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Discussion on operative skills in the embolization of hydrosalpinx by hysteroscopic placement of a microcoil. | LitMetric

AI Article Synopsis

  • This study evaluates hysteroscopic tubal embolization techniques and aims to minimize complications in the procedure.
  • Ninety-four patients were divided into two groups; group A used a simpler technique with a higher failure rate, while group B utilized four advanced techniques that significantly improved outcomes.
  • Results showed group B had a much lower reoperation rate (2.68% vs. 10%), fewer ectopic microcoils (0.89% vs. 6.67%), and lower damage rates, demonstrating that improved methods lead to safer and more cost-effective procedures.

Article Abstract

This study aims to discuss the operative skills of hysteroscopic tubal embolization and reduce the occurrence of complications.Ninety-four patients were divided into group A and group B. The main surgical technique in group A: when the inner sleeve is sent to the fallopian tube and no longer accessible (but no >3 cm), remove the guide wire and put into the microcoil. But in group B, there are four major surgical techniques. First, the depth at which the guide wire enters the tube was controlled at 2 cm. Second, the inner diameter of the fallopian tube must be explored to determine the type and shape of the coils. Third, saline should be used to separate the catheter. Fourth, it is to control the release speed of the coils. The superiority of the improved operation method was confirmed by comparing the surgical failure rate, incidence of complications, and cost of surgery before and after the procedure.The reoperation rate of group A was 10% (3/30), while that of group B was 2.68% (3/112). The ectopic microcoils rate of group A was 6.67% (2/30), while that of group B was 0.89% (1/112). The microcoil damages rate of group 23.33% (7/30), while that of group B was 8.04% (9/112). All P values were <.01, and the difference was statistically significant.Hysteroscopic tubal embolization is currently a new surgical procedure to block the fallopian tubes and prevent the reverse flow of fluid in the fallopian tubes into the uterine cavity. After we improved surgical techniques, the surgical failure rate, complication rate, and operation cost of fallopian tube embolization were significantly lower than before the improved method was applied. The improved techniques led to a higher success rate.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426551PMC
http://dx.doi.org/10.1097/MD.0000000000014721DOI Listing

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