Fallopian Tube Procedures by Laparoscopic Surgery
For almost all the procedures of tube laparoscopy is considered as gold standard. most of tubal procedures can be done using microsurgical techniques using stryker mini aligators, using laparoscopy through a small incision. The laparoscopic surgeon must have special training and expertise in microsurgery techniques and/or laparoscopy. This general overview lecture describes the most common tubal procedures.
Laparoscopic Salpingectomy, or removal of part of a fallopian tube, is done very commonly for ectopic pregnancy or to improve in vitro fertilization (IVF) success when a tube has developed a buildup of fluid (hydrosalpinx). Hydrosalpinx makes it half as likely that an IVF procedure will succeed. Laparoscopic Salpingectomy is preferred over salpingostomy for treating a hydrosalpinx before IVF.
Sometime Laparoscopic Fimbrioplasty may be done when the part of the tube closest to the ovary is partially blocked or has scar tissue, preventing normal egg pickup. This laparoscopic procedure rebuilds the fringed ends of the fallopian tube.
Laparoscopic Tubal reanastomosis typically is used to reverse a tubal ligation if it is done in past or to repair a portion of the fallopian tube damaged by disease like tuberculosis or others. By the help of laparoscopic surgery he blocked or diseased portion of the fallopian tube is removed, and the two healthy ends of the tube are then joined. This procedure usually is done through laparoscopy, but some specialists can do this procedure using da Vinci robotic surgery.
The success of a sterilization reversal is influenced by the tubal ligation method used, by how recently the tubal ligation was done, and by the woman's age-related fertility.
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