Fallopian tube

Fallopian tube (synonym: both ovaries, fallopian tubes) - is a pair tubular body, in which egg cell comes from the ovary to the uterus. Fallopian tube begin from the upper corners of the uterus (see) in the bottom, but are the top edge of the wide uterine ligaments toward the side wall of the pelvis and open in the abdomen near the ovaries. In the fallopian tubes are distinguished: 1) the mother of that found in the thickness of the uterine musculature; 2) the isthmus - the average Department pipes and 3) vials, zakapivaetsya funnel with fimbriae. The length of the fallopian tubes 11 cm, width uterine part of the tube 0,5-1 mm, isthmus -3 mm, ampullar - 6 -10 mm Wall of the fallopian tube consists of the mucous membrane, muscle layer and serous membranes. The mucous membrane forms a longitudinal folds, covered ciliary epithelium. Atrial movement epithelium are made in the direction of the uterus, contributing to the promotion of a fertilized egg.
When the underdevelopment of the genital organs (infantilism) of the fallopian tube are usually elongated, convoluted and constricted.
Muscular layer of the fallopian tube has the ability to make peristaltic movement from anularea end to the uterine. Most expressed peristalsis at the time of ovulation and in the beginning of the luteal phase (see the Menstrual cycle). In the peristaltic movements of the fallopian tubes is the promotion of a fertilized egg. The fallopian tubes are richly developed vascular network formed by branches of the uterine and ovarian arteries. This explains the emergence of heavy bleeding during interrupted tubal (ectopic) pregnancy.
Impaired patency of the fallopian tubes occur most often as the result of diseases gonorrhea, septic and tubercular etiology and are one of the most frequent causes of infertility in women. For functional diagnosis of uterine tubes used different methods of research: hysterosalpingography (see), pertubation, hydrotubation.
Pertubation (blowing) of the fallopian tubes produces a gynecologist with the help of special device consisting of a tip, a manometer and a tank of oxygen. Pertubation usually produced from 8-th to 20-th day of the menstrual cycle (with a 28 day cycle) in the presence of the normal blood picture (ROHE not exceeding 15 mm per hour) and I-II Degree of vaginal flora purity.
Hydrotubation - fluids under pressure in the cavity of the uterus and fallopian tubes. Usually apply warm 0.25% solution novokaina with antibiotics. Hydrotubation applies not only in diagnostic and therapeutic purposes - by obstruction of pipes, infertility, in this solution further added hyaluronidase (an enzymethat dissolves spikes) and hydrocortisone. When obstruction of pipes and infertility as a result of chronic inflammatory adhesions around the fallopian tubes (perisalpingitis) can be made in the operation of dissection of adhesions (salpingitis).

As a result of all proposed transactions pregnancy occurred only in 4-21 %, which can be explained functional inferiority replanted areas MT or their re-sardinien.
II. Salpingectomy (tubectomia) - destruction of pipes. Indications: tubal pregnancy, chronic diseases MT and availability parasailing cysts. Equipment operation: allocate a tube of cicatrices, impose clip Kocher on tubal-ovarian ligament (the outer end of mesosalpinx), the second clamp - on uterine tube end. Cross tubal-ovarian bunch, mesosalpinx along the pipe; contains vascular branches areas of mesosalpinx are ligated with catgut. Cut off the fallopian end of the tube over terminal. Often they make the wedge-shaped excision of the pipes from the corner of the uterus. Bleeding sprigs uterine artery and sexual branches tied up and then sew the wound of the uterus. Peritonization purse string or blanket stitch. When a large wound surface (rich spikes) to cover stump use all of uterine ligament loop sewing it to the corner of the uterus over seam in place excision of the pipe. Peritonization continue in the direction of tubal-ovarian link where to dive it impose purse string suture.

Fig. 11. Transplantation of the fallopian tubes to the uterus:
1 - the incision is on the bottom of the uterus; 2 - the cut ends of the fallopian tubes; 3 - the operation is finished. The pipe is fixed in the context of the uterus and imposed seams cut
fundus of the uterus (Petchenko).