What complication can after blowing the fallopian tube. Study of the patency of the fallopian tubes. Ultrasound of the fallopian tubes

I don’t have my own experience, but two of my friends have tube obstruction, so I’ll tell you what I know. As for laparoscopy, the operation helps a certain percentage of women, but here it must be clearly understood that this measure is temporary, the adhesions are removed for 2-3 months, and then grow back again. A friend did in March 2009, still not pregnant. What is the danger of this procedure, more precisely, the danger hidden after, the internal structure of the pipe is violated. The tube inside is a mucous layer lined with ciliated epithelium, and so during laparoscopy this layer is broken, foci-islets are formed on the walls of the tube without it, and if, when moving to the uterus, a fertilized egg falls on such an island, an ectopic pregnancy will develop.

On the pages of the Children of Mail.Ru project, comments that violate the laws of the Russian Federation, as well as propaganda and anti-scientific statements, advertising, insults to the authors of publications, other participants in the discussion and moderators, are not allowed. All messages with hyperlinks are also deleted.

pipe blowing. who had?

3. Guest | 05.07.2012, 08:59:53

Girls, you say some nonsense: "pipe blowing", "pipes clogged", "plugs in pipes". These are not water pipes to be blown out or plugs to be blown out. Now they do an HSG, a radiopaque substance is injected into the uterine cavity under pressure and x-rays are taken, they look at the patency of the tubes. If there are small adhesions, then the liquid will "blow" them, and if the pipes are impassable - laparoscopy.

blowing out the fallopian tubes is:

blowing the fallopian tubes - the introduction of air under pressure through the uterine cavity into the fallopian tubes in order to restore their patency.

See what "blowing the fallopian tubes" is in other dictionaries:

Pertubation- I Pertubation is a method for studying the patency of the fallopian tubes by introducing carbon dioxide, air or oxygen into them through the uterine cavity. Used in & ... Medical Encyclopedia

pertubation- see Blowing out the fallopian tubes ... Big Medical Dictionary

FALLOPIAN TUBES-, or oviducts are paired, 10-12 cm long, approximately cylindrical muscle tubes, directly outgoing & ... Big Medical Encyclopedia

INFERTILITY FEMALE- honey. Female infertility The inability of a woman to conceive at childbearing age. In 95% of cases, in a healthy woman who wants to have a child, pregnancy occurs within 13 months. Terminology. Absolute infertility pregnancy is completely excluded & ... Disease Guide

salpingitis- inflammation of the Fallopian tube; the disease is most often of bacterial origin; the reasons may be of a mechanical nature, trauma, violent coitus, etc., as well as the chemical ingress of medicinal substances into the pipes during ... Big Medical Encyclopedia

INFERTILITY- INFERTILITY, the inability of a mature organism to produce offspring. B.'s cause may be abnormalities either in the gonads or in the genital tract. B. is observed as in the case when abnormalities occur only in a man & ... Big Medical Encyclopedia

Forum about health and beauty

Blowing adhesions in the fallopian tubes

The fallopian tubes, which are responsible for transporting sperm and eggs, can become blocked, often causing infertility. And blowing out adhesions in the pipes used to be regularly used as a method of treating obstruction.

Now more modern and less traumatic methods are used - physiotherapy in mild cases and laparoscopy in severe ones.

However, the effectiveness of even surgical intervention depends on the location of the adhesions - inside or outside the tubes, on the degree of damage to the tubes, on the possible presence of an inflammatory process or infection.

Pertubation or blowing of adhesions is practically not used due to complications such as tubal overstretching and exacerbation of inflammation. And failure after the first laparoscopy automatically excludes re-intervention.

It consists in introducing air into the uterine cavity with the help of s.

Blowing out the fallopian tubes

Consists of introducing air into the cavity uterus With help yu special devices. If the pipes are passable, the air from uterus enters the abdominal cavity, as judged by the readings of the device and some symptoms. If these signs are absent, obstruction of the fallopian tubes can be assumed.

For pertubation, the Mandelstam device is the simplest.

The plant "Krasnogvardeets" produces an apparatus, with help which establishes the patency of the fallopian tubes with simultaneous recording of their contractile activity.

Pertubation of the fallopian tubes requires compliance with precautions, asepsis rules and the following conditions: bacterioscopy is mandatory before the study, I-II degree of vaginal cleanliness, the absence of acute, subacute or exacerbation of chronic inflammatory diseases genitals, exclusion of menstrual and premenstrual periods.

Contraindications to pertubation: 1) III-IV degree of purity of the vagina; 2) colpitis, endocervicitis, erosion, acute and subacute inflammatory diseases of the internal genital organs; 3) the presence of bloody discharge; 4) tumors uterus and its appendages; 5) suspicion of pregnancy.

Pertubation is performed in position sick on the gynecological chair after emptying the bladder.

A set of necessary tools: vaginal mirrors, bullet forceps, tip, forceps, sterile material, alcohol, tincture of iodine.

With passable fallopian tubes, air enters the uterus and abdominal cavity at a pressure in the system of 75 mm Hg. Art. If the lumen of the fallopian tubes is narrowed, the air passes at a pressure of 100-125 mm Hg. Art. With obstruction of the fallopian tubes, the pressure in the system rises to 150 mm Hg. Art. which is the limit, since with further air injection, a pipe rupture may occur.

During pertubation, it is necessary to monitor the condition sick- and signs indicating the patency of the fallopian tubes: 1) if the tubes are passable, the air pressure in the system decreases and the pressure gauge needle drops; 2) during auscultation of the abdomen in the inguinal regions, one can catch the characteristic sound that occurs when air passes through the fallopian tubes; 3) there is pain in the collarbone; 4) the kymographic curve first rises, and then falls as air passes into the abdominal cavity. The absence of these signs indicates obstruction of the fallopian tubes.

Pertubation is a simple manipulation, safe if all the above rules are observed.

SPHERES IN PIPES

Adhesions in the fallopian tubes cause them to become blocked, resulting in infertility and an increased risk of ectopic pregnancy. They are diagnosed in a quarter of women who cannot become pregnant. Adhesions displace the uterus, fallopian tubes, ovaries. As a result, contact between the tube and the ovary is lost, fertilization does not occur, because the egg simply cannot get into the lumen of the tube and meet the sperm.

One of the factors contributing to the development of adhesions in the fallopian tubes is inflammation that occurs against the background of sexually transmitted infections - gonorrhea, mycoureaplasmosis, chlamydia, etc.

Complicated childbirth, abortion, and the use of intrauterine contraceptives can provoke inflammation in the fallopian tubes. In addition, the cause of the formation of adhesions in the fallopian tubes becomes adnexitis, salpingitis, endometriosis. The higher the degree of spread of endometriosis, the greater the likelihood of adhesions in the fallopian tubes.

Chronic salpingitis is a chronic inflammatory disease of the fallopian tubes, which often leads to impaired patency and, as a result, to ectopic pregnancy and infertility. Risk factors include: sexually transmitted infections, spirals, manipulations in the uterine cavity, previous acute inflammation of the uterus or appendages. Chronic salpingitis is often asymptomatic, which is the reason for its late diagnosis and the development of complications.

Surgical interventions for the removal of the appendix, uterine fibroids, endometrial polyps, ovarian cysts, and ectopic pregnancy also play a role in their occurrence.

Sources: deti.mail.ru, www.woman.ru, dic.academic.ru, www.nedug.ru, morehealthy.ru, www.togynecologydoct.ru, www.women-medcenter.ru

The uterine or fallopian tubes play a central role in the fertilization and transport of the egg to the uterine cavity. Therefore, many women who are trying to get pregnant often face the problem of obstruction of the fallopian tubes, as a result of which the long-awaited pregnancy simply does not occur.

Causes and diagnosis of obstruction of the fallopian tubes

The fallopian tubes are a paired organ, which is 1-1.2 cm long and not more than 0.5 cm in diameter. If they do not realize their main function, the egg cannot enter the uterus and pregnancy will not occur. In order to find out whether you have this problem or not, the doctor conducts a special examination. They look at the fallopian tubes for patency by salpingography using a special scanner that can accurately determine the condition of the fallopian tubes. Many factors can lead to such a disease: abortions, as well as their consequences, past viral and infectious diseases, hormonal disruptions, gynecological interventions. Women with this disease may not experience any discomfort, so you should regularly undergo examinations with a specialist who can identify the pathology in time and prescribe the right treatment.

In medicine, complete and partial obstruction of the fallopian tubes is distinguished. With complete obstruction, the sperm cannot get to the egg, and with partial obstruction, it will fertilize the egg, but it will not be able to enter the uterine cavity, then there is a high probability of an ectopic pregnancy. As we can see, in both cases, a normally proceeding pregnancy cannot occur. Therefore, doctors use the method of blowing the fallopian tubes, which can eliminate the root of the problem.

Blowing of the fallopian tubes is carried out in the middle of the cycle. There are two methods of blowing the fallopian tubes: gas (pertubation) and liquid (hydrotubation). Before this, the patient must pass the necessary tests to exclude infectious, viral diseases, as well as to monitor the dynamics of the general condition of the woman. It should be noted right away that the procedures are not very pleasant, but almost painless.

Before cleaning the fallopian tubes with gas, the patient must empty the bladder, and she is also given a cleansing enema. It is very important to pay due attention to disinfection, for this, with the help of alcohol and iodine, the genitals, the cervix and its pharynx are treated. Then, with the help of gynecological forceps, the cervix is pulled out and a special tube is inserted, which serves as a pump. Through it, air is supplied to the uterus, so the doctor can accurately determine whether you have an obstruction or not. The blowing of the fallopian tubes is always carried out at an air pressure of no more than 150 millimeters, since at a higher pressure there is a high probability of injury to the tubes or even their ruptures.

Cleansing of the fallopian tubes with liquid is carried out from the 8th to the 24th day of the menstrual cycle. Before the procedure, the same manipulations are performed as during pertubation: cleansing of the bladder and intestines, as well as thorough disinfection. Then the doctor, using a syringe or a special apparatus, injects a solution of sodium chloride into the uterine cavity. If the pipes are in good condition, the solution enters easily and does not spill out when the tip is removed. If there is obstruction of the fallopian tubes, then the fluid will pass very slowly or not at all, pouring out of the tip.

When blowing through the fallopian tubes by hydrotubation, it is very important to take into account the indicators of uterine pressure. If the pressure starts to drop at 60 mmHg, then the tubes are completely patency, if the pressure drops at 150 mmHg, there is a partial obstruction of the fallopian tubes, and if the pressure does not drop at all, the tubes are impassable. After the procedure, inflammatory processes and possible infectious diseases are prevented; for this, sterile solutions of lidase, antibiotics, proteolytic enzymes or proteases, and glucocorticoids are injected into the uterine cavity. If you have been found to have a complete blockage of the tubes, your doctor will suggest that you undergo treatment. It may take three to eight purges until the fluid flows easily through the pipes without spilling out.

Also, before the procedure, you should be warned about possible side effects: exacerbations of inflammatory processes, rupture of the fallopian tubes, embolism, which, as you know, is fatal in 90% of cases. Therefore, it is very important to take into account all contraindications before cleaning the fallopian tubes and carefully consult with a specialist.

Contraindications to blowing the fallopian tubes

Naturally, like any medical intervention, blowing the fallopian tubes has its contraindications. The procedure cannot be carried out with:

exacerbation or treatment of inflammatory processes;
erosion of the cervix;
infectious diseases (candidiasis, influenza, measles, tonsillitis, dysentery, toxoplasmosis, staphylococcal and streptococcal infections, etc.);
cardiovascular diseases;
high or low body temperature;
less than 60 days after mud treatment;
inflammatory diseases of the genital organs (colpitis, vulvitis, bartholinitis, cervicitis, endocervicitis, endometritis, salpingitis, salpingoophoritis, adnexitis, myometritis, etc.);
benign and malignant formations in the pelvic cavity;
leukocytosis;
alleged pregnancy;
menstrual period and a week before and after it;
bloody discharge from the vagina.

Also, obvious contraindications to blowing the fallopian tubes are intolerance to the medications necessary for the procedure.

Blowing of the fallopian tubes can be prescribed and carried out by specialists, both in stationary and outpatient settings. Subject to all the necessary rules, the procedure gives very good results and completely restores the functionality of the fallopian tubes.

The adhesive process occurs as a result of chronic inflammation of the female genital area. Often it is the cause of female infertility. In this case, there is a complete or partial obstruction of both or one pipe. This does not allow the sperm to fertilize the egg, as a result - the impossibility of pregnancy.

To date, medicine offers four ways to cleanse the fallopian tubes: hydroturbation, laparoscopy, fertiloscopy, recanalization. The attending physician will select a method based on the individual characteristics of the organism and the degree of the disease. For many years, hydroturbation has been used in the domestic - this is a method of cleaning the fallopian tubes, in which a woman is washed with a syringe through the vagina with a solution of the tube. However, in recent years, the effectiveness of this method of cleaning pipes has been questioned, because now laparoscopy has become more popular.

Laparoscopy is a modern and less traumatic way to clean the fallopian tubes. Its essence is that the doctor makes three small punctures on the peritoneum. Through them, formations leading to the formation of an adhesive process are excised with small instruments, and the fallopian tubes are cleaned. The fallopian tubes are then sutured. The patient is under general anesthesia during the procedure. The positive aspect of this method is that after the operation the patient quickly recovers and returns to active life. This is the most common way to clean the fallopian tubes today.

Fertiloscopy is similar to laparoscopy. The main difference between these operations is that during fertiloscopy, the instruments are inserted through the vagina. Thus, the doctor cleans the fallopian tubes of a woman.

With partial damage to the fallopian tubes

Recanalization is used for women in whose tubes the inflammatory process is not running. A feature of recanalization is that a catheter moves through the fallopian tubes, separating the soldered sections of the tubes. On average, the procedure takes about half an hour. A woman does not require observation in a hospital, she can immediately go home.

It is worth saying that often a woman undergoes cleaning of the fallopian tubes not once, but several times. This is due to the resumption of the inflammatory process in the pipes. To reduce the risk of secondary adhesion formation after cleaning the fallopian tubes, physiotherapy is prescribed.

Almost every woman who is faced with the problem of obstruction wonders how the blowing of the fallopian tubes and pregnancy are combined.

You should not worry, often fertilization can occur in the near future if partial obstruction with a small number of adhesions has been diagnosed. If the doctor has diagnosed a complete obstruction, blowing will not help.

In this case, it is worth consulting with a specialist who will recommend either continuing treatment or artificial fertilization.

However, it is worth remembering that if it was not possible to get pregnant after the elimination of incomplete obstruction, you should consult a doctor again, since the problem is not in it. Thus, if blowing could eliminate the problem of infertility, pregnancy will not be long in coming.

Purge of the fallopian tubes is a common operation to restore the reproductive ability of a woman. Suitable for both diagnosing pathology and its elimination.

Diagnosis of adhesions in the fallopian tubes

It, having passed through the fallopian tubes, should be in the abdominal cavity. During the procedure, a series of pictures are taken that display the condition of the fallopian tubes. The procedure can be carried out both with the use of X-ray equipment and with the use of an ultrasound machine.

In the second case, a sterile saline solution is used as a fluid that fills the uterus and appendages, and not a contrast agent. It is worth considering that these manipulations only make it possible to clarify the fact of the presence of an obstacle, but do not make it possible to assess its nature.

Therefore, a number of additional studies may be required, including:

Ultrasound of the pelvic organs.

Bacteriological examination of vaginal discharge, PCR and ELISA smear. These methods make it possible to detect infectious agents that can provoke an adhesive process.

Diagnostic laparoscopy with the introduction of a contrast agent. This study allows you to evaluate the shape and size of pipes, identify the presence of defects and eliminate them.

Blood test for hormones.

Adhesions in the fallopian tubes are a common reason that a woman is diagnosed with tubal-peritoneal infertility. Despite the fact that this problem has been thoroughly studied, and doctors are taking all measures to combat the formation of adhesions, the incidence of this pathological process is not declining. The situation is aggravated by the fact that not every woman who has undergone surgery on the pelvic organs is aware in advance that the intervention is associated with the subsequent formation of adhesions.

Adhesions in the fallopian tubes are thin threads that are overgrown connective tissue. These strands are formed against the background of inflammatory diseases of the genital organs or after surgical procedures. Adhesions can extend from the fallopian tubes and attach to other organs of the small pelvis, or to the peritoneum. The presence of adhesions is a direct obstacle to pregnancy.

The fallopian tubes are located between the uterus and the ovaries. On the inner surface of each tube there are fimbriae that capture the egg and move it to the very cavity of the uterus. The contraction of the muscles of the fallopian tubes promotes the movement of sperm along them. Having met with the egg, it fertilizes it, and the fallopian tubes deliver the fetal egg to the uterus, where it attaches and begins its development. If the functionality of the fallopian tubes is broken, then the sperm will not meet with the egg.

With partial obstruction of the fallopian tubes, the sperm can still fertilize the egg. At the same time, the fetal egg, encountering an obstacle on the way, lingers in the fallopian tube and begins its development in it. As a result, the woman develops an ectopic pregnancy, which requires surgical intervention.

Adhesions are one of the most common causes leading to complete or partial obstruction of the fallopian tubes. Moreover, even small adhesions can become a serious obstacle to pregnancy.

The prevalence of adhesive obstruction of the fallopian tubes is caused by a constant increase in indications for operations, an increase in the number of hormonal disorders, as well as an abundance of sexually transmitted infections.

The treatment of adhesive disease is a complex and lengthy process that requires patience from both the doctor and the patient. However, if a woman is determined to become a mother, then she should make every effort to get rid of adhesions of the fallopian tubes.

Reasons for the formation of adhesions in the fallopian tubes

Before considering the causes of adhesions in the fallopian tubes, you should familiarize yourself with the mechanism for the development of the adhesive process. The fallopian tubes are covered on the outside by the visceral peritoneum, and the abdominal cavity itself is lined from the inside with parietal tissue. These layers have a smooth surface and secrete a certain amount of fluid, which allows the organs to move freely relative to each other.

If there are causes leading to the formation of adhesions, then the fallopian tubes and other organs involved in the pathological process become edematous. A sticky fibrin coating appears on their surface. It is he who contributes to the fact that the organs located next to each other are interconnected. When the inflammatory process has a long course or becomes chronic, then adhesive strands form in place of the glued surfaces. In this way, the body reacts to inflammation and prevents its further spread. Nevertheless, the formation of adhesions cannot be considered a normal physiological phenomenon, since it is both pathological and protective in nature.

When the infection enters the fallopian tubes, exudate begins to accumulate in them. With adequate therapy, it resolves and does not lead to the formation of adhesions. However, situations are not uncommon when this exudate becomes purulent and spreads throughout the tube. It is able to pour into the peritoneal cavity with the loss of fibrin. This provokes blockage of the abdominal opening of the fallopian tube with adhesions.

Further progression of the pathological process leads to the fusion of opposite surfaces of the pipe with each other through partitions. Often adhesions glue the fallopian tubes with the uterus, oviduct, ovary, intestines, omentum.

So, doctors consider the inflammatory process to be the main reason for the formation of adhesions in the fallopian tubes, although other factors also influence the growth of strands, including:

Mechanical impact on the fallopian tubes, namely, surgical interventions. In this regard, surgical abortion, ovarian resection, myomectomy, hysteroscopy, intrauterine contraception, IVF attempts, etc. are dangerous. Statistics show that 50% of women who have undergone gynecological operations develop adhesions. The risk of their formation is increased by such factors as profuse blood loss, the addition of a purulent infection, and the long duration of the operation.

Passage of laparoscopy of the genital organs. No matter how carefully the procedure is carried out, it is almost impossible to avoid trauma to the serous membrane of the peritoneum. Therefore, even this operation is capable of triggering the formation of adhesions, which, ultimately, can block the lumen of the fallopian tubes.

Difficult childbirth can result in the formation of adhesions. At the same time, the connecting cords grow in the uterine cavity, reach the fallopian tubes and block the entrance to them. The operation of a caesarean section, as well as multiple ruptures during the delivery process, are the main factors that lead to the growth of connective tissue strands.

Dangerous injuries of the pelvic region, accompanied by rupture of the ovarian cyst. In this case, external adhesions are able to attach to the wall of the fallopian tube and block its lumen.

Significance in the pathogenesis of the formation of adhesions are infections sexually transmitted: syphilis, mycoplasmosis, etc. No less dangerous is genital tuberculosis, which leads to deformation of the tissue structure and the formation of obstruction of the fallopian tubes due to adhesions and scars.

Inflammatory diseases of the reproductive system non-infectious nature, for example, salpingitis is another cause of tubal obstruction.

Reasons that rarely lead to the formation of adhesions- these are hormonal disruptions and irradiation of the genital organs in order to treat cancer.

The number of transferred inflammatory processes directly affects the risk of developing adhesions in the fallopian tubes.

The statistics are as follows:

Single inflammation of the fallopian tubes - the risk of adhesion formation is 12%.

Double transferred inflammation - the risk increases to 35%.

Three episodes of inflammation of the appendages - the risk of adhesions in the fallopian tubes is 75%.

Symptoms of adhesions in the fallopian tubes

The presence of connecting strands in the fallopian tubes may not give itself away. The fact is that this pathological process does not affect the well-being of a woman. It is possible to suspect adhesive disease of the fallopian tubes only when pregnancy does not occur for a long time (a whole year) in the absence of contraception. Although with partial patency of the fallopian tubes, conception can still occur.

If the patient suffers from acute or chronic inflammation of the appendages, then the clinical signs of the existing disease come to the fore. They can be diverse and depend on the specific pathology. However, the inflammatory process against the background of formed adhesions will always be reflected in painful sensations in the lower abdomen. Pain can be both moderate and quite pronounced. They tend to increase during intimacy and physical activity.

It is not excluded a change in the nature of vaginal discharge. They may contain pus, mucus. The volume of secretions, even without pathological impurities, increases.

Other signs indirectly indicating the adhesive process:

Periodically occurring pain in the lower abdomen;

Exacerbation of discomfort during mechanical irritation of the uterus, during the next menstruation;

Increase in the volume of vaginal discharge;

Hypomenstrual syndrome with scanty discharge, which are observed for a long time;

The menstrual cycle may become unstable, menstruation will be absent for a long time;

All symptoms occur against the background of normal body temperature.

An ectopic pregnancy can also be an indirect sign of adhesive disease of the fallopian tubes. Therefore, after the first such case, it is imperative to check the remaining pipe for patency.

Complications of the adhesive process of the fallopian tubes

Violation of the function of reproduction is the main complication of the presence of adhesions in the fallopian tubes. A woman may become infertile or unable to bear a child. The basal layer of the endometrium is damaged, which will prevent the fertilization of the egg, or cause difficulties with the implantation of the embryo.

A third of patients, even with successful conception and gestation, face certain problems during the delivery process. These difficulties are associated with the development of bleeding in the postpartum period.

Failures after IVF can also be caused by adhesions in the tubes and uterus.

Another complication of adhesions in the fallopian tubes is the occurrence of chronic pelvic pain, which worsens a woman's quality of life and contributes to the development of neuroses.

Diagnosis of adhesions in the fallopian tubes

To assess the patency of the fallopian tubes, a woman must undergo a hysterosalpingography procedure. This study boils down to the fact that a contrast agent is injected into the uterine cavity through the cervical canal. It, having passed through the fallopian tubes, should be in the abdominal cavity. During the procedure, a series of pictures are taken that display the condition of the fallopian tubes. The procedure can be carried out both with the use of X-ray equipment and with the use of an ultrasound machine. In the second case, a sterile saline solution is used as a fluid that fills the uterus and appendages, and not a contrast agent. It is worth considering that these manipulations only make it possible to clarify the fact of the presence of an obstacle, but do not make it possible to assess its nature.

Therefore, a number of additional studies may be required, including:

Ultrasound of the pelvic organs.

Bacteriological examination of vaginal discharge, PCR and ELISA smear. These methods make it possible to detect infectious agents that can provoke an adhesive process.

Diagnostic laparoscopy with the introduction of a contrast agent. This study allows you to evaluate the shape and size of pipes, identify the presence of defects and eliminate them.

Blood test for hormones.

If necessary, a woman can be referred for a consultation with an endocrinologist, oncologist, reproductologist.

Treatment of adhesions of the fallopian tubes

Adhesions of the fallopian tubes cannot be cured with the help of medical correction. It can be carried out only in order to eliminate the pathological processes that provoked the formation of connective tissue strands.

When an inflammatory disease is diagnosed in a patient, she is shown taking antibiotics and anti-inflammatory drugs, depending on the type of infectious agent. In case of hormonal imbalances and endometriosis, hormonal preparations are prescribed. Vitamin complexes are used to strengthen immunity.

Physiotherapeutic techniques contribute to the softening of adhesive strands and make it easier to carry out an operation to remove them. For this purpose, mud treatment, gynecological massage, enzyme therapy methods of exposure are used. A procedure such as electrophoresis enhances blood circulation in the pelvis. During the treatment, vitamin B, lidase and zinc are used.

Hirudotherapy, that is, treatment with leeches, can also be recommended for the adhesive process. In combination with other medical measures, this procedure gives a good effect and promotes the resorption of many small adhesions. The saliva of leeches contains special substances that make the strands mobile and elastic, and destroy existing scars.

Laparoscopy of the fallopian tubes is an effective method for removing adhesions. During the procedure, the doctor can see and dissect all formed strands. The procedure is performed under general anesthesia in a hospital setting.

As for the effectiveness of the technique, it depends on the prevalence of adhesions in the fallopian tubes. With complete obstruction, even an operation does not achieve a positive effect, since it will not be possible to restore the normal mobility of the ciliated epithelium of the tubes.

Another surgical method for treating adhesions of the fallopian tubes is to blow them with a saline solution with the addition of drugs or carbon dioxide. The procedure is called perturbation (blowing with gas) or hydroturbation (blowing with liquid). However, this method is associated with a number of complications and does not allow to achieve the effect in the presence of large adhesions in the fallopian tubes.

It is worth considering that even surgical removal of adhesions in the fallopian tubes does not guarantee that the tubes will be passable in the future. Therefore, doctors recommend that many patients do not waste time on operations and immediately resort to the in vitro fertilization procedure. It should be performed for women aged 40 years and older, as well as for patients who have not become pregnant 1-1.5 years after the laparoscopy.

Can adhesions form after laparoscopy?

Laparoscopy leads to the formation of adhesions less frequently than open abdominal surgery. However, there is no guarantee that adhesions will not occur after performing this minimally invasive procedure.

Prevention of the formation of adhesions in the fallopian tubes

To prevent the formation of adhesions in the fallopian tubes, you must adhere to the following recommendations:

Regularly undergo gynecological examinations. This will allow timely detection and treatment of existing inflammatory processes of the reproductive system.

If a woman is faced with a choice regarding caesarean section or natural delivery, then the latter option should be preferred.

Unwanted pregnancies should be prevented in order to avoid abortions. The preferred method of contraception is the use of a condom. The fact is that the installation of an intrauterine device and the use of hormonal contraceptives are also associated with the risk of adhesion formation.

Intimate life with a regular partner and the use of condoms are reliable protection against sexually transmitted diseases.