Prevention of re-obliteration after reconstructive surgery on the fallopian tubes

Abstract

In order to prevent infection and prevent sticking of the fallopian tubes from the first hours after the end of the operation, we used continuous irrigation of the tubes. To do this, immediately before the operation, a self-contained tip was introduced into the cervical canal, through which, after opening the abdominal cavity, a sterile saline solution stained with indigo carmine (chromohydzotubation) was injected, which made it possible during the operation to more accurately determine the state of the fallopian tubes, etc. control the degree of restoration of patency. After the end of the operation, the tip was left in the uterus for 5-7 days. A system for drip infusion of liquids was attached to it. The procaine-furacillin mixture (0.1 g of furacillin, 9 g of sodium chloride, 2.5 g of novocaine, 1000 g of distilled water) was poured dropwise. To the initial solution was added 250 mg of hydrocortisone and 1500 units. heparin, however, their dose was gradually reduced in the following days.