Fallopian tubes are a part of the female reproductive system. The fallopian tubes are tubular structures which connect the uterus with the ovary, and provide a route for the female egg to undergo fertilisation. In women of reproductive age, an egg is released from one of the ovaries into the adjacent fallopian tube, once every month during ovulation. The tube’s job is to move the egg along its journey to the uterus by lining cells with small hair-like ciliary projections. The fallopian tube not only functions as a conduit for the egg and the sperm to meet, but also provides nourishment for these germ cells during their journey. In the uterus (also called the womb), the egg has to be fertilised by male sperm or removed during menstruation. The inside of the tube is very small, a little less than the diameter of a ball point pen cartridge in some areas.
What is tuboplasty surgery ?
A tuboplasty is a surgical repair of damaged fallopian tubes, which carry the fertilized egg from the ovary to the uterus. Often, a damaged portion of the tube can be removed and the healthy ends sewn back together. If the end of the tube is closed, it can be reopened and tied back in place. So, tuboplasty includes a variety of surgical operations that basically seek to achieve patency and function of the Fallopian tube(s) so that a normal pregnancy can result. Tubal infertility is a common cause of infertility, therefore tuboplasties were commonly performed prior to the development of good in vitro fertilization (IVF).
When is a tuboplasty surgery indicated ?
- When these tubes become damaged intentionally for the purpose of sterilization- an effective method for prevention of pregnancy is tubal ligation. This procedure is employed universally for family planning. Tubal ligation is usually done during cesarean section.
- Damage to tube by previous infections or blockages
- Abdominal surgery in the area
- Narrowing of tube by scar tissue produced in endometriosis.
What are the types of tuboplasty surgery ?
The types of tuboplasty include the following.
- Tubal reanastomosis: This involves resection of occluded tubal tissue and joining the healthy segments of Fallopian tube.
- Fimbrioplasty: This involves sorting out joint up fimbriae (finger-like projection in the lumen which helps movement of egg).
- Salpingostomy: This involves making a new distal opening for the Falllopian tube.
- Salpingolysis: This involves surgically removing adhesions from around the tube (caused due to endometriosis).
- Cornual implantation: Removing a damaged part of tube and directly connecting the distal patent segment of the Fallopian tube to the uterus so that it joins the endometrial cavity.
What are the techniques of tuboplasty surgery ?
The tuboplasty procedures are done through either a laparotomy (open abdominal approach) or laparoscopy (minimally invasive keyhole approach). The techniques include microsurgery, laser, mechanical dissection and electrocautery.Surgical stents and adhesions barriers help to maintain patency of Fallopian tube. Results totally depend on the basic underlying pathology and the surgeon’s skill.
What are the risks of tuboplasty surgery ?
Ectopic pregnancy is a possible complication after a tuboplasty. It may then require a salpingectomy (removal of the complete Fallopian tube).
How frequently tuboplasty surgery is done ?
Earlier, tuboplastic procedures were definitely the chief approach to correct tubal infertility. However, with the advent of IVF (In-Vitro Fertilization) technology, IVF has increasingly replaced tuboplasty as a treatment for tubal infertility.
How to find gynecologists for tuboplasty surgery ?
Now you can find gynecologists for tuboplasty surgery from different hospitals and destinations on a single platform, Hinfoways. You can avail opinions from multiple gynecologists, get approximate cost of tuboplasty surgery from various hospitals, compare things and then choose a gynecologist for tuboplasty surgery.
Find and choose a gynecologist for tuboplasty surgery on Hinfoways. Make an informed choice.
Disclaimer: The content provided here is meant for general informational purposes only and hence SHOULD NOT be relied upon as a substitute for sound professional medical advice, care or evaluation by a qualified doctor/physician or other relevantly qualified healthcare provider.
