How is tubal anastomosis performed?

Patient's question:

I plan to have a child when I get married. They say that after a woman turns 30, her chances of completely recovering from never having been pregnant are slim. I went to the hospital for a sterile examination. It turns out I have blocked fallopian tubes, so I need to undergo tubal anastomosis surgery.

Doctor's answer:

The surgical steps are as follows: First, decide on a right loin oblique incision, although a laparotomy can also be chosen. The upper part of the retroperitoneal fallopian tube, the distal part of the intestinal obstruction, and the posterior part of the inferior vena cava are freed separately. If the retroperitoneal fallopian tube is normal, it is transected near the intestinal obstruction, the distal part of the fallopian tube is removed, and anastomosis is performed. If the retroperitoneal fallopian tube has a tight constriction or the inferior vena cava is tight, the fallopian tube can be removed or the fallopian tubes on both sides of the inferior vena cava can be excised. Then, the fallopian tubes are anastomosed. It is recommended to seek treatment at a formal infertility hospital.

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