Ovarian cyst puncture details

In our lives, most patients with ovarian cysts usually first do a pathology of the cyst site to see whether the cyst is benign or malignant. Because the cyst has not been removed in advance, if you want to do a pathology at this time, you can only do it through cyst puncture. However, the process of cyst puncture is very painful, and it will make women feel like a needle prick. The following introduces the detailed process of ovarian cyst puncture.

With the development of medicine and the popularization of medical knowledge, minimally invasive ovarian cyst puncture surgery is becoming increasingly popular. Indications for benign ovarian cyst puncture:

① Benign ovarian cyst;

② For simple ovarian cysts, a single chamber is preferred;

③Ovarian crown cyst and follicular cyst;

④Chocolate cyst is the best indication.

Features of benign ovarian cyst puncture surgery:

①This surgery is a minimally invasive surgery to treat ovarian cysts using navigation electrode factors;

② Its characteristic is that it does not require abdominal surgery and can preserve the integrity of the ovaries and their endocrine function;

③ Repeatable treatment, especially chocolate cysts, are most suitable for young women with a high recurrence rate;

④It can provide the basis for cytological and histological diagnosis. Compared with traditional surgery, ovarian cyst puncture surgery causes less damage to women's ovaries, and the surgical incision is more subtle, which is very suitable for more benign ovarian cysts.

Simple cysts and endometriotic cysts are selected for treatment indications, preferably those smaller than 10 cm. If the cyst is too large, small raised lesions on the cyst wall may be missed and difficult to aspirate. Simple cysts smaller than 5 cm are excluded because they may disappear on their own; clear endometriotic cysts can be larger than 3 cm. Due to the complex pathological types of ovarian tumors, caution should be exercised when selecting indications for interventional puncture. Cysts with uneven inner walls, multiple compartments, and thick cyst walls are not suitable for puncture treatment.

The puncture path is chosen to reach the cyst cavity in the shortest way possible without damaging surrounding tissues, especially blood vessels. The method is to operate under color Doppler monitoring. Sometimes the distance to the cyst cavity through the vagina is far, and abdominal pressure can be used to fix it for better results. It is particularly suitable for fine needle aspiration of ovarian cysts during pregnancy and non-pregnancy that are not suitable for surgical or laparoscopic treatment. For simple aspiration treatment of ovarian cysts, the recurrence rates before and after menopause are 48% and 80%, respectively. The reason why the treatment effect of endometriotic cysts is worse than that of simple cysts is that the cyst contents have high viscosity and insufficient flushing affects the penetration of ethanol into the cyst wall, leaving secretory cells behind. During the treatment process of injecting anhydrous ethanol, the cyst may experience discomfort such as lower abdominal pain, sweating, flushing, and burning sensation. After the liquid is extracted, the symptoms can be relieved, and after resting for a few hours, the symptoms basically disappear.