What Is a Septostomy?

The fallopian tube ostomy is suitable for patients with tubal umbrella obstruction (also known as hydrosalpinx). At the thinnest part of the enlarged part of the closed end of the tubal umbrella, a fiber electric knife or micro-scalpel is used to form a "T" or "M" Cut open.

Fallopian tube stoma

Fallopian tube ostomy is suitable for fallopian tube obstruction (also known as

Then use a 6-gauge needle or a thin silicone tube to insert it from the incision, slowly inject normal saline, and further check to make sure that the entire section of the fallopian tube is unobstructed.

Fallopian tube ostomy is not suitable for every patient, so we must choose the treatment method according to our own situation. One-time cure of constriction of the fallopian tube of female patients and effective prevention of re-adhesion of the fallopian tube of the patient. Experts point out that because of this surgery, the doctor's manipulation is very strict, so it is recommended that friends who want to perform this operation must go to a regular large specialist hospital for surgery. This type of tubal ostomy can quickly invert the patient's fallopian tube intima, combined with a defocused laser and low-power micro-coagulation.

(1) Use broad-spectrum antibiotics for at least 1 week. Use antihistamines as appropriate to reduce anastomosis.

(2) The postoperative fluid flow was 1 to 2 days earlier than the anastomosis.

(3) If the stent is left in place, it should be removed 10 to 14 days after the operation.

There are no major complications after ostomy, and ectopic pregnancy may occur in the long term.

Note: Proximal tubal obstruction should be done

Tubal ostomy is suitable for

Laparoscopic surgery has small wounds, small tissue damage, fast patient recovery, short hospital stay, mild postoperative pain and abdominal distension, and fast recovery of gastrointestinal function. Generally, patients can get up on the day after surgery, eat, and urinate on their own. However, there are several problems with laparoscopic recanalization of the fallopian tube. First, because the laparoscopic arm is relatively long, any small jitter will be amplified when it is transmitted to the surgical site. Fine operation is very difficult. Second, so far, the operation of a cavity mirror is a double operation, so it is very difficult to perform such a delicate operation on the stoma. For example, it takes about half an hour to sew a needle. Third, due to these factors, laparoscopic plastic surgery is impossible to perform in place and is very accurate. It is also a question to discuss the layer-by-layer combination. Fourth, is the current

Tubal ostomy is the only way to treat hydrosalpinx, but whether it is laparoscopic or open surgery, the success rate is only 20%. Why is this happening?

(1) Postpartum or postpartum infections: The patient is weak in postpartum or small postpartum constitution, and the cervical opening has not been closed properly after expansion. At this time, bacteria in the vagina and cervix may ascend the pelvic cavity; if there is still placenta in the uterine cavity, Residual membranes have a greater chance of infection.

(2)

1. The man is healthy and without infertility. Or treated or processed semen can cause pregnancy.

2. If the woman is under 35 years old who desires to give birth, those who have higher comprehensive evaluation of other test results can exceed this period.

3, gynecological examination The pelvic cavity is soft, the fallopian tube does not touch or there is a small amount of hydrosalpinx.

4. The fallopian tube was confirmed by angiography to be at the umbrella end or enlarged end, and there were no obvious changes in the fallopian tube mucosa.

1. If you are over 40 years of age, their fertility is reduced, and the chance of conception after re-unification is low. Generally, re-unification is not suitable.

2. Genital tube diseases:

Water (fluid) inspection:

The fallopian tube is connected with a tube to the examinee's uterine cavity, and 20ml of medicine is injected through the tube. The medicine is usually saline plus antibiotics. The potion flows from the uterine cavity through the fallopian tubes and finally reaches the pelvic cavity. In the process of water injection, if all 20ml of solution can be pushed smoothly without resistance, the needle tube is relaxed, and no liquid flows back into the syringe, indicating that the solution has entered the abdominal cavity through the uterine cavity and fallopian tube cavity, indicating that the fallopian tube is unobstructed; Large, more than 10ml of solution was returned to the syringe after the needle tube was relaxed, indicating that the fallopian tube was blocked; if there was resistance, most of the liquid could be injected, but only a small amount of reflux, indicating that the fallopian tube was not smooth.

Fallopian tube examination:

X-ray hysterosalpingogram can see the size and shape of the uterine cavity and the shape of the fallopian tube from the fluorescent screen and X-ray pictures.

In an unobstructed person, the image extends beyond the fallopian tube port, and the X-ray film can also see the diffusion of the contrast agent in the pelvic cavity. If there are symptoms of tubal obstruction, clearly show the site, degree and nature of tubal obstruction. This method can also identify the condition of the endometrium, tubal and pelvic tuberculosis, and is the most reliable method for diagnosing tubal patency at present.

Laparoscopy:

Inject pigment solution such as beautiful blue into the uterine cavity through the uterine catheter, and observe the laparoscopic observation of beautiful blue overflowing through the umbrella end of the fallopian tube into the pelvic cavity, which is unobstructed; Meilan fluid overflows into the abdominal cavity through the umbrella end of the fallopian tube; if the distal end of the fallopian tube is blocked (tubular abdomen and umbrella part), the umbrella end of the fallopian tube is thickened and blue stained, but no beauty blue fluid flows from the umbrella end of the fallopian tube and flows into the abdominal cavity. Can be considered blocked fallopian tubes.

At the same time, laparoscopy can directly look at the adhesions around the fallopian tube, the adhesion site, the degree of adhesion, and the anatomical relationship between the umbrella end of the fallopian tube and the ovary, and can treat the adhesion at the same time. That is, examination and treatment can be completed simultaneously. Therefore, it is currently one of the most respected methods of examination and treatment of tubal obstructive infertility.