1. Place an angled glass rod under the adhesion zone, so that the boundary between the serosa layer of fallopian tube and the adhesion is exposed, and the boundary between them can be clearly distinguished under enlarged vision.
2. First, separate the organs at both ends of the adhesion or stir the adhesion zone with a separation rod, and choose the avascular area to be separated by electrocoagulation shearing or unipolar electroacupuncture, taking care not to damage the serosa of fallopian tube.
3. Generally, small blood vessels can stop bleeding at the same time of electrotomy, and active bleeding can be stopped by electrocoagulation.
4. You can also clamp the adhesive tape with micro pliers and carefully cut the adhesive tape along its attachment with micro scissors to make the treated wound smooth and tidy and avoid postoperative adhesion. The surface of small defect was sutured with 8-0 suture.
5, umbrella end adhesion should be handled carefully, with a glass rod exposed adhesion area, carefully separate adhesion, be careful not to damage the umbrella. Laser cutting can also be used.
After the operation, it is necessary to carefully check whether there is bleeding at the broken end and whether there is residue in the abdominal cavity before the operation can be ended. In the laparoscopic separation of tubal adhesions, hysteroscopy can be combined to dredge fallopian tubes according to individual conditions, and drugs can also be injected appropriately to prevent adhesions.
Prescription for treating oviduct adhesion
1. Enema prescription: Radix Paeoniae Rubra 30g, Radix Salviae Miltiorrhizae 30g, Rhizoma Sparganii 15g, Fructus Aurantii Immaturus 15g, Rhizoma Curcumae 15g, Olibanum 10g, Myrrha 10g, and Fructus Gleditsiae Abnormalis/kloc-. Usage: One dose every night, 200 ml thick soup, retention enema, the appropriate temperature is about 39℃, once a day.
2. Oral medicine: Salvia Miltiorrhiza 30g, Squama Manis 20g, Fructus Aurantii Immaturus 12g, Radix Paeoniae Rubra 12g, Radix Bupleuri 10g, Radix Glycyrrhizae 3g, Radix Notoginseng 3g, Radix Ophiopogonis 10g, Fructus Gleditsiae Abnormalis 10g. Usage: One dose a day.
3. Hot compress: 30g of garden balsam stem, 20g of frankincense, 20g of myrrh, 20g of angelica, 20g of radix aconiti 10g, 20g of radix clematidis, 0g of cinnamon 10g, 0g of safflower 10g, 30g of salvia miltiorrhiza, and 0g of radix paeoniae rubra 15g.
Treatment of tubal adhesions
1. Intrauterine injection of drugs to treat tubal adhesion;
Injecting drugs into uterine cavity and fallopian tube through vagina can make drugs directly contact with the focus, which can alleviate local congestion and edema of inflammation, inhibit the formation and development of fibrous tissue, and achieve the effect of dissolving and softening adhesion. Moreover, when injecting drugs, there is a certain pressure to separate the adhered parts.
2, Chinese medicine treatment of tubal adhesion:
The theory of traditional Chinese medicine focuses on promoting blood circulation, removing blood stasis and dredging meridians, which has certain curative effect on mild patients.
3, physical therapy of tubal adhesion:
Methods such as ultrashort wave, iontophoresis and enema with traditional Chinese medicine can be used to promote blood circulation and eliminate cell edema, thus reducing the degree of adhesion.
4. Interventional and surgical treatment of tubal adhesions:
Interventional therapy, salpingostomy or anastomosis can reduce adhesion and have certain effect on treatment.