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Treatment
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Tubal procedures
There are several types of surgery to correct
blockages in the fallopian tubes. The specific type of surgery your
doctor does will depend on the location and extent of the fallopian
tube blockage.
Some tubal procedures can be done using microsurgical techniques,
either during open abdominal surgery or using laparoscopy through a
small incision. The surgeon must have special training and
expertise in microsurgery techniques and/or laparoscopy.
Below is a brief description of the most common procedures:- Tubal reanastomosis typically is used to
reverse a tubal ligation or to repair a portion of the fallopian
tube damaged by disease. This procedure usually is undertaken
during laparotomy.
- Salpingectomy, or removal of part of a
fallopian tube, is done to improve in vitro fertilization (IVF)
success when a tube has developed a build-up of fluid
(hydrosalpinx).
- Fimbrioplasty may be done when the part of
the tube closest to the ovary is partially or totally blocked. This
procedure rebuilds the fringed ends of the fallopian tube.
- For a tubal blockage next to the uterus
(proximal occlusion), a non-surgical procedure called selective
tubal cannulation is the first treatment of choice. Using
fluoroscopy or hysteroscopy to guide the instruments, a doctor
inserts a catheter, or cannula, through the cervix and the uterus
and into the fallopian tube.
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