输卵管腹腔镜手术

Falloposcopy

                               
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Falloposcopy is the actual inspection of the fallopian tubes via a micro- endoscope. The actual falloposcope is put into the tube via it's opening within the uterus in the proximal tubal starting through the utero-tubal junction; officially it might be also inserted during the time of abdominal surgery or laparoscopy through the distal fimbriated end. The very first contemporary falloposcope which was referred to had been the actual coaxial system by Kerin within The early 70's. Later on the actual linerar-everting catheter (LEC) system was introduced.

The coaxial falloposcope is an microendoscope associated with 0.5 mm diameter that is versatile and possesses optical and lighting fibers; it has a magnifying capability. The actual coaxial program needs a hysteroscope because of its uterine passing. In comparison, the LEC system consists of a exterior unfurling ballon catheter by having an internal endoscope which is used transcervically with no need for any hysteroscope

It has been contended which falloposcopy allows for a more accurate evaluation of the tubal channel. Interferences, adhesions inside the tubal channel, and debris can be recognized. The procedure enables removal of debris or even filmy adhesions from within the fallopian tube, additional within selected instances proximal tubal blockage could be overcome and the tube could be recanalized allowing for pregnancy. Proximal tubal closure has additionally been conquer by utilizing hysteroscopy along with tubal canalization using a catheter, not really a falloposcope. Considerable tubal blockage, nevertheless, can't be conquer by falloposcopy as well as might require tubal surgical procedures or within vitro fertilizing (IVF) to be overcome to attain a being pregnant.

Not being able to entry fallopian tubes easily as well as non-surgically significantly affects accurate proper diagnosis of the tubes' wellness. The falloposcopy is really a technology seeking the less unpleasant manner to produce a much more accurate diagnosis. The falloposcope is really a fallopian pipe microendoscope. Utilized in addition to the hysteroscope, laparoscope or even catheter dependent program, falloposcopes imagine the actual fallopian pipes to diagnose possible disorders.

Causes for fallopian pipe disorders, which induce 20-25 percent of the inability to conceive cases, consist of proximal as well as distal tubal congestion, which can be brought on by an infection, irritation or endometriosis. Other leads to include scar tissue and adhesions. All in all, any distortions or even constraint of pipe may prevent an egg and semen from conference.

Simply because fallopian pipes are very delicate, narrow, tortuous, and hard to access, present non-surgical techniques for figuring out fallopian tube illnesses and problems often don't adequately or precisely delineate the character, degree and placement of tubal pathology. Most doctors depend on 2 tests to identify the inability to conceive: hysterosalpingography (HSG) and analysis laparoscopy.

According to some industry experts HSG is often painful as well as highly inaccurate, along with false positive results in as many as 40 percent of HSG-diagnosed instances of proximal tubal occlusion (PTO). Clapboard as well as coloring has a 20 in order to 40 % price of fake good diagnosis of proximal tubal occlusion.

It's after that , an even more compact fiber optic endoscope is actually threaded through the catheter, to the fallopian tube. Came from here, the your own fallopian pipes could be examined on the monitor that a digital camera is connected on the outside end from the fallopscope.

This process takes between 30 to forty-five minutes to perform. The falloposcopy is sometimes followed by tubal rebuilding surgical treatment, that extends time to 1 - 2 hours.

The advantages of having one of these process done can be determined from the numerous irregularities it detects from the fallopian tubes. These types of abnormalities consist of blockage of the pipes, scar tissue, as well as harm to the inner lining. Your physician can start therapy immediately once specific abnormalities if any tend to be found. If determined which damage is simply too severe it is then that Within Vitro Fertilization is recognized as to be the following reasonable action.

1 in 6 partners need investigation or treating subfertility. Traditional analysis associated with subfertility in females frequently includes a test of the fallopian tubes utilizing hysterosalpingography (a good X-ray check) or even laparoscopy along with dye injection to check the patency from the Fallopian tubes. Much more rarely salpingoscopy is conducted. This is actually the examination of the within the fallopian pipes in the external fimbrial finish, from laparoscopy or even laparotomy.

Falloposcopy is really a method that allows direct inspection from the within the fallopian pipes. The actual fallopian tubes are approached through the cervix and uterus.

There are two main kinds of falloposcope:

• Coaxial as well as
• Linear everting catheter.
  

The coaxial method entails placing a narrow catheter over a guidewire with the cervix and uterine hole to the fallopian tubes. The actual doctor then passes an adaptable endoscope with the catheter. Coaxial falloposcopy is generally carried out under nearby anaesthetic as well as moderate sleep or sedation.