Salpingoovariolysis
Last reviewed: 23.04.2024
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Salpingoovariolysis is a procedure that involves invasive intervention to restore patency in the fallopian tubes. This is one of the methods of treatment of violations of the patency of tubes, including the method of treatment of infertility. The main elements of this procedure should be known to the woman before her conduct.
[Epidemiology
Statistics show that most often the tube obstruction can be caused by an infection, such as an inflammatory pelvic disease. The probability of tubal infertility is 12% after one, 23% after two and 53% after three episodes of the transferred infection. The higher the degree of the adhesion process, the more effective the procedure is salpingoovoaioriolisis. The degree of complications of this procedure is less than 4%, in comparison with other methods of treatment, which proves the effectiveness of this procedure.
Causes of the obstruction of the fallopian tubes
The causes of salpingoovariolysis are the formation of adhesions between the ovary in a woman and the fallopian tube, or between these organs and the peritoneum of the pelvis, which this procedure allows to eliminate. To date, infertility is widespread among young women, and one of the reasons can be obstruction of the fallopian tubes.
Fallopian tubes connect to the uterus on the utero-tube transition, where the fallopian tubes open into the uterine cavity. These very thin tubes are lined with cilia, which are hair-like cells. From there they expand and slightly approach the ovaries on both sides. When the oocyte (ovum) is released during ovulation, the fimbria and cilia direct the oocyte to the fallopian tube to move toward the uterus and fertilization occurs.
When spikes are formed from one side or from both sides, this completely disrupts the process of ovulation, and consequently complicates the process of normal egg release and fertilization. Only dissection of adhesions can be the only possible method of treatment of pathology.
What are the reasons for the formation of adhesions? Common causes that can cause blocked fallopian tubes are:
- endometriosis;
- pelvic inflammatory disease;
- uterine fibroids;
- ectopic pregnancy;
- removal of pipe ligature;
- complications from another abdominal surgery, such as a caesarean section.
Fallopian tubes can be blocked when adhesions (internal scars) are formed after the body is healed due to surgery, infection, endometriosis, or repeated trauma. In women who undergo surgery or have an infection, such an inflammatory disease of the pelvis or chlamydia, the risk of developing adhesions that can block their fallopian tubes is increased.
Endometriosis, which is often accompanied by spikes, is another important cause of disturbance in the patency of the tubes. Repeated traumatic events caused by physical or sexual violence, accidents and falls, or sports injuries, can also cause a blockage in one or both pipes. Other causes include vaginal and yeast infections and sexually transmitted diseases.
Pathogenesis
The pathogenesis of further complications lies in the fact that all these conditions can cause plugging of the fallopian tubes by formation of adhesions, scar tissue, tumors or polyps within the tube pathway. Damaged fallopian tubes can be twisted or the walls of the tubes themselves can stick together, causing complete blockage. The formation of adhesions may not necessarily block the fallopian tube, but make it dysfunctional, distorting or separating it from the ovary. Therefore, in such cases, the procedure of salpingoovariolysis can be a method of choice in the treatment of pathology.
On this basis, the risk factors for the development of pathology are previous surgical interventions, infections, frequent abortions, and any invasive procedures on the uterus.
Symptoms of the obstruction of the fallopian tubes
In fact, there are no external signs that will let you know if you suffer from the obstruction of the fallopian tubes. If you have ever suffered from pelvic inflammatory diseases, there is, nevertheless, a very good chance that there is a given process.
The first signs of pathology in women of reproductive age is the impossibility of becoming pregnant. Symptoms that prove the need for salpingoovariolysis in this case are habitual miscarriages, ectopic pregnancies, and bilateral salpingo-oovariolysis. Salpingoovariolysis on both sides is a dangerous pathology, since it significantly reduces the chance of a normal pregnancy. In such cases, more often non-invasive medicinal methods of treatment are ineffective, so salpingoovariolysis is the method of choice.
Diagnostics of the obstruction of the fallopian tubes
Before carrying out this procedure, it is necessary to accurately determine the presence of obstruction, its possible cause, and also localization.
Diagnosis can be very wide. Various methods are used, mainly instrumental diagnostics.
Diagnosis of blocked fallopian tubes
- Hysterosalpingogram - is an X-ray test, which, using a contrasting dye, allows you to inspect any obstacles in the fallopian tubes. Through the ointment, a radiotransparent dye is inserted into the uterine cavity. Filling the uterus with this dye then falls into the fallopian tubes. If there are no obstructions in the fallopian tubes, the dye will appear on the X-ray, in which the uterus and tubes will be shown. There is a small percentage of false positive results when x-rays indicate occlusion, where they do not exist. If the doctor suspects this, he can order a repetition of the procedure.
- Chromotubia - this test is similar to a hysterosalpingogram because it includes a dye passing into the uterus and the fallopian tubes. This test is performed during laparoscopy, so that doctors can see the decay of the paint from the fallopian tube. The dye used for this procedure can not be seen on the X-ray, it has a blue color. This test is considered the most reliable way to determine occlusion of the fallopian tubes, but requires surgical intervention.
- Sonogysterography is a non-invasive procedure in which ultrasound imaging is used to determine the presence of any abnormalities in the reproductive organs. This type of test is not always a reliable way to detect occlusion of the fallopian tubes, since the tubes are so small. This test can help determine hydrosalpinx or other problems, such as uterine fibroids.
- Ultrasound can detect blockage in inflammation of the fallopian tubes. Ultrasound works by using high-frequency waves to create an image of the internal organs on the computer.
Analyzes that can be used in the diagnosis of pathology are a general and specific blood test for the presence of pathogens of infection.
Differential diagnosis
Differential diagnosis can help to find out the cause, which can become the basis for choosing a method of treatment.
Treatment of the obstruction of the fallopian tubes
To date, salpingoovariolysis can be considered one of the most common methods of treating uterine tube obstruction. But before considering this method, you need to find out what are the alternatives to drug therapy.
Alternative treatment is widely used. Systemic enzyme therapy is a method that helps the body to cleanse itself of excess tissue, connective tissues of the rumen, cleanse the blood, improve the blood circulation of the reproductive organs and reduce the immunological response. Enzyme therapy consists of the use of systemic enzymes (enzymes naturally found in the body) to help the body reduce inflammation, accidental pain, reduce scarring and much more. Systemic enzyme therapy can help reduce scar tissue that blocks your fallopian tubes. Specific systemic enzymes help reduce fibrin (the material that forms scar tissue) over time. This type of therapy is extremely promising in order to help the body reduce excessive scar formation and inflammation.
Physiotherapy is also widely used. Massage is another natural therapy that can help maintain the health of the fallopian tube. One of the greatest advantages of massage is the ability to break down the adhesions. Adhesion consists of scar tissue. These adhesions are the reason that the fallopian tubes are blocked, glued, adhered to other parts of the reproductive organs or other internal tissues of the body. Massage provides an excellent non-intrusive option for women with blocked fallopian tubes. Massage helps to break down scar tissue and increase the amount of circulating agents in eliminating tissues. You can use self-massage. This is a massage method that is used to support reproductive health, the menstrual cycle and your fertility. This kind of massage is easy to perform and economically it is beneficial.
Treatment with the use of castor oil has been used for centuries to assist in the treatment of problems throughout the body and in the reproductive system as well. For the treatment use castor compresses is a tissue impregnated with castor oil, which is placed on the skin to improve blood circulation and promotes the healing of tissues and organs under the skin. Castor oil helps the fallopian tubes, helping to soften tissues and increase circulation in this area.
Castor oil promotes healing of the reproductive system, stimulating blood circulation and accelerating lymphatic drainage. The lymphatic system is responsible for the removal of metabolic waste, old diseased cells and tissues. This is very important, especially if blocked fallopian tubes can be caused by ectopic pregnancy, sexually transmitted diseases, infection of past operations, endometriosis, uterine myomas, ovarian cysts.
Castor oil is one of the only ways to stimulate the lymphatic system. This therapy works perfectly in combination with any type of massage, including self-massage.
Herbal treatment can be used in combination with other methods. There are many herbs that are traditionally used to support the health of the fallopian tubes. Herbal medicine classifies herbs for various types of activities. Anti-inflammatory herbs help reduce inflammation, which in turn reduces pain and helps to reduce further production of scar tissue. If the inflammation persists in or around the fallopian tubes, scar tissue may form. Influence of such herbs infusion of chamomile. You can simply brew it, adding a bag of chamomile into a glass of water. Take it three times a day instead of tea.
There are herbs that help increase blood flow through the reproductive organs. Healthy circulation will bring vital nutrients, enzymes and oxygen for the healing of cells. Once cells have used up what they need, they have updated or replaced old damaged or unhealthy cells, metabolic waste (damaged tissues) are removed from the body. Infusion of mother-and-stepmother is very effective in this case. Mother-and-stepmother has an extremely high content of antioxidants, improves the integrity of the wall of the blood vessel, helps the body in the proper use of oxygen and improves blood circulation. For cooking, pour boiling water on the grass and insist for twenty minutes, and then cool and drink a teaspoon five to six times a day.
The root of ginger is a beautiful herb used to increase blood circulation and promote blood flow to the reproductive organs. Increased circulation also helps reduce inflammation of the uterus, ovaries or fallopian tubes. For treatment, you need to use a concentrated solution - root soak in 30 grams of boiling water and take a teaspoon three times a day.
Homeopathy can also be used in treatment. You can use the following tools.
Hydrastis canadensis root. This root has extremely pronounced antibiotic, antimicrobial and anti-inflammatory agents. It helps to heal any infection in the reproductive system, while also reducing pain and inflammation from external tissue growth. Reducing inflammation can help prevent scar tissue and adhesion.
The root of Angelica sinensis is one of the best herbs for stimulating the circulation of the reproductive organs. It has both analgesic and anti-inflammatory properties.
Arctostaphylos uva ursi is one of the best herbs for reducing fluid retention and congestion. It is shown that this herb is effective for controlling vaginitis because of its antimicrobial activity. Uva ursi helps the body in removing excess fluids for daily detoxification.
Surgical treatment can be one of the methods. Depending on the location of the lock, different methods can be used.
If the fallopian tube is blocked at the beginning, minimally invasive methods, such as trans-cervical balloon tuboplasty, can be performed. In this procedure, a tiny balloon catheter is inserted into the tube to open it.
Medium tubular or distal locking: when the fallopian tube is blocked further beyond the uterus than the entrance, the surgical opening of the tube becomes much more. It is impossible to achieve by simply "cleaning" a tube accessible through the uterus, doctors are forced to perform a more invasive procedure for opening the tube.
Laparoscopic surgery is used in most cases as the least invasive method of treatment. Laparoscopic salpingoovariolysis is carried out as follows.
In this operation, the patient is under general anesthesia. Make cuts - a few holes (ports) in the lower abdomen and pelvis. One port is used to fill the cavity with gas to help divide the organs so that the surgeon can create space for inserting surgical instruments and access to reproductive organs. Using other ports, the doctor inserts a light, usually a camera, and a surgical instrument (tools) with which you can cut out the adhesions they see, open and repair a blocked tube.
If the spikes are extensive, the doctor can perform or go to an open surgery called laparotomy. In this operation, the body is cut with a scalpel, and the sides, as a rule, are separated by a metal retractor. Then the doctor enters a scalpel, laser or other surgical tool to cut or burn any adhesions that he can find.
Endoscopic salpingoovariolysis has several advantages. First of all, direct visualization with simple accessibility and low invasiveness. The surgeon can directly see the problem, and also insert the dye to check that the uterine tube is open.
Surgical procedures can be performed by open abdominal surgery. Salpingectomy is the procedure to remove a part of the fallopian tube. This is usually done with a hydrosalpinx.
Salpingostomy is a procedure performed when the end of the fallopian tube is blocked. The surgeon creates a new opening in the fallopian tube closest to the ovary. The success of this procedure is often temporary and often causes another blockage within 3-6 months after the procedure.
Selective cannulation is the procedure performed for proximal tubal occlusion. The doctor with the help of hysteroscopy inserts the catheter through the cervix, uterus and into the fallopian tube. This is a non-surgical procedure, in which the pregnancy success rate is 60%.
Forecast
The prognosis for uterine obstruction can be favorable if the problem is identified in advance. The prognosis for pregnancy can also be favorable with the correct integrated approach to treatment. Salpingoovariolysis is the most acceptable non-invasive procedure that reduces the risk of complications and improves the prognosis of pregnancy after uterus obstruction.
Salpingoovariolysis is a procedure that is used for uterine obstruction and can be the number one medication. If a woman is planning a pregnancy in the near future, and she has a tube obstruction problem, then in addition to the etiologic solution, salpingoovariolysis is the most accessible and fastest method of treatment.