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Dr.Niraj Mahajan
Dr.Niraj Mahajan
Dr.Niraj Mahajan

TUBAL SURGERY

What is it?

  • The Fallopian Tubes normally serve as the pathway of the egg to the sperm or the fertilized egg to the uterus.
  • However, when blocked, this passage is restricted, resulting in infertility.
  • The type of tubal surgery performed depends upon the location and extent of the blockage in the Fallopian tubes.

Advantages

  • Increased chance of pregnancy
  • Regular menstrual cycle is resumed
  • In case of a Fallopian tube removal, it acts as a permanent birth control method

Types

The following are the types of tubal surgeries

  • Tubal reanastomasis - This is performed to reverse a tubal ligation
  • Salpingectomy - In this surgery, a part of the Fallopian tube which is blocked is removed
  • Salpingostomy - This is performed in order to drain fluid that is built up in the tubes due to blockage
  • Fimbrioplasty - It is the rebuilding of fringes of the Fallopian tubes which have been blocked or developed scar tissue

Why to do it

A tubal surgery is performed in the following cases

  • Blocked Fallopian tubes
  • Buildup of fluid in the blocked Fallopian tube due to blockage
  • Reversal of a tubal ligation

Procedure

  • Some tubal procedures are performed using microsurgical techniques, either during open abdominal surgery or using laparoscopy through a small incision in the abdomen.
  • The surgeon must have proper training and experience in microsurgery techniques and laparoscopy.
  • The surgeon uses laparoscope and micro instruments to remove the blockage, depending upon the site and severity

Effect

  • A successful tubal surgery results in a removal of the blockage from the tubes.
  • This results in an improved chance of pregnancy.
  • If the Fallopian tube needs to be removed, the chances of pregnancy are reduced.

Follow up

  • A Hysterosalpinography is conducted after 3-6 months post surgery to check for any recurrent blockages in the tubes
  • Any abnormal discharge or bleeding from the vagina and/or wounds should be immediately reported to the doctor
  • Sexual activities and active physical sports should be avoided for at least three to four weeks after surgery

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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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