What kind of surgery is better for fallopian tube blockage?

Patient's question:

After several years of marriage, we have always been living in our own little world. We wanted to add a member to our family and planned to have a baby this year. However, the problem came up when we had a pre-pregnancy checkup. The doctor told me that I have blocked fallopian tubes, which makes it very difficult to get pregnant. It was like a thunderbolt from the clear sky. I really can't understand why this happened. I had always been chaste before, but now I have this disease. Which surgery would be better for blocked fallopian tubes?

Doctor's answer:

Treatment for infertility caused by fallopian tube blockage:
1. For bilateral fallopian tube blockage, different treatment plans should be chosen based on the location and degree of blockage. If the blockage is at the fimbriae, laparoscopic or open surgery with visual guidance can be used to release pelvic adhesions and perform fimbrial recanalization. Surgical recanalization for blockages in the interstitial part of bilateral fallopian tubes is highly challenging with a low success rate. It is recommended to directly proceed with in vitro fertilization (IVF) for assisted reproduction. For simple blockages in the isthmus, tubal anastomosis after resection of the blocked segment can be considered.
2. For fallopian tubes that are partially blocked, laparoscopic treatment is recommended.
2. For unilateral blockages, it is important to seek medical attention promptly for tubal hydrotubation (flushing). After the procedure, it is advisable to lie flat for 1-2 hours to shorten the time the medication remains in the fallopian tubes, thereby enhancing the therapeutic effect. After lying down, a small amount of fluid may flow from the vagina due to the uterine cavity. This

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