One of the most widely spread forms of women's infertility is the tube-peritoneal one, which is usually caused by the pathology of the moth tubes and the adhention process. The microsurgical tubal repair may bring benefits only if there is any damage in the patient`s moth tubes which can be removed surgically. There is a number of mtr benefits and risks. Risks include bleeding and infection, etc. There is also a rank of diagnosis in which the surgical treatment is impossible. They are: tuberculosis of the moth tubes, if the tube's length is less than 4 sm after the earlier operation, and other incurable factors of women's infertility.
The best way to diagnose such kind of the infertility is laparoscopy and Gysterosalpinography. Laparoscopy estimates the exterior surface of the moth and the small pelvis cavity, which can show the exact organic affects of the moth tubes, following by its perverseness.
Gysterosalpinography searches the consistency of the moth's cavity and tubes' perverseness. The information is rather important for the providing operational imprudence. During the surgical treatment the gynecologists give their preferences to the microsurgical tubal repair as the methods and can ensure the exact alignment and matching of the tissue's parts, to prevent the adhentions, bleeding and infection risk during and after the operation. There are several methods involved in such kind of treatment:
o Lyses of Adnexas adhesion (surgical removal of the adhesions in the adnexes place).
o Lyses of out Adnexas adhesion (surgical removal of the soldering in the place of the adnexes).
o Tubal implantation:
o Isthmic ( Implantation of the isthmic part of the tube);
o ampullar (implantation of the ampullar tube's part);
o combined (different ways of right and left side implantation);
o tubal tonsillities inosculation (inosculation between the different
parts of the moth tube).
o Salpino- salpinogostomy (surgical formation of the moth tube).
o Phimbrioplastic (reconstruction of the fimbrias).
o Combination of the different types of operations (imprudence to the both tubes, in the different parts of one tube.).
Mtr benefits and risks are revealed in the fact that the results of such operations show that after the microsurgical correction of the moth tubes' patalogy the pregnancy is possible during the 40-85% of cases, which can be considered to be high succesful pregnancy rates. Such wide disruption is stipulated by the different types of tubes' patology and by the possibilities of the after-operational rehabilitation, and also by the individual specialties of the patient.
Continuing to speak about mtr benefits and risks, it must be noticed that during the after-operational period for the patients, complex restoring therapy is usually provided, which includes antibacterial preparations, inhibitors, and proteolytic factor. All the rehabilitation measurements during the early period after the operation are referred to prevent the tubes' soldering process as well as the bleeding and infection risk, and restoring the functions of the tubes. There were not any cases with complications after the operations. The second and the third rehabilitation period is usually provided in 1-2 months.
So, when measuring mtr benefits and risks be very attentive and consult with your doctor.