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Planning to go for laproscopy. Need some information

Mar 2013
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Answered by
Practicing since : 1998
Answered : 5971 Questions
I have to undergo Laproscopy ..So wants to ask question related to same .
Posted Sat, 27 Apr 2013 in Women's Health
Answered by Dr. Aarti Abraham 20 minutes later
Thanks for writing in.

I would really appreciate it if you give me more details about your problem, and write in depth about your question.
With the limited information you have supplied, I can give you an overview of laparoscopy for tubal blockage.

A pair of tiny ducts called fallopian tubes capture and conduct human eggs from a woman's ovaries to her uterus. One fallopian tube connects each of the two ovaries to the womb. In human reproduction, semen often fertilizes the egg within the fallopian tube, as the egg approaches the uterus.

A number of conditions can block fallopian tubes, preventing eggs from entering these tubes or from passing through them to the uterus. The tubes must be free of adhesions or obstruction, and must maintain flexibility and mobility to serve their function.

Normally, the only practical implication or result of a blocked fallopian tube—though it is a major one for many patients—is fertility that is decreased or absent. Only one unblocked fallopian tube is necessary to achieve pregnancy, yet blocked tubes are the cause of a significant percentage of infertility in women. In addition, if the tube is only partially blocked, sperm may be able to reach the egg, but the fertilized egg may not be able to complete its transit from the tube, causing ectopic pregnancy.

Conditions that cause abnormal growths that press or pull against the tube to block it, or that scar its inner lining, include:

uterine fibroids;
uterine polyps;
and ruptured appendix, previous ectopic pregnancy or previous surgery involving the fallopian tubes or abdomen.

The tubal blockage itself rarely produces signs or symptoms, but specialists can identify it using a variety of radiologic or medical-scoping techniques involving x-rays, ultrasound, endoscopy or laparoscopy.

If a woman has one open tube but difficulty in achieving pregnancy, fertility drugs may enhance her chances. Open or laparoscopic surgery may also serve to remove the source of anatomic stress on a blocked fallopian tube and reopen it.

If the blockage is near the uterus, the gynecologic surgeon can often insert a tiny tube or cannula into the duct to reopen, in a nonsurgical procedure. In contrast, surgery for deeper or more extensive blockages may involve removing the blocked segment of tube and reconnecting its ends. Or, the specialist may seek to remove the source of fluid build-up in the tube (a condition called hydrosalpinx), sometimes creating a new opening to the uterus. Finally, surgery can also mean rebuilding the ability of the distal end of the tube to pickup the egg from the ovary.

Success depends in part on how badly the tube is blocked and on the success of the healing and regrowth of tissue within the tube is after the surgery. This healing can sometimes take an extended period of time. Most resulting successful pregnancies occur within the two years approximately following the procedure. If the gynecologic team cannot adequately return the function of the tubes, in vitro fertilization may be the next option for the patient to consider.

Before going in for diagnostic or operative laparoscopy, your husband should undergo a semen analysis.
You should undergo basic laboratory tests and hormonal profile to check whether your ovarian reserve, that, capacity to produce eggs, is normal.
If possible, one cycle of follicular monitoring to document ovulation should be done.

I hope this was enough information.
Please write back with further questions if required.
All the best.
Above answer was peer-reviewed by
Follow-up: Planning to go for laproscopy. Need some information 59 minutes later
Hi ! Many thanks for the info provided . I got my periods on 23rd & my surgery is on 3 rd April for opening my tubes . Is it fine to get it done after 11 days of periods or would have been better if i wud have got it done soon after the periods. Also , would like to know how successful it is in India for opening tubes via laproscopy ?
Answered by Dr. Aarti Abraham 4 hours later
Sorry for the delay.
I read your question.
April 3rd would be day 12 of your cycle.
Ideally, laparoscopy is done immediately after your periods, that is on cycle day 7.
That is the best time to visualize the uterus, tubes and ovaries and also for correcting any tubal blockages.
Success rate of the surgery depends on the cause.
You have not provided any details about your type of blockage etc.
The success rates, resulting from opening the fallopian tubes by laparoscopy are low, often less than 20%. Furthermore, the ectopic or tubal pregnancy rate is high, often in the 30% range. Couples often choose IVF since it does not involve surgery, greatly decreases the chance of an ectopic pregnancy, and has a much higher success rate.
However, if the blockage is due to simple tubal spasm , then success rates are much higher.
It all depends on the patient's individual condition, presence of conditions like endomtetriosis, hydrosalpinx etc.
Take care.
Above answer was peer-reviewed by
Follow-up: Planning to go for laproscopy. Need some information 43 minutes later
How will I get to know that wheather it is spasm blockedge or what ? You mean to say that 12 th day i am getting it done . Is it too late ! Does it reduce the chance of opening it ?
Answered by Dr. Aarti Abraham 8 minutes later
Unfortunately the system doesnt allow me to see your mobile number, as it is not allowed.
You will have to call customer care services for that.
Also, the kind of blockage would be diagnosed first by the laparoscopy, if it has not already been done by a prior procedure like HSG etc.
Thats why I asked for all full reports and investigations done so far.
I cannot comment on the chances of opening it, because I dont know the condition causing tubal blockage.
12th day is slightly late to get it done.
Above answer was peer-reviewed by
Follow-up: Planning to go for laproscopy. Need some information 0 minute later
What is > t ectopic or tubal pregnancy
Answered by Dr. Aarti Abraham 1 minute later
Normally pregnancy occurs inside the uterus.
When pregnancy occurs outside the uterus, in the fallopian tubes it is called tubal or ectopic pregnancy.
Above answer was peer-reviewed by
Follow-up: Planning to go for laproscopy. Need some information 20 minutes later
my both d tubes are blocked ..thru hsg i got to knw . So what kind of blockedge is this ?
Answered by Dr. Aarti Abraham 2 minutes later
Unfortunately, an HSG cannot tell you what KIND of blockage is there.
First a diagnostic laparoscopy would be done where the scope is inserted and the tubes and uterus are seen, and XXXXXXX is injected to see if the tubes are open or not.
SOmetimes, tubes open up by themselves under pressure of XXXXXXX
Otherwise if there are other conditions seen like adhesions, etc ( these wont be seen on HSG ), then further surgery is done.
Everything depends on the findings at laparoscopy.
Above answer was peer-reviewed by
Follow-up: Planning to go for laproscopy. Need some information 11 minutes later
ok thanks . I am gettig it done on 3rd that means 12th Day . Is it big NO NO or still i can go nd get it done .
Answered by Dr. Aarti Abraham 6 minutes later
Its not a big NO NO.
It is just preferable to do it earlier.
I wish you the best with your surgery.
Do get back to me with the details of your laparoscopy report, so that I can help you better.
Do not stress out or worry so much.
It is the biggest negative factor.
Take care.
Above answer was peer-reviewed by
Follow-up: Planning to go for laproscopy. Need some information 1 minute later
Thanks .
Answered by Dr. Aarti Abraham 50 minutes later
You are most welcome, XXXXXXX
All the best.
Do get back with the results of your laparoscopy.
Insist on a detailed discharge card with all details.
Above answer was peer-reviewed by
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