How Is Tubal Laparoscopy

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How Is Tubal Laparoscopy
How Is Tubal Laparoscopy

Video: How Is Tubal Laparoscopy

Отличия серверных жестких дисков от десктопных
Video: Tubal Ligation Surgery 2023, February

Laparoscopic surgery (laparoscopy) is performed with obstruction of the fallopian tubes in order to restore their normal structure and excision of adhesions. It is performed using a special technique in which damage to the skin is minimal.

How is tubal laparoscopy
How is tubal laparoscopy


Step 1

Laparoscopy is performed under general anesthesia. With obstruction of the fallopian tubes, the operation is performed in several stages. A little inert gas is pumped into the abdomen to lift the abdominal wall. This manipulation is carried out using a special needle. In this case, the organs move away from each other, and the field of view for the doctor increases. Then, three small punctures are made on the abdominal skin, through which instruments and a medical device - a laparoscope - are inserted into the abdominal cavity.

Step 2

A laparoscope is a hollow tube with a video camera at one end and an eyepiece at the other. Through the eyepiece, the doctor can examine the condition of the internal organs. Often the device is connected to a video camera unit, which provides an image on the monitor screen. Tubes are inserted through other incisions, on which the manipulators are located. With their help, the doctor pushes and turns the fallopian tubes, excises adhesions, removes hydrosalpings (accumulations of fluid in the fallopian tube), ovarian cysts, foci of endometriosis, sutures incisions, etc.

Step 3

In case of obstruction of the fallopian tubes, manipulations are performed aimed at restoring the normal patency of the organ: fimbriolysis, salpingolysis, salpingostomatoplasty, salpingo-salpingoanastomosis. Fimbriolysis is the release from the adhesions of the cilia (fimbria) of the tube. They are located at the ends of the ampoule that encloses the ovary. Salpingolysis is the cutting and removal of fusion areas around the fallopian tube, as well as the elimination of existing curvatures and kinks. Salpingostomatoplasty involves cutting and forming the correct anatomical hole in the tube from the side of the ovary, if it is overgrown as a result of adhesions. Salpingo-salpingoanastomosis consists in removing the damaged section of the pipe and stitching the remaining parts.

Step 4

With laparoscopy, a tube is also transplanted into the uterus in case of obstruction at the place where it joins the uterus. Laparoscopy of the fallopian tubes is performed from the 7th day of the menstrual cycle, but no later than the 10th day before the onset of ovulation. For urgent indications, the removal of adhesions, pipes is carried out on any day of the cycle. If the adhesion occurs around the fallopian tube,

restoration of its patency is possible in 60% of cases. With the formation of adhesions inside the tube after laparoscopy, only 10% of women manage to become pregnant naturally.

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