What Is Culdocentesis?

Fallopian tube drainage is a method to check whether the fallopian tube is unobstructed and has certain therapeutic effects. Inject fluid into the uterine cavity through the catheter, and determine whether the fallopian tube is unobstructed according to the resistance of the injection, the amount of the injection, the presence or absence of reflux, and the feeling of the patient. There are methods such as laparoscopy for tubal fluid examination, hysteroscopy for tubal fluid intubation examination, and hysteroscopy combined examination. Traditional fallopian tube drainage has a very limited therapeutic effect. In some areas or hospitals with poor medical conditions, this method is still being used as a routine inspection method for diagnosing tubal patency and for treating fallopian tubes. At present conditional hospitals, this kind of examination method has been replaced by hysterosalpingogram or combined hysteroscopy.

Basic Information

Chinese name

Tubal drainage

Anesthesia

Local anesthesia

Indication

Evaluate the effects of tubal surgery and tubal obstruction

Fallopian tube anesthesia

Local anesthesia.

Preoperative preparation for tubal drainage

1. Select 3 to 7 days after menstrual cleanliness and 3 days before surgery to prohibit sex.

2. Do a gynecological examination before surgery, and take leucorrhea to check for trichomonas, fungi and cleanliness.

3. Intramuscular injection of atropine half an hour before surgery to prevent spasm.

Indications for tubal drainage

1. Primary or secondary infertility, the man's semen is normal, and the fallopian tube is suspected.

2. Examine and evaluate the effects of tubal sterilization, tubal recanalization, or tubal angioplasty.

3. It has the function of dredging the mucosa of the fallopian tube; after the fallopian tube is reopened, the solution is injected through the uterine cavity to prevent adhesion at the anastomosis to ensure the surgical effect.

Contraindications of tubal drainage

1. Acute or subacute acute inflammation of the internal and external genitalia or chronic pelvic inflammatory disease.

2. Menstrual period or irregular vaginal bleeding.

3. Severe systemic diseases, such as abnormal heart and lung function, can not tolerate surgery.

4. Those whose body temperature is higher than 37.5 twice within 24 hours.

Those who have sex in 5.3 days.

Fallopian tube drainage procedure

1. Take the bladder lithotomy position and disinfect the vulva and vagina.

2. Use a speculum to open the vagina, expose the cervix, disinfect the cervix, and the anterior and posterior fornix.

3. Use cervical forceps to clamp the front lip of the cervix and pull it out, and probe the position of the uterus and the size of the uterine cavity with a probe.

4. Insert the fluid tube into the uterine cavity and slowly inject the liquid medicine.

5. After the operation, remove the fluid tube and speculum.

Precautions for tubal drainage

1. The temperature of sterile physiological saline should be close to the body temperature, so as not to cause spasm of tubal caused by stimulation.

2. When injecting liquid, make sure that the cervical catheter is close to the external opening of the cervix to avoid leakage of liquid.

3. Pay attention when injecting liquid: The speed should be slow, it is advisable to enter at a speed of 5ml / min. Pay attention to whether the patient has lower abdominal pain and the severity of pain. If severe abdominal pain occurs, pay attention to whether the fallopian tube is ruptured. Avoid injecting pressure too high, in order to prevent the patient from serious vagus nerve reflex and heart rate slow down, blood pressure and so on.

Nursing after tubal drainage

1. Prohibit sexual life and tub bath within 2 weeks after operation, and use antibiotics as appropriate to prevent infection.

2. After fluid flow, if there is severe lower abdominal pain, the fallopian tube effusion may be ruptured and should be closely observed. If internal bleeding is suspected, a B-ultrasound or posterior fornix or lower abdomen puncture may be performed to confirm the diagnosis and take proactive treatment.

3. When the operation time is close to the menstrual period, the endometrium is easy to peel off and enter the cavity. Therefore, long-term follow-up should be performed after the fluid flow to check for endometriosis.

4. If you have a pregnancy request, it is recommended to prepare for pregnancy 3 months after the fluid flow.