Fallopian Tube Blockage

15space.gif (44 bytes)Blockage of the fallopian tube near the uterine end can be relieved by state of the art procedures available at the center. Selective salpingography is a procedure where a tube is placed at the beginning of the fallopian tube and dye is injected to pressure out any debris. If this is not successful, a catheter, very much like that used for heart surgery, is threaded into the fallopian tube to release the blockage. The above procedures can be performed either in the x-ray department or in conjunction with laparoscopy and hysteroscopy in the operating room when other information of the female pelvis is needed. When the blockage can not be relieved by cannulation, microsurgery with resection and anastomosis of the tube is required. The technique of anastomosis is the same as for sterilization reversal and it is a technique that was pioneered at the Center.

15space.gif (44 bytes)Fallopian tube blockage can also occur near the middle of the tube either from sterilization or from disease including treated or untreated ectopic pregnancy, fibrosis from infection, and other rarer causes. Again resection with laparoscopic anastomosis is an effective form of treatment. Blockage at the ends of the tube (hydrosalpinx) is treated by opening of this area and sewing it back with fine microsutures. The inside of the fallopian tube is inspected with a special telescope (salpingoscope) which gives an idea of the quality of the tubal lining. (Thus all blockages of the fallopian tube can be treated either by cannulation or by laparoscopic microsurgery without the need to perform an open abdominal incision.

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