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Laparoscopic re-analysis of 35 cases of tubal pregnancy


Condensate electricity cut leaf technique umbrella side stretching from the fallopian tube lumen, the opposite edge of the membrane system avascular zone will be cut side oviduct umbrella, with grasping forceps remove embryos and blood clots, the Ministry of coagulation needle electrocautery residual umbrella Parallel cut down the edge of bleeding. Wash the wound with normal saline, cut the Ministry of non-closure of the umbrella. 1.3.3 Fenestration tubal pregnancy mass in the avascular zone, electric condensate scissors cut the long longitudinal 2 ~ 3cm, clear tube with a grasping forceps embryonic tissues and blood clots within the suction tube head with a scraping edge implant site,[link widoczny dla zalogowanych], Dong ofNawMedicine2003Dec. vol ... 24No. 4 suction side of the residual embryonic tissue, hot burning electric coagulation tubal lumen needle and cut down the edge of the residual bleeding. Wash the wound with saline tube cavity to retain the open window, tubal, no stitches. 1.3.4 Operation principle of ampullary and isthmic pregnancy, multiple lines of fenestration, the umbrella Pregnancy-line incision, no requirement of procreation or difficult to stop bleeding underwent salpingectomy. After tubal surgery, pelvic wash thoroughly with saline, suction pelvic fluid and blood in the net. Before pulling the casing 200ml molecular dextran 80,000 plus gentamicin and dexamethasone 10nag U intraperitoneal injection. Burying the umbilical incision suture thread, 1 1-pin, two Band-Aid taut abdominal incision wound edge paste. 2 Results of laparoscopic treatment of cases once again, 2 times the same side of tubal pregnancy in 15 cases, 20 cases of contralateral; ampullary pregnancy in 29 cases, isthmic pregnancy in 4 cases,[link widoczny dla zalogowanych], 2 cases of pregnancy-side umbrella. Oviduct fenestration in 26 cases, open surgery in 2 cases, 7 cases of resection, operative time was 1.0 ~ 2.3h, an average of 1.5h, the average hospital stay 6.1d. 35 cases of tubal pregnancy symptoms disappeared after surgery, postoperative follow six months, successful in 25 cases, urinary hCG were normal, HSG,[link widoczny dla zalogowanych], 21 cases of smooth, smooth parts 3 and 1 barrier (remaining side of the fallopian tubes), B ultrasound examination were not found tubal mass. 3 discussion with the laparoscopic treatment of tubal pregnancy extensively, there have been reservations tubal pregnancy problems again. 35 patients in this group of laparoscopic surgery for tubal pregnancy again, so doctors will look after laparoscopic tubal and pelvic situation. In 28 cases of tubal keep patients,[link widoczny dla zalogowanych], 9 patients recovered well; 3 after window broken away from the input 309 * fallopian tube, considered as due to excessive coagulation agent; 1 case of tubal poor; 15 cases of ipsilateral re- pregnancy, after considering the narrow fallopian tubes causing scarring. Although sperm can pass, but larger eggs after fertilization and can not return to the uterine cavity through the narrow mouth due to n]. Therefore, had children, tubal pregnancy without fertility requirements and bleeding, tubal more difficult to retain patients, or choose better endoscopic salpingectomy, tubal pregnancy in order to avoid further pain. Window broken and sick leave after the side tube again after pregnancy, were associated with surgery and electric coagulation of the overdose are related to inappropriate surgical procedures. Retained tubal pregnancy due to increased opportunities for the future], laparoscopic tubal surgery to retain those respected by the majority of patients 【cited, but often see repeated coagulation resulting in most of the surrounding tissue necrosis. Tend to focus only on patients who have active bleeding at the expense of damage to surrounding tissue, thus bringing surgical defects. So, on one hand, all infertile patients required resection of oviduct, on the other hand should ensure that the bleeding on the basis of minimizing damage to surrounding tissue. [
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