Ovarian cyst suppuration

Ovarian cysts are a common type of ovarian tumor and can occur unilaterally or bilaterally. Ovarian cysts are generally benign tumors, but there is a certain chance that they will become malignant. The appearance of suppuration in ovarian cysts indicates that the condition is serious and needs to be treated according to the patient's condition. This disease may lead to infertility, so it is best to actively seek medical treatment when it is discovered.

Conservative treatment

Generally speaking, if the cyst is less than 5 cm in diameter and there is no evidence of a tumor, conservative treatment with traditional Chinese medicine can be used.

Surgery

① Ovarian cystectomy: Most of these patients have no menstrual disorders, and some even have complicated pregnancy. If the tumor is more obvious on one side, a salpingo-oophorectomy on the affected side can be performed.

②Salpingo-oophorectomy

Unilateral ovarian cysts occur in older patients (over 45 years old), and bilateral ovarian cysts are usually treated with unilateral or bilateral oophorectomy. Patients who are not fit for surgery due to their general condition or have severe inflammation often undergo total hysterectomy. It is worth noting that for the surgical treatment of larger ovarian cysts, the size of the incision should be ignored and complete resection is appropriate to avoid rupturing the patient's pulse and allowing the contents to overflow into the abdominal cavity or incision. During the operation, attention should be paid to the patient's pulse, breathing, and blood pressure changes. When necessary, infusion or blood transfusion, oxygen supply should be accelerated, and early detection of acute gastric dilatation, paralytic intestinal obstruction, and the resulting water and electrolyte imbalance and blood chemistry changes should be prevented.

③ Adnexectomy and total hysterectomy occurs in perimenopausal or postmenopausal women with unilateral or bilateral ovarian cysts. If the patient's general condition is not suitable for the surgery, bilateral adnexectomy and total hysterectomy are appropriate, but it will seriously affect endocrine disorders.

① Most patients are in the late stage when they seek medical treatment, so every effort should be made to remove the primary cyst and visible pelvic and abdominal metastases. Because malignant ovarian cysts are often adhered or infiltrated with the uterus and adnexa, and are closely attached to the pelvic peritoneum, the uterus and tumor are often removed in one piece, such as by rolling carpet or dumpling-like removal of the greater omentum, partial intestinal resection, partial bladder and ureter resection.

② For ovarian malignant tumors complicated with ascites, regardless of whether they are completely removed or not, it is advisable to place a catheter in the abdominal cavity to facilitate postoperative intraperitoneal injection of anticancer drugs or radioactive colloidal gold or colloidal phosphorus.