Clinical Application of Transcervical Guidewire or Epidural Catheter in Hysteroscopic Combined with Laparoscopic Oviduct Anastomosis

Yin LI; Xiao YANG; Hong-wen HU

doi:10.12259/j.issn.2095-610X.S20210318

Volume 42 Issue 3

Apr. 2021

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Yin LI, Xiao YANG, Hong-wen HU. Clinical Application of Transcervical Guidewire or Epidural Catheter in Hysteroscopic Combined with Laparoscopic Oviduct Anastomosis[J]. Journal of Kunming Medical University, 2021, 42(3): 67-72. doi: 10.12259/j.issn.2095-610X.S20210318

Citation:

Yin LI, Xiao YANG, Hong-wen HU. Clinical Application of Transcervical Guidewire or Epidural Catheter in Hysteroscopic Combined with Laparoscopic Oviduct Anastomosis[J]. Journal of Kunming Medical University, 2021, 42(3): 67-72. doi: 10.12259/j.issn.2095-610X.S20210318

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Clinical Application of Transcervical Guidewire or Epidural Catheter in Hysteroscopic Combined with Laparoscopic Oviduct Anastomosis

doi: 10.12259/j.issn.2095-610X.S20210318

Dept. of Gynecology，The Third People’s Hospital of Yunnan Province，Kunming Yunnan 650011，China

Received Date: 2020-12-09
Publish Date: 2021-04-09

Abstract

Abstract

Objective To explore the clinical value of transcervical guidewire or epidural catheter in surgery of hysteroscopic combined laparoscopic oviduct anastomosis. Methods Seventy-four cases of fallopian tube obstruction from June 2012 to August 2019 were retrospectively analyzed. During laparoscopic combined hysteroscopic oviduct anastomosis surgery, 31 cases underwent oviduct anastomosis assisted by epidural catheter or transcervical guidewire, 43 case underwent conventional oviduct anastomosis. Results The oviduct suture time （16.871±3.052） min vs （19.488±5.795） min （F = 5.256 P = 0.025）; the number of remedial stitches of oviductanastomosis[0（0-0）] vs [0（0-2）] （χ² = 4.963 P = 0.032）, the leakage rate of Meilan liquid [5/31（16.1%）] vs [14/44（31.8%）] （χ² = 3.938 P = 0.047）; the postoperative fallopian tube patency rate of hysterosalpingography （HSG） [70/76（92.1%）] vs [29/37（78.3%）] （Z = 2.409 P = 0.016）, the conventional oviduct anastomosis was significantly better than that of the group assisted by epidural catheteror transcervical guidewire （P < 0.05）. The operation time 130.161±20.584） min vs （122.907±15.053） min （F = 3.070 P = 0.083） and intrauterine pregnancy rate of 3-24 months [14/31（45.2%） vs 17/43（39.5%）] （F = 0.234 P = 0.628） had no statistical significance between the two groups. Conclusion The operation of oviduct anastomosis assisted by transcervical guidewire or epidural catheter has the shorter oviduct suture time, better exposure field, more simple and reliable oviduct sutureas compared with those in conventional oviductanastomosis.
- Transcervical guidewire,
- Epidural catheter,
- Fallopian tube obstruction,
- Laparoscopic combined hysteroscopic oviduct anastomosis

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References(15)

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