Fallopian tube patency is checked by
Correct Answer: All of the above
Description: All of the above Tests Performed for Tubal patency are : 1. CO, insufflation test/ Rubins test (out dated)deg Hysterosalpingography (HSG)deg: Screening test. Laparoscopic chromotubationdeg: Best test Sonosalpingography (Sion Test)deg Hysteroscopydeg Transcervical Falloscopydeg Ampullary and Fimbrial Salpingoscopy.deg Extra Edge : Time of performing Tubal Patency test 61' - 111h day of cycle (-= 10'h day). Result : If tubes are patent, the medium will be seen to spill out of the abdominal ostia on to the adjacent viscera.deg If either of the tubes is blocked - site will be shown.deg A hydrosalpinx will show as a large confined mass of dye without peritoneal spill.deg Bilateral cornual block with extravasation of the dye is suggestive of tubercular salpingitis.deg * Laparoscopic chromotubation -Once HSG shows blocked tubes, it can be confirmed by laparoscopic visualization of the pelvis, fallopian tubes and ovary and injection of methylene blue through the cervix to visualize free spill or absence of spill. In addition to tuba! patency it can diagnose any peritubal adhesions or endometriosis. Sonosalpingography -(SION TEST) : In this test, 200 ml of physiological saline is slowly injected into the uterine cavity with the help of foleys catheter (its inflated bulb lies at the level of internal os) and flow of the saline along the tube is then visualized by USG.
Category:
Gynaecology & Obstetrics
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