Salpingostomy , Salpingoneostomiya - Causes, Symptoms and Treatment .MF .
salpingostomy produce obstructions in the pipe ampullar department.This operation is also carried out after the release of the fallopian tube adhesions and fill it with methylene blue.At the same time on the background of blue by a clearly visible scar stellate structure and place the sealed mouth of the fallopian tube.Ampullar fallopian tube Department at a distance of 1.5-2 cm from the proposed location of the stoma capture atraumatic forceps.
Spot coagulator produce coagulation of the pipe wall in the center of the stellate scar and surface coagulation along the radial scar.
Maintaining tight filling of the fallopian tube methylene blue, micro-scissors make a cut along the radial gradual scarring and central stellate scar, not just trying to break into the lumen of the tube.After dissection of the scar as much as possible in the field of adhesive pili elastic jaw of atraumatic forceps is introduced into the lumen of the fallopian tube, and a few are expanding to make a hole.
Further, as in the operation fimbriolizisa in the lumen of the tube is introduced atraumatic forceps with elastic jaws and remove them in the open position.
edges evert fimbrial card at a distance of 1-1.5 cm and put 2-3 ligatures 4.0-6.0 using intracorporeal knotting technique.
In the absence of sutures gives good results point endokoagulyatsiya peritoneum fimbrial department:
At a distance of 0.5-0.7 cm from the edge of the mouth of the pipe around the perimeter make a point endokoagulyatsiyu peritoneum.Lots endokoagulyatsii must be separated from each other at a distance of 0.7-1.0 cm. Due endokoagulyatsii outer layers of the wall of the pipe cut and wrapped the edge of the stoma to the outside, preventing them stick together in the postoperative period.
This operation is performed at restoring patency of the tube in ampullar department and lack of technical capacity to produce it in the same place.
fallopian tubes filled with methylene blue.The place to be dissecting the tube wall, on the side opposite mezosalpinksu produce linear endokoagulyatsiyu point coagulator at a distance of 2-3 cm along ampullar department fallopian tube.
pipe wall near the place of the alleged capture of the section and slightly tighten up atraumatic forceps.Micro-scissors produced layer by layer dissection lumen tube at a distance of 1.5-2.5 cm.
If there is bleeding bleeding sites coagulate.Edges neostomy evert 0.5-1.0 cm on each side along the cut, superimposed on the two-seam, using a suture technique using 4.0-6.0 intracorporeal knots.