What are the treatments for right uterine adnexal cysts?

The uterus is an important physiological organ of women. It is the place where the fetus develops. Therefore, the quality of the uterus and the health condition of the uterus will also affect the development of the fetus. For the disease of right uterine adnexal cyst, the main patient population is married women. Many patients are already in the late stage when they are discovered, so resection is necessary for treatment. The following are recommended treatment methods for right uterine adnexal cyst.

1. Surgical treatment of benign ovarian cysts

(1) Ovarian cystectomy. This procedure is often used in young patients, especially premenopausal patients, while preserving normal ovarian tissue as much as possible.

(2) Salpingo-oophorectomy: Older patients (over 45 years old) or postmenopausal patients can undergo unilateral or bilateral salpingo-oophorectomy. It is worth noting that in the surgical treatment of larger ovarian cysts, the size of the incision should be ignored and complete resection is preferred to avoid breaking the patient's pulse and allowing the contents to spill into the abdominal cavity or incision. During the operation, attention should be paid to the rapid changes in abdominal pressure that cause changes in the patient's pulse, breathing, and blood pressure. 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 should be prevented.

2. Surgical treatment of malignant ovarian cysts

(1) Most patients are already in the advanced stage when they seek medical treatment, so every effort should be made to remove the primary cyst and any 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 along with the pelvic peritoneum in a rolling carpet style, such as omentectomy, partial intestinal resection, partial bladder and ureter resection.

(2) Consider placing a catheter in the abdominal cavity to facilitate the postoperative intraperitoneal injection of chemotherapy drugs.

For patients, although surgical treatment causes great damage to our body and postoperative recovery is a long process, it is the most effective and scientific way, because it can avoid some complications, prevent cysts from spreading to other parts and endangering other organs. It is also a very clear and scientific treatment method for their pregnancy.