Endoscopic operations on the fallopian tubes: myth or reality?

 Dear readers, I continue to introduce you to excerpts from my book "Angels drink milk". 

 Work in the laboratory and promising research took all the girl's attention, the world of science is boundless and fascinating for anyone who wants to plunge into it. Unfortunately, some seemingly obvious areas of the human body for comprehensive medical practice remain at the rudimentary stage of treatment possibilities. If we are talking about women, then an example of extreme limitations of treatment is the uterine tubes.

             The 21st century is on the calendar, but so far no clinic in the world can fully restore the function of the uterine tube after an ectopic pregnancy, hydrosalpinx[1]or other injuries. In principle, plastic surgery on tubes is not fully feasible. There are many reasons for this: it is the complexity of the organ as such[2], the simplicity of damaging the tubes[3], the microscopic size of the lumen of the tube (not more than 3 mm). The Research and invention of mechanisms for restoring uterine tubes functions were fascinating for many scientists, including long-time interested in Jin Ho. Now she had a great opportunity to work on this issue. She spent a long time studying this problem in the University laboratory;she conducted computer simulations of their operation, and wondering what could be done to help thousands of women restore the functions of this crucial organ after damaging or illness. If she comes up with a new way to treat or restore this organ "it will be not only a breakthrough in medicine but also her personal success which is important!

             One evening when she was working in the lab, it suddenly dawned on her: why hasn't humanity yet invented nano surgical endoscopic equipment[4] for examining the uterine tubes from the inside? These are such optomechanical devices that are equipped with a system for transmitting light and images, they could be used in the lumen of the uterine tubes, but the size of robot devices should really be nanoscopic[5]. The results of using endoscopes are clear and well known:

·                Ability to assess the situation in the organ, displayed on the screen of a personal computer;

·                Ability to make fast decisions;

·                Theoretically, it is possible to perform nanosurgical operations by feeding the desired instrument through the endoscope tube!

             Jin Ho's eyes lit up: she should implement these ideas in her work! Especially given the fact that nowadays real medical nanorobots have begun to appear.Within a few weeks, the draft version of the project was being worked on.

           Engineers of the research center's laboratory helped the girl simulate the operation of an endoscopic nanorobot in the lumen of a woman's uterine tubes on a computer, and Jin Ho herself made a description of the model. While working on the device, she incorporated anatomical and hemodynamic data of the human uterine tubes into a computer model of the ape's uterine tubes. The results were promising.

            Her ideas were close to sci-fi in the field of modern science. Jin Ho described in detail a nano-sized video camera positioned directly on the molecules of a special medium of a tiny nanotube inserted into the lumen of the tube. Even the substance from which the tube should be made was especial, organic.

            Further, she wrote about the possibility of using a laser beam, for example, for the purpose of gentle removing an embryo developing and attached to the tube during an ectopic pregnancy. Her research and ideas often overlapped with the field of molecular biology and was somewhat ahead of the medical technology and robots achieved so far. It offered innovative methods for treating diseases of the uterine tubes, and they were brilliant, even in fantastic.

            Jin Ho as a real scientist could anticipate some of the technical and medical developments of the coming years! Perhaps, she could call her an Oracle in the field of medicine, a divine seer, but she was very modest and did not consider her work to be anything better than the work of other students. The scientific supervisor of the leading research center at Johns Hopkins University, Professor Jack Chinzon, was surprised by the depth of the ideas of the young Korean woman:

            "Your project is brilliant, I would not have thought of such a thing! It would be necessary to describe everything correctly, and we will apply for the cover of the best medical journals! We need to ask the engineering guys to help with the simulation design of this and this models," he said, pointing at the layouts drawn in the computer program. Chinzon spent a long time praising Jin Ho's ideas, but secretly doubted that they would be implemented in practice.

 



[1] A hydrosalpinx is a condition that occurs when the fallopian tube is blocked and fills with serous or clear fluid near the ovary (distal to the uterus).

[2]The uterine tubes are unpredictable, they can contract, resembling muscles, and they have microscopic cilia inside them, which help the cell.

[3] For example, infection, adhesions, impaired motility of the inner cilia.

[4] Endoscopy is the insertion of a long, thin tube directly into the body to observe an internal organ or tissue in detail. It can also be used to carry out other tasks including imaging and minor surgery.

[5] One nanometer is equivalent to a billionth of a meter. This is about the length of five to ten atoms in a row. A nanometer is to a meter what a football is to the entire earth. The term nanotechnology is used to describe the specific and controlled measurement, development, manufacture and use of nanomaterials.

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