Why do you need to have a fallopian tube patency check when you are pregnant? We all know that the fallopian tube is a particularly important “passage” during pregnancy. If it becomes blocked, stuck, or unblocked, it will cause the sperm to fail to pass through the fallopian tube and egg combination. Therefore, during the pre-pregnancy examination, it is best to do a fallopian tube patency check to avoid infertility caused by blocked fallopian tubes! The harm of fallopian tube obstruction? Fallopian tube blockage will not only cause infertility, bring a psychological burden to many families, but also induce ectopic pregnancy !When the fallopian tube is blocked, the fertilized egg cannot be transported into the uterine cavity for implantation smoothly, and ectopic pregnancy will occur. Once implanted in the fallopian tube, it is quite dangerous. In severe cases, it will cause heavy bleeding and cause life risk! How to judge whether the fallopian tube is unobstructed? Falcipiography refers to the use of a catheter to introduce contrast agent into the fallopian tube and the uterine cavity, and then you can The shape and size of the fallopian tube and uterine cavity can be seen directly from the X-ray photo and fluorescent screen. If the fallopian tube is blocked, we can also clearly see the blockage of the fallopian tube and the specific location where it occurs. Laparoscopy After introducing the pigment liquid into the uterine cavity, through laparoscopic observation, if the pigment liquid can overflow from the umbrella end of the fallopian tube into the pelvis, then the fallopian tube is unobstructed. Conversely, it is blocked! (The most commonly used pigment solution is blue pigment solution) Fallopian tube fluid, also known as fallopian tube fluid, it is well understood that 20ml of liquid medicine (usually, saline + Antibiotics) into the uterine cavity, if it can smoothly flow from the uterine cavity through the fallopian tube and then into the pelvic cavity, after relaxing the needle tube, and no medicine flows back to the syringe, it means that the fallopian tube is unobstructed! In the above three methods, the fallopian tube is watered The diagnosis is the worst, because it is entirely judged by the doctor’s experience, it is easy to diagnose errors! Laparoscopy is a combination of diagnosis and treatment, so the cost will be relatively high. In clinical practice, the most widely used and most reliable method is tubal angiography, because it causes less damage to patients and the treatment effect is also good. The doctor recommends the fallopian tube water and fallopian tube angiography, you can choose according to your own situation!
Recently, Dr. Cui encountered a patient with acute appendicitis, a young woman, and asked, “Doctor, can appendicitis surgery be minimally invasive now? Will there be an incision in the stomach?” Dr. Cui tells you whether acute appendicitis can be minimally invasive Treatment … 1. Can acute appendicitis be treated with minimally invasive surgery? The answer is of course yes. In 1986, Cuschieri began animal experiments for laparoscopic cholecystectomy. In 1988, at the first World Congress of Surgical Endoscopy, he reported a case of laparoscopic cholecystectomy in laboratory animals, which was used clinically in February 1989. Although the development history of laparoscopy is relatively short, it has developed very rapidly. At present, most operations in general surgery can be performed by laparoscopy. Appendicitis is certainly not a problem. 2. Will there be an incision in the stomach for acute appendicitis minimally invasive surgery? The answer is yes. For laparoscopic surgery, we need a lens, that is, the observation hole, usually in the position of the navel. In addition, two operation holes are needed, generally in the left lower abdomen and middle and lower abdomen. Everyone’s habits are different, and the selected position is also different. Therefore, in general, three holes are required, with a diameter of 1 cm, 5 mm, and 5 mm. Of course, there is also a single-hole laparoscopic technique. One hole can also be solved, but the hole is relatively large. Dr. Cui reminded that currently acute appendicitis can be treated with minimally invasive surgery. This is not only a problem with small incisions, but also a wider field of vision for the surgeon and more detailed operations. But for a single-hole laparoscopic, three small incisions and one large incision depends on personal choice!