressure. And so a few procedures. One girl lay with us, told after 10 such procedures, the tubes opened up and became pregnant (mother), but there was a miscarriage. Sent to her lapar, check. Pipes "whistling"as the surgeon said to her)))) I also think of such a procedure to go with time, but it is called barbaric.
Posted March 8, 2013 – 13:24
just so laparoscopy was done to diagnose the patency of the pipes? maybe something else like "office hysteroscopy"?
- City of Riga
Posted March 8, 2013 – 13:48
if it’s barbaric, what for? What other inflammations will be if the body is weak? There are other medications, physical procedures on the ovarian area that can help, sanatoriums on the gynecology profile.
Posted March 8, 2013 – 15:11
ialsu (March 8, 2013 – 12:33) wrote (a):
I have the same situation. Before laparoscopy, hydro ultrasound was done (with contrast) – the tubes were passable (in the summer of 2012). Now she has done a laparoscopy – the tubes are not passable (February 2013). I talked with girls – they say in the USSR before that they did this procedure for blowing the fallopian tubes, but now they have mostly refused. Perturbation or hydroturbation is called. The bottom line is that they first make an anesthetic injection, then a ball is introduced into the uterus, it is inflated, tubes are passed into the tubes – a saline is fed through them under pressure. As far as I understood, this is not blowing off the fallopian tubes, but something
Posted March 8, 2013 – 15:49
Hydro ultrasound (UZGSS) was done to eliminate the tubular factor. I have fibroids – already 4 years. For 2 years, I never got pregnant. Therefore, decided to remove fibroids. On laparoscopy, I was cleaned with myoma, they checked the patency. Generally, laparoscopy removes external adhesions, internal adhesions in the tubes – they do not touch. They simply diagnose – Infertility of tubal genesis, pipes are impassable. Therefore, when it is written that pipe flotation is restored on lapar – I wonder how? There it is just checked. They gave birth to pregnant for half a year (with impassable tubes), then to IVF. They said – maybe there was a spasm of pipes. A girl from a nearby ward was doing a blow-out of pipes with saline solution with Longidase. I have not signed up yet, but I am going to go to her gynecologist for a consultation.
Post has been editedIalsu: March 8, 2013 – 15:52
Laparoscopy in gynecology
- Country Russia
Posted March 8, 2013 – 17:21
The pipes are NOT restored after laparis, they are restored on laparos, after which you can undergo physiotherapy in any dispensary or health center so that the body recovers faster after the intervention. And there’s no sense from the fact that you are going to blow them away, let’s reason soberly and logically: let the pipes be to you "will sell" and they will be passable, but lead to the pipes, the contractile ability must still be preserved, thanks to which the ovule will move along the tube, as well as the villi, which line the inside of the tube must not be damaged. The uterine tube is not a hose for the egg, which simply enters the uterus, but an organ whose function is to transport the egg.
ialsu (March 8, 2013 – 15:49) wrote (a):
Hydro ultrasound (UZGSS) was done to eliminate the tubular factor. I have fibroids – already 4 years. For 2 years, I never got pregnant. Therefore, decided to remove fibroids. On laparoscopy, I was cleaned with myoma, they checked the patency. Generally, laparoscopy removes external adhesions, internal adhesions in the tubes – they do not touch. They simply diagnose – Infertility of tubal genesis, pipes are impassable. Therefore, when it is written that pipe flotation is restored on lapar – I wonder how? There it is just checked. They gave birth to pregnant for half a year (with impassable tubes), then to IVF. They said – maybe there was a spasm of pipes. A girl from a nearby ward was doing a blow-out of pipes with saline solution with Longidase. I have not signed up yet, but I am going to go to her gynecologist for a consultation. To restore the permeability of the pipe by removing hydrosalpinx, for example, with preserving
Hello girls, I had an ectopic b. In July 2011. Removed the right itruba. And now exactly one year since I could not get pregnant after lapar, although the doctor said that there are adhesions in the pelvis and the left tube. And so I decided to take the direction myself in the LCD. I passed all the tests, and now I have the 4th day after lapar. There is nothing wrong with the girl in the operation. Just scared before the operation. Anesthesia was done, I felt good after anesthesia. Stomach