Sactosalpinx is a meshes formation that arose as a result of fluid accumulation in the lumen of the fallopian tube. In acute course characterized by fever and pain in the groin, chronic-infertility and a feeling of heaviness in the lower abdomen. In some cases, with a sluggish process, moderate pelvic pain and periodic watery vaginal discharge are possible. Diagnosis using pelvic examination, hysterosalpingography and ultrasound hysterosalpingography, laparoscopy and fertiloscopy. Treatment is most often surgical with the preliminary appointment of antibiotics. Recommended by plastic pipe or tubectomy.
According to various studies in obstetrics and gynecology, the prevalence of sactosalpinx in patients who cannot conceive ranges from 7.3 to 28%. Often, the disease becomes an accidental finding during a comprehensive examination for infertility. Accumulation of serous exudate or pus in one or both fallopian tubes is usually detected in young women (up to 30 years), which is due to the peculiarities of their sexual behavior. Sactosalpinx almost never primary, usually complicates the course of other gynecological pathology, primarily — inflammatory diseases, caused by specific and non-specific infections.
Causes of sactosalpinx
As a rule, the pathology is easily diagnosed by x-ray examination with contrast agent (hysterosalpingogram). In addition, ultrasound can be detected accumulation of fluid between the ovary and the uterus, pronounced expansion and elongation of the tube, its deformation. Note that healthy tubes on ultrasound are not visualized – they can be seen only in the case of pathological accumulation of fluid. And the third method laparoscopia.
Treatment of sactosalpinx (of hydrosalpinx)
Treatment of sactosalpinx (hydrosalpinx) is aimed primarily at eliminating problems with infertility.
Because in most cases, sactosalpinx is formed due to inflammation, the first step of treatment is conservative therapy with antibacterial drugs.
. In pain syndrome, the appointment of nonsteroidal anti-inflammatory drugs is shown.
Taking into account the degree of obliteration of the tube, the tendency of sactosalpinx to relapse and the woman's plans for the birth of a child, the following operations are recommended:
Laparoscopic reoccluzii. Implementation of salpingostomy and salpingoneostomy creation of alternative openings, the imposition salpingo-salpingostomy, transplantation of pipe to another section of the uterus in some cases allow you to restore the evacuation of fluid and eliminate zakosarenko.
Laparotomy or laparoscopic tubectomy. If the formation is large, the plastic was ineffective, there was a relapse of the disease or the age of the woman exceeds 35 years, the removal of the tube (tubectomy) is shown. If desired, the patient to become pregnant later use one of the methods of IVF.
Gatling-med clinic in Tashkent and its doctors, having 10 years of experience with such diseases, are ready to serve you at the highest level and conduct appropriate operations.