Chromotubation

Chromotubation is a laparoscopic procedure where dye is introduced through the uterus and the doctor observes it come out of the fallopian tube into the abdominal space. This procedure is done instead of a Salpingogram for women that have suspected endometriosis for the purpose of infertility testing. Due to the invasive nature of the test it is typically only done when a laparoscopic procedure such as adhesiolysis is also being performed. Because the doctor can visually see the results a chromotubation test is more definitive than the hystosalpingogram.

Chromotubation is done laparoscopicaly and requires a 1 to 2 day stay in the hospital. The doctor will place several ports in the abdomen that are anywhere from 5 to 12mm in diameter. This will allow the doctor to place specialized tools called trochars. Each trochar has specialized functions, one is a camera that has an extra port for adding gas to the abdomen. The camera trochar will add carbon dioxide gas to the abdominal cavity causing the area to inflate. This will create a space for the camera to be able to see the inside of the cavity. Another trochar that has both irrigation and suction ports will be placed. This throchar will help the doctor keep the surgical field clear of excess blood and other debris. The rest of the ports will be used for trochars that have special electrosurgical tools, clamps, graspers, and scissors that are used to complete the surgery. After all of the trochars are placed the doctor will insert a catheter into the cervix and fill the uterus with dye and observe if it comes out of the fallopian tube on a monitor. After the chromotubation test is complete the doctor will continue with any other procedure that was schedule. The doctor will also take a survey to look for and document any adhesions and anomalies. If the doctor finds adhesions she may separate them if it was discussed before hand and any anomalies biopsied.

Risks

As with any procedure there are risks that should be discussed with your doctor. This list of risks is not complete but comprises the highest risks associated with Chromotubation.

Please call Dr. Davis to report any side effects or to answer any questions you may have post-procedure.

What to Expect the week before your procedure

  1. Once Dr. Davis schedules the procedure you will be given a folder that you will need to take to the day surgery desk at the hospital. They will complete any paperwork, schedule you for an ECG and send you to the lab for some blood work.
  2. Follow the instructions given to you from the hospital on the day of your ECG. It is important to keep this appointment as the procedure can not be done with the ECG and clearance from the Anaesthesiologist. If you miss your ECG test date the procedure will have to be rescheduled.

What to Expect the day of your procedure

  1. You will need to plan for a several night stay at the hospital.
  2. You will arrive at the day surgery unit of the hospital usually thirty minutes before your scheduled surgery time. Any final paperwork needed will be completed in this time.
  3. A nurse will bring you back to the procedure room and have you remove your clothing and put on a surgical gown. Some blood will be drawn for labs, your vitals taken, and an iv line placed. When its time the nurse will transport you to the surgical room on the bed.
  4. The Anaesthesiologist will enter the room and discuss what type of anaesthesia they will use for the procedure. It could be a spinal block or full anaesthesia and you may voice your preference at that time. The Anaesthesiologist will not use full anaesthesia until Dr. Davis has entered the room and had a chance to speak with you.
  5. Dr. Davis will enter the room and will discuss the procedure and give any instructions for you to follow during the procedure or give the Anaesthesiologist the go ahead with full anaesthesia.
  6. Dr. Davis will perform the procedure and then check to make sure there were no complications before leaving the room. When Dr. Davis proclaims the procedure complete the nurse will transport you back to your room to rest.
  7. The next morning Dr. Davis will come visit you and perform an examination and clear you for liquid foods.
  8. The evening of your 2nd day Dr. Davis will perform another examination and make sure that your urinary output is satisfactory, you are not in any unexpected pain, and you are able to tolerate a liquid diet. If everything is satisfactory, Dr. Davis will write your discharge orders and clear you to eat your normal diet.
  9. A nurse will come and give you a copy of the orders and any prescriptions that have been written for you. The nurse will also instruct you on how to care for the wounds till they heal. Lastly, the nurse will remind you of your follow up appointment with Dr. Davis in 7 days. It is important that you have someone available to pick you up from the hospital since the hospital will not discharge you otherwise..

What to expect over next several days

You can expect mild pain and discomfort for up to 1 week on average following the procedure while your body recovers. Dr. Davis may prescribe pain medication to you during this time. You must refrain from having sex or doing any strenuous exercise for up to 2 weeks.

Notify your Doctor Immediately If

  1. You experience pain, swelling, redness, or a feeling of heat from the pubic area.
  2. You have a foul discharge from the vagina or you have heavy bleeding.

For more information on Chromotubation you can visit these sites:

© Copyright 2011 Dr. Glena Davis, D.O. All rights reserved. Any redistribution or reproduction of part or all of the contents in any form is prohibited. You may not, except with our express written permission, distribute, reproduce, or commercially exploit the content.