cystectomy

Cyst removal is used for surgical treatment of ovarian tumors. Surgery is the main method for the treatment of ovarian tumors. For children and young patients, patients with partial or partial ovarian tumor resection are excluded. Before and after menopause and postmenopausal patients, multiple uterus and bilateral accessory resection are performed. Ovarian cyst removal refers to the removal of cysts from the ovary and the preservation of healthy ovarian tissue. It is different from partial ovarian resection and oophorectomy. Partial ovarian resection is the removal of a part of the ovary, such as ovarian wedge resection; oophorectomy is the removal of the tumor and ovary. As the ovarian tumor grows in the ovarian tissue, the ovarian tissue is expanded. A clear boundary can be found between the tumor and the ovary, and the tumor can be completely separated while preserving the ovarian tissue. Especially for young women with bilateral benign ovarian tumors, the normal tissues of the ovaries should be preserved as much as possible to maintain their menstrual and gestational functions. Treatment of diseases: ovarian tumors Indication 1. Non-neoplastic cysts of the ovary such as follicular cysts, simple atrial cysts, corpus luteum cysts, ovarian crown cysts, hemorrhagic cysts, ovarian chocolate cysts, etc. 2. Smaller ovarian cystic tumors such as 6cm or moderate benign tumors such as cystic teratoma. 3. Young or underperforming women have bilateral benign ovarian tumors. Contraindications 1. The tumor is too large and there is no normal ovarian tissue. 2. The cyst that has been infected has a serious adhesion to the surrounding area, and there is no obvious boundary between the tumor and the ovarian tissue. 3. Suspected of malignant. Surgical procedure 1. The size of the incision in the abdominal wall should be determined according to the size of the tumor so that the tumor can be taken out of the incision. 2. Explore and remove the ovaries, explore the tumor location, size, shape, nature and relationship with the surrounding, if there is adhesion, the ovary should be removed after the adhesion is separated. 3. Cut the ovarian cortical cyst around the sterile gauze, first find the boundary between the ovarian tumor and the normal ovarian tissue, distribute the area along the blood vessel, and cut the ovarian cortex in a curved shape. The size of the incision is determined by the size of the tumor. The depth of the incision is suitable. If the depth is too deep, the tumor is easily cut. If the skin is too shallow, the peeling is difficult. The cutting edge is lifted and separated by fingers or a handle. 4. Continue to separate and continue to separate with your fingers or shank to completely remove the cyst. 5. Suture the ovary, such as deep bleeding on the wound surface, ligation with a thin wire, and then suture 1 or 2 layers with a 3-0 gut. Be careful not to leave a dead space. Trimming can be performed if the edges of the envelope are not uniform. The remaining normal ovaries and their capsules were interrupted or sutured continuously or continuously sutured. 6. Check the ovary of the suture for bleeding. The bleeding may be stopped by hemostasis. If it is still bleeding, it will be sutured. 7. Carefully check if the contralateral ovary is normal. 8. Suture the layers of the abdominal wall. complication The main complication of ovarian cystectomy is the formation of a hematoma. The reason is that the cyst suture after the cyst is peeled off is not detailed, leaving a dead space, wound surface bleeding or bleeding, early application of hemostatic agents, antibiotics and physiotherapy to prevent hematoma infection.