Sactosalpinx

Sactosalpinx – the pathological disease of fallopian pipes of inflammatory character provoking disturbance of their passability due to accumulation of serous liquid in hollow formation of a pipe.

Fallopiyev of a pipe (salpinx) – pair body, cylindrical channels which lateral ends open in an abdominal cavity and the medial ends come off in a uterus. The pipe on average reaches 10 – 12 cm in length and 0,4 – 0,6sm in width. The right and left fallopiyeva of a pipe can differ in sizes. The main function of uterine tubes – advance of an ovum in a uterus.

Uterine tubes are covered with a serous cover under which there is a subserosal basis presented by friable connecting fabric. The muscular coat of a pipe lying under connecting fabric consists of three layers of smooth fibers:

• Thin longitudinal periblast;
• Average circular, thicker layer;
• Inside longitudinal layer.

The muscular coat of a pipe provides its peristaltics promoting movement of an ovum. Under a muscular coat of uterine tubes the mucous membrane forming folds, covered with the single-layer prismatic and ciliate epithelium flickering in the direction of the medial end of a pipe, that promoting advance of an ovum in a cavity of the uterus lies. In channels of uterine tubes there is a fertilization of an ovum.

The sactosalpinx represents the hollow, roundish formation of an elastic consistence in a uterine tube accumulating serous liquid and complicating advance of an ovum in a uterus. If in hollow formation of a pipe exudate of own secretion accumulates, then it is about a sactosalpinx. At accumulation in an educated cavity of pus the pyosalpinx is diagnosed. Formation of a sactosalpinx can be observed as on the one hand, and in both uterine tubes. In certain cases the valve sactosalpinx at which educations under pressure of the accumulated liquid break and stream in a cavity of the uterus from time to time develops. After a while the sactosalpinx is formed again.

Sactosalpinx: symptoms of developing of pathology

At development of a sactosalpinx symptoms can be the following:

• Plentiful watery allocations from a genital tract (at valve type of education);
• Acute colicy pains;
• Disturbances of a menstrual cycle;
• Dysmenorrhea;
• Inflammatory processes of ovaries;
• Nagging pains;
• Extrauterine pregnancies;
• The increased body temperature;
• Infertility.

However not all women suffering from a sactosalpinx which symptoms are identical to usual inflammations of uterine tubes, note at themselves disturbances of menstrual cycles, uncharacteristic pains and changes in allocations. In most cases the sactosalpinx is diagnosed at inspection for identification of the reasons of infertility or at an extrauterine pregnancy.

The clinical picture at a sactosalpinx depends on expressiveness of pathology and inflammatory process, and also on a limitation period of a disease and the accompanying processes in a uterus and appendages.

Allocate idle time (formation of one cavity) and follicular (formation of several cavities in one pipe) a sactosalpinx. In a form of a current allocate an acute (active) sactosalpinx and chronic (slow). At different forms of a sactosalpinx symptoms will have various character.

Sactosalpinx: pathology origins

Inflammatory processes of fallopian pipes, and also the previous commissural process belong to the main reasons for formation of a sactosalpinx. At the diagnosed sactosalpinx can be the reasons of its development:

• Infections of a genital tract (chlamydias, gonorrhea);
• Commissures of pipes after carrying out surgical manipulation;
• Adnexitis;
• Endometriosis;
• Salpingites, salpingo-oophorites.

Also at a chronic sactosalpinx the frequent inflammatory processes of a genital tract proceeding without the corresponding treatment can be the reasons.

Sactosalpinx: risks and complications at a disease

The sactosalpinx causes disturbance of functioning of uterine tubes. At an inflammation there is a growth of the connecting fabric striking in a varying degree all layers of a uterine tube, breaking functions of muscle fibers and a ciliary ciliate epithelium. The expanding commissures in a gleam of a pipe break its passability, complicating the movement of an ovum and a spermatozoon. If the ovum is impregnated, but owing to an immovability of a ciliary epithelium does not move ahead in a cavity of the uterus, implantation of fetal egg is done directly in a uterine tube that leads to development of an extrauterine pregnancy. At chronic forms of a sactosalpinx speak about tube infertility.

Sactosalpinx and pregnancy: chances of successful conception

The sactosalpinx and pregnancy are one of the most serious problems for the solution of modern medicine. The sactosalpinx increases risk of development of an extrauterine pregnancy. The chance of successful conception and implantation of fetal egg in a cavity of the uterus significantly decreases (to 5%). The inflamed uterine tube at a sactosalpinx is a source of persistent infections. In most cases at chronic forms of a disease the decision on removal of a fallopian pipe is made. In the absence of uterine tubes pregnancy is possible only after EKO. At various forms of a sactosalpinx and pregnancy the woman has to reside under observation of the doctor.

Diagnosis of a sactosalpinx, treatment of pathology

For diagnosis of a sactosalpinx use the following methods:

• Gynecologic survey at which between a uterus and an ovary elastic painless (low-painful) education is palpated;
• Ultrasonography screening;
• Gisterosalpingografiya – a radiographic research.

One more method for diagnosis of a sactosalpinx is laparoscopic operation during which there is an opportunity not only to diagnose a sactosalpinx, but also to remove this education once.

At a sactosalpinx treatment can be conservative and radical. At any forms of a sactosalpinx treatment has to be directed as to elimination of the inflammatory process promoting formation of commissures and hems in fallopian pipes and to elimination of the symptomatology caused by education in a pipe. At early diagnosis of a sactosalpinx treatment by conservative methods has the favorable forecast. At chronic forms of a disease apply radical methods of treatment.

The most preferable way of operational treatment of a sactosalpinx is the laparoscopy. Such endoscopic operation allows to estimate probability of recovery of functionality of a uterine tube, to divide commissures as around, and in the pipe.

However this manipulation does not guarantee a complete recovery of functionality of a fallopian pipe. Even at recovery of passability of a pipe, the ciliate ciliary epithelium remains slow-moving, and muscular tissue are reduced insufficiently for advance of an ovum in a cavity of the uterus.