Free Medical Advice | Asesoramiento médico gratuito| मुफ्त चिकित्सा सलाह

Tubal Block
Discussion in 'All Categories' started by Carolina - Nov 12th, 2015 6:53 pm.
Carolina
Carolina
I am 36, heterosexual female. I have been diagnosed with hydrosalphinx bilateral. and i do have some adhesions on August 31. I did my HSG and it was great in 2013.

But since than i discovered i had hypothyroidism, by using Euthyrox 25mg for two months i got my TSH below 2.7.

I also have polycistic ovaries, regular ovulation and periods in the time span of 28-32 days, I have a high AMH, my FSH is higher than LH. I'm 5 foot 8 inches tall (172cm) and my weight is around 77 KG.

I would like to try to preserve my natural fertility if possible in any way I can and I am considering a laparoscopic surgery that could potentially fix my tubal blockage or a microsurgical procedure.

Please see enclosed hospital discharge list, my ultrasound (which i have to repeat i might have a cyst on my right ovary and will do so on the 4th day of the cycle which i can send to you later on), my AMH level and i can enclose anything else you would need to tell me what sort of surgery do i need and when should i do it, what is the name of the procedure, rate of success and how much it would cost me.

The surgeon who did my laparoscopic diagnostic surgery didn’t answer any of my questions (some of them were – what are the fimbria like in my hydrosalphinx or fallopian tubes), where is the hydrosalphinx (is it distal or proximal tubal blockage??), how did my ovaries appear, what sort of adhesions do I have).

The surgeons here are not very well equipped and I think there is only Valjevo where they do laparoscopic tubal reconstructive operations, but from what I read they do not do it especially good, because they do not stitch it thoughtfully, or because of the lack of knowledge, but the tubes quickly glue itself back together.

My second question is: when, where and what sort of tubal opening or repair surgery would I do and when? I need a skillful surgeon for a laparoscopic, microsurgical or what sort of operation? Also, when should I do the operation? How can I avoid the tubes gluing to each other after the surgery?

Do I have proximal, distal or what sort of tubal blockage? Also, I would like to ask, if I am in the situation where my fallopian tubes are removed how much would that affect the production and the quality in my ovaries (I have hypotheroidis and PCOS since 2013). I really hope this will not happen, as I am considering tubal repair surgery very much at the moment.

I found also like to ask you what is the price for this type of surgery (opening the tubes) and maybe the cost of opening the tubes, treating the adhesions (which are web like) and the ovarian cyst if it does not go away soon.

I do not know which type of tubal blockage i have, but am i a candidate for Fallopian Tube Recanalization, or which type of procedure? When can i attempt pregnancy after the surgery either naturally, by insemination or maybe ivf (with my tubes kept by this operation).

What is the price for the operation at your clinic, what type of the procedure is it, what is the success rate and how much does it cost?

I am sending you also 2 ultrasound scans I did here in the end of October and the other I did on 10th November my day 4th of the cycle.
So, I will take care of the cyst on my right ovary (it happened while I was doing some bioenergy treatments) I hope it should be fine. I’m sending you ultrasounds of that as well, on the first one it looks like a yellow fluid (post-ovulation cyst and some kind of separation cyst), on 10th November i did a color Doppler on day 4th of the cycle, my right ovary could be seen as a 8mm portion of hydrosalphinx (the cyst is probably blocking it). I did my papanicolau test in July, which was fine, blood work in August, and on color Doppler the cyst didn’t show any blood vessels or arteries going thru it. Nevertheless, I will do CEA 215 and HE 4, Roma index markers and maybe CEA and betaHCG.

Because of the adhesions, etc. I think I will need a very skillful and experienced surgeon. Do I need salpingectomy/fimbrioplasty, or what sort of reconstructive surgery should and can I do and where for a price I could afford.I think i have a distal tubal occlusion on my right side, and on the left side i have a hydrosalphinx which my surgeon did not describe (i think it's on my middle part of the tubes, considerably smaller it can not be seen on ultrasound, it was seen during laparoscopy (do i need a reastanomisis for my left fallopian tube)?

Also, what sort of knots should one use in treating the distal occlusion, what sort for middle tubal blockage, should a surgeon use Co2 laser or micrsurgical laser, what should be avoided?

At the moment i am doing acupuncture, with some herbs, but i decided to do tubal reconstructive surgery so i can give myself a chance to attempt natural pregnancy because i want a larger number of children.
If u need anything else from my medical reports, i can sent it to you.
re: Tubal Block by Dr R K Mishra - Nov 12th, 2015 7:14 pm
#1
Dr R K Mishra
Dr R K Mishra
Dear Madam,

The exact location of tubal bock non of the test except laparoscopic tubal patency test by laparoscopy can detect. If you have video of previous diagnostic laparoscopy by seeing it we can draw some conclusion otherwise we have to do laparoscopy again. If during laparoscopic surgery the tube will be found patent and healthy, it is well and good. If there is proximal obstruction we can open it by hysteroscopy during the same time. If we will found that it is distal obstruction at fimbrial end we can do fimbrioplasty and if severe hydrosalpinx with salpingitis will be detected we have to remove the diseased tube so that normal tube can work better. If both the tubes are completely damaged and inflamed it is better to perform bilateral salpingectomy followed by IVF. These decision can be taken only at the time of surgery. There is no way of giving prior commitment. We will record the entire video of the surgery and we will show you every thing what we have done and what should be future course. Unfortunately fallopian tube is too soft to see the exact exact block by any other investigation. As far as the PCOD is concern we can do ovarian drilling at the same time. The success rate depends upon the anatomical deformation. The entire surgical package of this procedure will cost you only 3000 USD including everything and you have to stay only one day in hospital.

With regard

Dr R K Mishra

World Laparoscopy Hospital
Cyber City, DLF Phase II, Gurgaon, NCR Delhi, 122 002, India
PHONES:
For Training: +91(0)9811416838, 9999677788
For Treatment: +91(0)9811912768
For General Enquiry: +91(0)124 - 2351555

Email: contact@laparoscopyhospital.com
re: Tubal Block by carolena - Nov 13th, 2015 3:56 pm
#2
carolena
carolena
Is tubal patent laparascopy test dangerous? On some places i read that this test can damage the tubes? How exactly is it done? Do u use some type of cannula?
I thought i needed neosalpingostomy/fimbrioplasty and a reastanomisis for my left tube? I'm scared of the word hysteroscopy - what exactly is it and why is it needed for a hydroslaphinx.
Could i ask you for my cyst. My mother saw my gynegologist today, and she still claims it's a 'yellow body' cyst. How should i manage the cyst?
I saw yr operation on youtube for dermoid cysts and was impressed.
So, would i have a cystectomy as well via laparoscopy?
I also heard that ovary drilling can be dangerous. To my knowledge my left ovary is fine, i have ovulations, the last time it should 11 folicules. What would i gain by ovarian drilling? What could i benefit from that?
Is the price of the hospital stay included?
Can i also ask if u don't mind what kind of stiches do you use for distal occlusion and what kind of stiches for reastanomosis? Do you make the new fimbria opening by turning them outside and stiching them or by using laser and making a flower opening. If so what kind of laser do you use?
I think that i could do some money raising and afford the procedure. But i apsolutely want to do everything i can to preserve my tubes so i can try natural conception and ivf if necessary (with my tubes kept).
You answered most kindly and precisely and i really thank you for that.
I would like to ask why do i need a hysteroscopy? I'm really scared of that word.
So, we'll be in touch. If i have additional questions, can i call you.
Tomorrow i'll be doing some tumor markers as well.
Should i repeat an ultrasound, and how should i manage the cyst.

Thank you very much dr R. K. Mishra and we'll be in touch.
re: Tubal Block by Dr R K Mishra - Nov 13th, 2015 4:05 pm
#3
Dr R K Mishra
Dr R K Mishra
Tubal patency test and hysteroscopy both is safe. You can see our this procedure in YouTube. Repeating ultrasound does not give you any benefit. On tube we use surgeons knot with 4-0 vicryl. Managing Cyst PCOD ovarian drilling is safe procedure in experienced hand.
re: Tubal Block by Carolena - Nov 17th, 2015 9:24 am
#4
Carolena
Carolena
If it's ok with you, i will call u on WHL by phone if anything is not clear with me.
I read somewhere that neosalpignostomy/fimbriplasty can only be duable or efficient (i thought mucosa) but corpus fimbriatum is preserved? Please, with respect view this questions neutarally - I chose not to do ovarian drilling for different reasons, could we use 5-0 vycril stiches (because they disolve after 50-70 days and i feel better with the option). I feel that it would be done with 4-0 stiches which are disposable after some 72 hrs, there would be a chance or not? for my tube endings and tubes to glue back together?
Is there a chance we could use 5-0 vycril for neosaplingostomy/fimbriplasty?
What is the price of this procedure without ovariallian drilling?
Also, view this neutarally - how many stiches do you make (is it 4?) for the new tubal opening?
If my cyst is still there, what would be the price of neosalpingostomy/fimbrioplasty with cystectomy?
How much does 2 day hospital stay cost? Do you maybe have a youtube recording of a neosalpingostomy which u did? I'm also sending you my tumor marker results for ovarian and uterus cancer, i did my PAP test in July and will get new results tomorrow.
re: Tubal Block by Anisha Karki - Jun 24th, 2020 5:33 pm
#5
Anisha Karki
Anisha Karki
Dear Doctor
My one tube is blocked can it be opened by laparoscopy???
re: Tubal Block by Dr Rahul Pandey - Jun 24th, 2020 5:35 pm
#6
Dr Rahul Pandey
Dr Rahul Pandey
Yes Laparoscopy help in opening of the blocked tube but it will be better if you can send us your report.
Post Reply
Name *
Email * Will be hidden from visitors
Your Picture * Limit 2Mb please
 *
Enter verification code Mathematical catpcha image
=
- calculate the result
* - required fields
 

 

Get Free Postoperative Advice

Accessing Expertise Anywhere: Free Online Medical Advice by World Laparoscopy Hospital

In an age where information is at our fingertips, the World Laparoscopy Hospital is taking the concept of accessibility and expertise to a whole new level. This renowned medical institution is offering a valuable service that transcends geographical boundaries - free online medical advice.

Fee medical advice of Laparoscopic Surgery

The Power of Digital Health

The digital revolution has significantly transformed the way we access healthcare information and connect with medical professionals. World Laparoscopy Hospital has harnessed this power to provide a platform where individuals from around the world can seek medical guidance from top-notch experts without leaving their homes.

The Importance of Medical Advice

Medical advice is a fundamental aspect of healthcare. It serves as a bridge between patients and the knowledge and experience of healthcare professionals. Timely and accurate medical advice can be a lifeline, offering reassurance, guidance, and potentially life-saving information.

World Laparoscopy Hospital: A Beacon of Medical Excellence

World Laparoscopy Hospital is globally recognized for its excellence in Minimal Access Surgery and surgical training. The institution's commitment to innovation, research, and patient care is evident in its mission to extend free online medical advice to those in need.

Key Features of World Laparoscopy Hospital's Online Medical Advice Service:

  1. Expertise Across Specialties: The hospital boasts a roster of expert physicians, surgeons, gynecologists, urologists, and pediatric surgeons. This diverse range of specialists ensures that individuals can receive advice on a wide spectrum of medical issues.

  2. Accessibility: The online platform breaks down geographical barriers. Patients from any corner of the world can access this service, making it especially beneficial for those in remote or underserved areas.

  3. Convenience: Online medical advice is available 24/7, providing the convenience of seeking guidance at any time, day or night. This accessibility is particularly crucial for urgent medical queries.

  4. Privacy: World Laparoscopy Hospital maintains strict patient confidentiality, ensuring that sensitive medical information remains secure.

  5. Multilingual Support: Recognizing the global nature of its audience, the hospital offers support in multiple languages, enhancing accessibility for non-English speakers.

  6. Holistic Guidance: The hospital's expert physicians provide comprehensive advice, addressing not only immediate concerns but also offering insights into long-term health and well-being.

Empowering Patients

The provision of free online medical advice aligns with World Laparoscopy Hospital's mission to empower patients and enhance healthcare outcomes. It allows individuals to take an active role in managing their health and seeking expert guidance when needed.

A Source of Reassurance and Knowledge

In times of uncertainty, illness, or when facing medical questions, World Laparoscopy Hospital's free online medical advice offers a ray of hope. It's a source of reassurance, a font of knowledge, and a testament to the potential of digital health in improving lives.

World Laparoscopy Hospital's commitment to providing free online medical advice represents a significant step towards democratizing healthcare. It brings the expertise of world-class medical professionals to anyone with an internet connection, offering guidance, hope, and the promise of better health. In an era defined by connectivity, this institution stands as a beacon of medical excellence in the digital landscape.

Laparoscopic Surgery Training

If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum

Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.

The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.

World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.

In case of any problem in asking free medical advice please contact | RSS

World Laparoscopy Hospital, Cyber City, Gurugram, NCR Delhi, 122002, India

All Inquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788



Need Help? Chat with us
Click one of our representatives below
Nidhi
Hospital Representative
I'm Online
×