Overview And Definition
Tuboplasty is a treatment performed on women to repair Fallopian tubes or remove blockages. It is typically performed on women who suffer from endometriosis, a condition resulting from the appearance of endometrial tissue outside the uterus, causing pelvic pain. This is seen in about 10% of infertile couples and almost 14 million women alone suffer from this condition. Additionally, women who have had an ectopic pregnancy or have had abdominal surgery that has resulted in scarring are treated with this method. Therefore, a tuboplasty is a surgical repair of the fallopian tubes, which carry the fertilized egg from the ovary to the uterus. These tubes often become damaged intentionally for the purpose of sterilization or unintentionally by previous infections, surgery, or scar tissue produced by endometriosis.
What Is The Most Common Cause Of Tube Blockage?
The most common cause of blocked fallopian tubes is PID. Pelvic inflammatory disease is the result of a sexually transmitted disease, although not all pelvic infections are related to STDs. Also, even if PID is no longer present, a history of PID or pelvic infection increases the risk of blocked tubes. Tuboplasty is then performed on women to repair Fallopian tubes or remove blockages. It is typically performed on women who suffer from endometriosis, a condition resulting from the appearance of endometrial tissue outside the uterus, causing pelvic pain.
Types Of Tuboplasty Procedure
Tuboplasty refers to surgical operations undertaken to restore the functionality and integrity of a woman’s fallopian tubes. This can enable the patient to conceive and become pregnant. Tuboplasty surgery can be performed to reverse a tubal ligation, which is an intentional procedure or to repair the fallopian tubes after damage from an infection or the development of scar tissue.
Approximately 25% of all infertile couples are affected by tubal issues of some kind. This can range from a small adhesion, to complete tubal blockage. The success rate of a given tubal surgery fertility treatment is determined by whether or not the woman becomes pregnant within one year after the surgery. And some tuboplasty procedures have success rates of up to 65%.
Here are the 5 most common types of tuboplasty:
- Tubal reanastomosis: Tubal reanastomosis is a form of surgery that is essentially tubal ligation reversal. It consists of connecting or joining two healthy tubal segments together. This allows both egg and sperm to travel along the fallopian tube and for conception to occur.
- Fimbrioplasty: Fimbrioplasty is an operation that involves the reconstruction of a portion of fallopian tube tissue near the ovary that serves to move the egg into the fallopian tube, or fimbria. Essentially, this procedure repairs a blockage.
- Salpingostomy: Salpingostomy is a procedure in which doctors create a new distal opening for the fallopian tube. The procedure itself consists of a surgical incision directly into the fallopian tube. This procedure is done either to remove an ectopic pregnancy (one that occurs outside of the uterus) or to repair a damaged tube. However, a salpingostomy is much different from a salpingectomy (the removal of fallopian tubes).
- Salpingolysis: Adhesions on the fallopian tubes are abnormal bands of scar tissue that join together to form a blockage. For mild adhesions on or around the fallopian tube, doctors typically perform a salpingolysis. 13.6 million women suffer from mild to severe endometriosis, a condition in which tissue that normally lines the uterus grows outside of it and can cause adhesions on the fallopian tubes or Pelvic Inflammatory Disease. Adhesions may cause discomfort or pain, but some women don’t experience any outward symptoms from adhesions.
- Cornual Implantation: A corneal implantation is one of the more complicated forms of tuboplasty. It involves the resecting of an occluded transmural segment of the tube and connecting the distal patent segment of the tube to the uterus. This is done to allow the fallopian tube to connect to the endometrial cavity, the inner lining of the uterus.
How Is Tuboplasty Performed?
Before tuboplasty is performed, the patient undergoes an ultrasound to view the fallopian tubes and determine the location of the blockage. Depending on the patient’s condition and unique circumstances, as well as the surgeon’s recommendations, a tuboplasty can then be performed using Tubal reanastomosis, Fimbrioplasty, Salpingostomy, Salpingolysis and Cornual implantation.
Tuboplasty can be performed using the following techniques:
- Laparotomy: This involves a large incision through the wall of the abdomen to access the abdominal cavity.
- Laparoscopy: This requires a small incision in the abdomen or pelvis where small surgical instruments, including a camera, are inserted to perform minimally invasive procedures.
- Microsurgery: This uses an operating microscope.
- Laser surgery
- Electrocauterization: This destroys tissue through heat conduction and electric currents
- Hydro dissection
- Use of devices such as adhesion barriers, hoods, surgical stents and
- Mechanical dissection
What Are The Possible Risks And Complications Post Tuboplasty?
A tuboplasty can result in:
- Excessive bleeding
- Adverse reactions to the anaesthesia used
- Damage or perforation of surrounding organs
- Ectopic pregnancy
How Much Time Is Required To Recover After Tuboplasty?
The recovery time may vary from case to case. It can be an outpatient surgery, i.e., the patient may leave the same day. The patient may eat and walk on the same day. The best time to conceive after such a surgery is during the months following the surgery. However, one must consult the doctor about the same.
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