Patient's question:
Six months ago, I had a tubaloplasty in the hospital for hydrosalpinx. However, now the hydrosalpinx has recurred, and I need to get pregnant through IVF. What surgery can remove the lesion and allow for culture dish preparation?Doctor's answer:
A patient who experiences recurrent hydrosalpinx adhesion after tubal hydrops surgery is recommended to undergo IVF after the hydrosalpinx is surgically resolved. Currently, the following methods can be considered: laparoscopic proximal tubal ablation or laparoscopic bilateral tubal resection. Relatively speaking, it is more advisable to perform laparoscopic proximal tubal ablation, as ablation causes less interference to the blood supply of the ovaries compared to tubal resection, thereby causing less disruption to ovarian function. Additionally, if the hospital has actively implemented hysteroscopic occlusion surgery, it can also be considered to inject occlusion material into both bilateral tubal ostia through the hysteroscope, which goes beyond the purpose of laparoscopic proximal tubal ablation.