The process of laparoscopic surgery for ovarian cysts

Laparoscopic surgery is one of the commonly used techniques in surgeries for some minor illnesses. The incision of laparoscopic surgery is smaller than that of traditional surgery, causing less harm to our body. At the same time, the postoperative recovery of laparoscopic surgery is also faster. It is also very applicable to the common disease of ovarian cysts among female friends. Today, I will show you the process of laparoscopic surgery for ovarian cysts.

General steps

1. The patient lies supine with the head lower than the feet by 15-30 degrees, the bladder in lithotomy position, a uterine manipulator is placed, and a urinary catheter is indwelling.

2. Make a 1 cm incision on the upper or lower edge of the navel, place a mirror (25-30°), and maintain the CO2 peritoneal pressure at 12-14 mmHg. Make 5mm and 10mm puncture holes at the second and third operation holes in the avascular area of ​​the lower abdomen on both sides (at the level of McBurney's point), respectively.

3. Explore the pelvic and abdominal cavity to understand the size and mobility of the cyst and whether there are any growths on the surface. Only after it is preliminarily determined to be a benign cyst can surgery be performed.

4. Use non-destructive forceps to pry up the ovarian cyst and place it in front and above the uterus. Use a monopolar electric hook to cut the ovarian cortex 2 cm deep into the cyst wall on the free side of the ovarian cyst. Use the suction head (separation forceps) to bluntly separate the ovarian cyst wall and normal ovarian tissue at the interface. If the cyst wall and ovarian cortex are tightly adhered, use a monopolar electric hook to cut them open. Use bipolar electrocoagulation to stop bleeding at active bleeding sites to prevent affecting the progress of the operation. Gradually remove the cyst as completely as possible. If the cyst wall is thin and ruptures during the operation, the cyst fluid is sucked out and the cyst wall is peeled off after repeated flushing. The blood vessels at the base of the cyst are first coagulated with bipolar electrocoagulation, and then the cyst is sharply removed and the wound is hemostatically controlled with bipolar electrocoagulation. If the cyst is large, the remaining ovarian cortex needs to be sutured with 2-3 absorbable sutures after surgery to form a new ovary.

5. Use a specimen bag to remove the cyst and its contents, and send the specimen for frozen examination.

Through the above brief introduction, I believe that everyone can understand laparoscopic surgery for ovarian cysts, especially for those female friends suffering from ovarian cysts. The above introduction can help them understand this emerging medical technology, eliminate the fear of laparoscopic surgery for ovarian cysts, and enable them to better treat and recover. I hope today’s introduction can be helpful to you.