Teknik Hidrotubasi

Oleh :

dr.Nailla Fariq Alfiani

Teknik hidrotubasi atau tubal flushing awalnya digunakan untuk diagnosis gangguan patensi tuba dengan bantuan visualisasi dari hysterosalpingography, ultrasonography, atau laparoskopi. Namun, adanya laporan bahwa sebagian wanita mengalami konsepsi beberapa bulan setelah prosedur ini membuat prosedur ini juga mulai digunakan untuk tujuan terapeutik.[27]

Hidrotubasi dapat dilakukan saat hysterosalpingography (HSG) atau ultrasonography (hysterosalpingo‐contrast‐sonography) atau laparoskopi sesuai kondisi pasien. Namun, hidrotubasi juga dapat dilakukan sebagai follow-up, contohnya sebagai terapi setelah HSG menunjukkan obstruksi tuba.[1-3,27]

Persiapan Pasien

Referensi

1. Wu Q, Lin Y, Zhang J, Zhou Y, Chen L, Lin T. Preliminary hysteroscopic tubal hydrotubation improves fertility outcomes after laparoscopic salpingotomy for tubal ampullary pregnancy. BMC Surg. 2022 Feb 12;22(1):53.
2. Tassang A, et al. The place of hydrotubation in the treatment of fallopian tube blockage. IQRJ. 2023.
3. Srivastava D, Shekhawat H, Shelke U. Study of intrauterine insemination with hydrotubation in women with infertility. J Datta Meghe Inst Med Sci Univ. 2021;16:1-4. 2021.
5. Amin-Florin EK, Florin S. Improvement of fertility outcomes using dexamethasone / antibiotic adjuvant therapy following hysterosalpingography in infertile females: A randomised trial. Pak J Med Sci. 2022 May-Jun;38(5):1298-1303.
6. Tagreda F, et al. Ultrasonographic Hydrotubation versus No Hydrotubation Before Intrauterine Insemination. Al-Azhar International Medical Journal. 2022;3(11):83-88.
8. Ambildhuke K, Pajai S, Chimegave A, et al. A Review of Tubal Factors Affecting Fertility and its Management. Cureus. 2022 Nov 1;14(11):e30990.
13. Hind T, et al. Evaluation of hysterosalpingographic findings among patients presenting with infertility. Saudi Journal of Biological Sciences. 2020. https://doi.org/10.1016/j.sjbs.2020.08.041.
14. NHS. Laparoscopy Hydrotubation.2021. https://policyonline.nhslothian.scot/wp-content/uploads/2023/03/Day%20Surgery-Gynae-Laparoscopic_Hydrotubation_and_Dye_Test.pdf
15. Ma ZS. Microbiome Transmission During Sexual Intercourse Appears Stochastic and Supports the Red Queen Hypothesis. Front Microbiol. 2022. https://www.frontiersin.org/articles/10.3389/fmicb.2021.789983/full
16. Chalazonitis A, Tzovara I, Laspas F, et al. Hysterosalpingography: technique and applications. Curr Probl Diagn Radiol. 2009 Sep-Oct;38(5):199-205.
17. Carneiro MM. What is the role of hysteroscopic surgery in the management of female infertility? A review of the literature. Surg Res Pract. 2014;2014:105412.
18. Tros R, Rosielle K, Koks C, et al. Visual tubal patency tests for tubal occlusion and hydrosalpinx. Cochrane Database Syst Rev. 2022 Jun 9;2022(6):CD014968.
19. Melo P, Georgiou EX, Johnson N, et al. Surgical treatment for tubal disease in women due to undergo in vitro fertilisation. Cochrane Database Syst Rev. 2020 Oct 22;10(10):CD002125.
20. Justiz Vaillant AA, Vashisht R, Zito PM. Immediate Hypersensitivity Reactions. StatPearls Publishing. 2023.
21. Bansie RD, Karim AF, van Maaren MS, et al. Assessment of immediate and non-immediate hypersensitivity contrast reactions by skin tests and provocation tests: A review. Int J Immunopathol Pharmacol. 2021;35:20587384211015061.
22. Adesiyun AG, Cole B, Ogwuche P. Hydrotubation in the management of female infertility: outcome in low resource settings. East Afr Med J. 2009 Jan;86(1):31-6.
23. Saaqib S, Chohan MA, Ashraf M, Mumtaz A. Effect of Hydrotubation in Unexplained Infertility – A Randomized Controlled Trial. Annals of King Edward Medical University. 2016.
24. Liu X, et al. Diagnosis and treatment of fallopian tube obstruction: a literature review. Int J Clin Exp Med. 2017;10(12):15950-15959.
25. Okonkwo O, et al. Successful pregnancy following refusal of laparoscopy but acceptance of hydrotubation-only procedure for bilateral tubal blockade. Clinical Obstetrics, Gynecology and Reproductive Medicine. 2015.
26. Zhang Y, et al. Evaluation of the safety and effectiveness of tubal inflammatory drugs in patients with incomplete tubal obstruction after four-dimensional hysterosalpingo-contrast-sonography examination. BMC Pregnancy Childbirth. 2022. https://doi.org/10.1186/s12884-022-04722-y
27. Wang R, Watson A, Johnson N, Cheung K, Fitzgerald C, Mol BWJ, Mohiyiddeen L. Tubal flushing for subfertility. Cochrane Database of Systematic Reviews 2020, Issue 10. Art. No.: CD003718.

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