Laparoscopy of the fallopian tubes
Surgery until recently, was accompanied by a significant dissection of the tissue of the patient with subsequent elimination of the pathology that caused the need for surgery. Laparoscopy – minimally invasive method for the diagnosis and treatment of various diseases of internal organs, has been used successfully in medicine and other fields of medicine.
What is laparoscopy
This malotravmiruth method is used in case of difficulties or doubts in the diagnosis. Most often, the tests or other diagnostic measures do not give a complete picture of what is happening inside the body, then to determine the cause of the disease is the optical examination of the internal organs using a special device.
Laparoscopy of the fallopian tubes is widely used to determine causes of female infertility and other pathological processes that take place inside the reproductive organs. Indications for laparoscopy the following:
- resection of cysts and ovarian tumors;
- removal of benign tumors in the uterus;
- dissection of adhesions;
- ectopic pregnancy;
- endometriosis genital organs and abdomen;
- diagnosis of various pathologies, leading to infertility;
- preparation for artificial insemination.
Diagnosis of tubal patency
This method is used to detect a wide range of pathologies of the reproductive system and peritoneum. Diagnostic laparoscopy obstruction of the fallopian tubes by means of endoscopic tools, making the specified manipulation is practically bloodless and painless. However, preparations to implement the procedure fully duplicates the previous stage of any operation.
The attending physician usually prescribes a full examination of the patient with possible cardiovascular and other pathologies. Laparoscopy for infertility is a required element for diagnosing possible reasons for the lack of women’s ability to conceive. For the study of the fallopian tubes are the following contraindications:
- severe disease of the heart and blood vessels;
- acute infectious diseases;
- pathology of kidneys or liver;
- the second trimester of pregnancy;
- purulent peritonitis;
- a state of shock.
Minimally invasive surgery is usually preceded by diagnostic measures, which identify the main causes of the disease. Often, when optical examination of the internal organs of the decision on the further removal of pathological phenomena. For these purposes, is assigned to laparoscopic surgery. With this kind of surgery, the doctor removes the abnormal changes in the genital organs of the female. Laparoscopy of the tubes is assigned to the following grounds:
- internal bleeding;
- genital endometriosis;
- pain in the lower abdomen of unknown nature;
- torsion legs cysts or rupture;
- developmental pathology of the reproductive organs;
- tumors of the uterus, ovaries;
- obstruction of the fallopian tubes;
- apoplexy of the ovary;
- suspected inflammatory diseases of small pelvis;
- acute purulent peritonitis;
- ectopic pregnancy.
How to check the patency of the fallopian tubes
Minimally invasive methods of surgery involve anesthesia of the patient with General anesthesia. As a result, laparoscopy tubal ligation should be preceded by proper training, which is the delivery of blood and urine tests, ultrasound of abdomen, echocardiogram. Before the procedure is carried out step predication, prepares the patient for the forthcoming General anesthesia. However, to implement a laparoscopy of fallopian tubes with the help of local anesthesia.
Manipulation begins with the fact that with the help of the Veress needle or the trocar makes 3-4 puncture of the abdominal wall. Through a puncture in the navel area is insufflation (injection) of carbon dioxide inside. In the resulting hole introduced the necessary tools. If all diagnostic measures for infertility is promoalenas that provides for the flow of methylene blue through the cervical canal into the uterine cavity. As you fill the fallopian tubes with a dye explores a woman’s ability to conceive.
Rehabilitation after laparoscopy
Recovery from laparoscopy is much easier than after traditional intervention. In contrast to the classical methods of surgery bed rest after the operation adheres to 1-2 days. The healing puncture happens quickly and requires prescription painkillers. The seams are made incisions are removed after 2 weeks after laparoscopy. Immediately after invasive procedures is recommended to limit the use of products that cause excessive gas.
Complications after laparoscopy
It should be remembered that even a minor intervention in the human body often leads to various consequences. Complications can occur during laparoscopy or manifest later during the rehabilitation period. High qualification of operating crews often completely eliminates the possibility of the first. However, in the postoperative period to look after themselves should the patient. There are often complications of this nature:
- redness surrounding the wound sites (redness);
- purulent or blood discharge from the puncture;
- pain in the abdomen;
- the increase in temperature.
How long after a laparoscopy can you get pregnant
Doctors recommend scheduling the child’s conception immediately after rehabilitation. Pregnancy after laparoscopy are more likely to occur within 2-3 months. Along with that, a woman must constantly watch for changes in your body. When partial obstruction of the fallopian tubes can occur with an ectopic pregnancy that requires immediate invasive intervention.
Period after laparoscopy in compliance with all rules of asepsis and antisepsis should occur at the usual time. However, within 2-3 months there may be some deviations. Long disorder of the menstrual cycle after the laparoscopy requires monitoring by a doctor. Such symptoms usually indicates that the procedure has been performed without complying with the necessary safety measures.
How much is a laparoscopy of fallopian tubes
Specified minimally invasive surgery requires a large financial cost to the patient. The final cost of laparoscopy obstruction of the fallopian tubes depends on the objectives of the operation and use of drugs. Average price invasive surgical procedures to diagnostic studies to verify the patency of the fallopian tubes is around 25-30 thousand. g. Optical examination of the abdominal cavity with subsequent elimination of the causes of pathology will cost 50 thousand G.
Video: What is laparoscopy in gynecology
Svetlana, 28 years: After many futile attempts to get pregnant decided to test a tube using laparoscopy. The procedure was performed under General anesthesia, so no pain was not. The main advantage of laparoscopy is the lack of huge joints and wounds. Besides, sex is allowed after a few weeks.
Olga, 30 years: been through this procedure about 2 years ago. Overall, the manipulation did not cause any negative emotions. Good heart surgeon explained everything before the surgery so no feeling of fear was not. A little lingering left preparing for a laparoscopy. All has passed very successfully. Soon turned out to be pregnant and give birth to a beautiful baby boy.
Catherine, 25 years: Reason for surgery was the discovery of ovarian cysts. To remove it I had to settle for a less traumatic method of surgical intervention. The operation was successful, wounds from punctures healed quickly. A month later fully recovered, felt good and even went back to work.