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Laproscopic surgery for fallopian tube - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   hi
Doctor :   how can i help
User :   Hi
User :   ok and I actually wanted to speak to a gynecologist
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   would you be able to help me, I have some questions related to Fallopian tube
User :   ok
Doctor :   ok
User :   I have visited Gunasheela hospital and had an HSG done
Doctor :   ok
User :   the HSG results show that one of fallopian tube is blocked and infected and showing hydrosalpinx
Doctor :   ok
User :   so they have suggested Laproscopy, so that they can view it directly and its a surgery
Doctor :   ok
User :   I am really not sure about this, can you advise how important is it to go through this?
Doctor :   ok
User :   and I am actually tring to conceive from past 1 year and have not been successful
Doctor :   ok
Doctor :   how long has it been that you are married
User :   can you please advise what I should do?
Doctor :   how long has it been that you are married ?
User :   its 1 and half years
Doctor :   ok
Doctor :   had you used any contraceptives/
User :   no
Doctor :   ok
Doctor :   Hysterosalpingography (hsg)is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes.
Doctor :   in laparoscopy a flexible fibre optic lens is passed
User :   yes and it come out in an x ray
Doctor :   and the fallopisn tubes are visualised
User :   ok
User :   ok
Doctor :   even this laproscopy helps in knowing the architecture ofthe uterus
User :   do you have any idea like how long the procedure usually takes and how safe is it?
User :   ok
Doctor :   the duration of the procedure varies
Doctor :   various factors that determine are
Doctor :   skill of the doctor
User :   and would they actually be cleaning the infection?
Doctor :   infecctions are treated by suitable antibiotics
User :   and I have read on internet that it hysdrosalpinx is usually seen towards the end of the tube close to fimbriae
User :   ok, so they are only going to collect the liquid and close the hole?
Doctor :   it may also be seen in other areas of the fallopaian tube also
User :   ok, but i guess my hsg x ray is showing the swelling or dialation towards the end
Doctor :   they are going to collect to collect the fluid antibiotics are not effective in a loculated fluid collection
Doctor :   so when that is drained
Doctor :   it wil allow for the better action of the anti biotics
Doctor :   are you there?
Doctor :   fill this and say when done
User :   yes I am there
User :   and with antibiotics, the infection heals usually or how does that work?
User :   and I was wondering what happens if the fimbriae are also affected
Doctor :   it should heal in when the full course and appropriate antibiotic is used
User :   i mean just in case
User :   ok, and is another hsg done to find out if it has healed or if it still shows the same thing?
Doctor :   you have the other side thats functioning
User :   i am not sure
User :   i think the other 1 is also a little affected
User :   but the doctor did not tell that clearly
Doctor :   there may not be necesseary for another hsg
User :   and the uterus is tilted to one side
User :   its not straight
Doctor :   that may be nor,al
User :   uterus being to 1 side is not a prblem right, as the doctor there also said its common
Doctor :   yes it is
User :   do you have any idea like for how long after laproscopy we are not supposed to try for a baby?
Doctor :   this is best judged by the consultant doctor
User :   are you aware of the other procedure that is used instead of hsg, something called ultrasound
Doctor :   yes
Doctor :   Vaginal USG will be the best andthe most earlier to conclude
User :   and is that procedure followed anywhere in Bangalore here, any idea?
Doctor :   Yup we can get you the details
Doctor :   pls confirm these
User :   ok
Doctor :   ok
Doctor :   One of our doctors will get back to you soon with all the relevant details.
User :   ok, that will be helpful
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