Infertility & fallopian tubes surgery

A fertility evaluation includes a hysterosalpingogram – also called HSG (fallopian tubes radiography), in order to evaluate the tubes permeability. If any localized damage appears, a tube surgery can be performed. The laparoscopy is the appropriate technique:

Blue dye test

When performing the laparoscopy procedure, a colored dye (methylene blue) is injected through the cervix. If the tubes are not blocked the dye should pass along them and spill into the abdomen. The permeability of the tubes is then checked.

Laparoscopic ovarian drilling

It is a surgical treatment that can trigger ovulation in women with polycystic ovary syndrome (PCOS). This procedure is recommended when drug treatment fails. It is done laparoscopically by making small holes in the ovarian coating or capsule with a laser or a cautery needle.

Pelvic organs surgery

Fimbrioplasty

May be done when part of the tube closest to the ovary is partially blocked or presents scar tissue, preventing normal egg pick-up. This procedure rebuilds the fringed ends of the fallopian tube.

Salpingostomy

This is done when the end of the fallopian tube is blocked by a buildup of fluids (hydrosalpynx). This procedure creates a new opening in the part of the tube closest to the ovary.

Tubal reanastomosis

this is typically used to reverse a tubal ligation or to repair a portion of the fallopian tube damaged by disease. This procedure rebuilds the fringed ends of the fallopian tubes. This may require microsurgery, and its results are variable in terms of efficiency.

Endometriosis’s treatment

Endometriosis is the growth of the endometrial tissue – which normally lines the uterus – in the other parts of the body. Endometriosis typically grows in the abdominal cavity and most often attached to the ovaries, the fallopian tubes, outer surface of the uterus, bowels or other abdominal organs.

For more information about laparoscopy procedure, click here

Last update: 10/2/2013