Abdominal-and-Vaginal-Surgery002-Womanaari-by-Dr.-Usha-Kiran (1)

Laparoscopic Fallopian Tube Patency

If a lady has an impeded or open fallopian tube, the laparoscopic fallopian tube patency procedure can evaluate this utilizing X-rays. This test is essential for diagnosing infertility since hindered fallopian tubes keep sperm from arriving at the egg, bringing about no pregnancy. How it is done laparoscopically helps in a reasonable perspective on the organs, making diagnosis and even treatment conceivable.

Understanding Fallopian Tube Patency

The fallopian tubes are fundamental in standard conception since they carry the egg from the ovary to the uterus. PID, endometriosis, and scarring from past a medical procedure are possible reasons for tube blockage.

Laparoscopic Evaluation of Fallopian Tube Patency

Laparoscopy is the gold standard for assessing tubal patency:

1. Preparation: The patient goes through broad sedation. In the laparoscopic procedure, the specialist makes an entry point close to the navel and supplements a restricted tube known as a laparoscope, which carries a camera.
2. Blue dye infuses the cervical channel into the uterine pit. If the tubes are patent, the dye can spray through and spill into the pelvic pit.
3. Observation: The surgeon uses a laparoscope to check the dye flow. The tubes will be patented when the dye moves from one blood vessel to another. In this case, if the dye does not pass through, there is a blockage.
4. Additional Interventions: If such a blockage is found, the surgeon may remove the tubes during the procedure or advice on other measures to be taken.

Advantages of the diagnostic laparoscopic patency test for the fallopian tubes

This process has several benefits:

Precise Diagnostic: Laparoscopy is more accurate because it is a direct visualization technique of fallopian tubes and the adjacent organs.
Scope for immediate corrective treatment: In case any blockages are detected, immediate treatment by the surgeon may improve the chances of getting pregnant.
Minimally invasive: The procedure is marked by small incisions and provides maximum invasiveness. Hence, recovery time is faster.

Recovery and post-operative care

Post-operative laparoscopic fallopian tube patency is usually quick and involves the following:

• Hospital Stay: Individuals are discharged the same day.
• Pain Management: Over-the-counter pain medicines can help in case of mild aches or pains.
• Activity Restrictions: Patients are most often advised to rest for one or two days and avoid heavy activity for several days.
• Follow-Up: In certain situations, a follow-up appointment may be required to review the results and choose the best action.

Possible Complications and Risks

As with all other surgeries, there is some risk to it, though relatively minimal:
• Any infection can occur at the incision site, as it would following any open surgery.
• Reaction to Anesthesia: A small number of patients are prone to an adverse reaction from general anaesthesia.

Conclusion

Laparoscopic examination for fallopian tube patency is an ideal diagnostic approach vital for patients suffering from infertility. It offers a direct and accurate view of the fallopian tube and, through it, the blockages, possibly allowing immediate treatment. If you are undergoing an infertility evaluation, please discuss with your doctor if this procedure is suitable for you.

endometriosis excision surgery, hysteroscopy and polyp removal, fibroid removal laparoscopic myomectomy, transobturator tape procedure recovery, uterine prolapse treatment, urinary incontinence surgery

Dr. Usha Kiran FRCOG

Consultant Gynaecologist

Advanced Laparoscopic (Level 3/4) & Hysteroscopic Surgeon

vNOTES (Scarless Surgeon)