Currently, laparoscopy is gaining increasing popularity. After all, even in diagnosing diseases, the result that is practically directly visible to the eye, rather than obtained, for example, on the screen of an ultrasound device or an X-ray image, is more reliable and informative.
Laparoscopy of the fallopian tubes is divided into the following types:
- diagnostic;
- curative.
Getting ready correctly
Although the traces after the operation of the laparoscopy of the fallopian tubes are practically not noticeable, this does not in the least reduce the seriousness of this surgical intervention. Therefore, the preparation for laparoscopy of the fallopian tubes should be approached with the utmost responsibility. It is necessary to undergo a special preoperative examination to make sure there are no contraindications, and to check whether this procedure does not hurt. Here is an approximate list of necessary tests before laparoscopy of the fallopian tubes and instrumental methods:
- analysis of blood and urine;
- blood glucose level and liver tests;
- examination for the presence of viral hepatitis, HIV infection and syphilis;
- blood type and Rh factor;
- coagulogram - evaluation of blood coagulability;
- smear and bacteriological examination of vaginal discharge;
- fluorography;
- ECG;
- Ultrasound of the pelvic organs;
- If necessary, consult other specialists.
As preparation for laparoscopy of the fallopian tubes on the eve of the study, it is necessary to reduce the diet, leaving only liquid food, and on the day of the operation there is absolutely nothing to eat. In the evening before the surgery, make a cleansing enema, so that the stretched bowel loops do not interfere with the review.
How do laparoscopy of the fallopian tubes work?
After having figured out with the preparation for the study, it remains to be seen how laparoscopy of the fallopian tubes is done, and what happens at the time of surgery.
For a better view, an abdominal enlargement is necessary. This is achieved by introducing a gas into the abdominal cavity (for example, carbon dioxide or nitrous oxide) through a special needle. These gases are not toxic, and nitrous oxide also has an anesthetic effect. After that, through three small holes in the abdominal wall, tools and a camera are inserted. They examine the state of visible anatomical structures, organs, stage-by-stage assess the condition of all parts of the abdominal cavity.
Another important stage, especially when performing diagnostic laparoscopy for patency of the fallopian tubes is chromosalpingoscopy. The essence of the method is that a colorant is injected into the uterine cavity, as a rule, methylene blue, while the flow of the dye into the fallopian tubes and abdominal cavity is analyzed. If there is a violation of their patency, diagnostic laparoscopy of the fallopian tubes can pass into the treatment procedure. The method allows to remove adhesions , and even reconstruction of the uterine tube and restoration of its lumen is possible.
Laparoscopy of the Fallopian tubes - complications
As a rule, laparoscopy is successful. The most terrible consequence of laparoscopy of the fallopian tubes is traumatization with instruments of the intestine, bladder, ureters, and massive bleeding (which can occur either as a result of damage to the vessels of the abdominal wall or vessels located intraperitoneally). In the postoperative period, among complications after laparoscopy of the fallopian tubes, infectious and inflammatory pathology is most significant, less often the appearance of postoperative hernias.
Recovery period
Specific treatment after laparoscopy of the fallopian tubes is not carried out. If necessary, the appointment of antibacterial drugs in the postoperative period of laparoscopy of the fallopian tubes is indicated to prevent wound suppuration and insufficiency of the sutures.
Recovery after laparoscopy of the fallopian tubes passes relatively quickly, which is an undoubted advantage. After the surgery, pain in the area of surgical wounds will be disturbed,
Do I need a diet after laparoscopy?
It is recommended that during the first day after the operation to refrain from eating or at least a few hours not to eat. There are no special requirements about the diet, but within a couple of days it is advisable to use only light, non-fat and non-sharp foods, it is possible to have dairy products. Alcohol is absolutely contraindicated. During this period, you should not overload the work of the intestines, so you need to eat often and gradually.