How to treat chocolate cysts

Chocolate cyst is actually a derivative disease of endometriosis. It means that active bacteria are implanted on the endometrium of the uterus, which will gradually swell. There are two treatment methods for chocolate cysts. You can take a look at them in detail.

1. Laparoscopic surgery:

Laparoscopic examination can provide a clear diagnosis, and specially designed knives, scissors, forceps, etc. can be used to remove lesions and separate adhesions. Under laparoscopy, CO2 laser or helium-neon laser can be used to cauterize the lesion. That is, a second incision is made 2 cm above the pubic symphysis. The laser knife enters the pelvic cavity through the cannula of this incision and cauterizes the lesion under direct vision of the laparoscope. The cyst fluid can also be aspirated through laparoscopic puncture, then rinsed with saline, and then 5 to 10 ml of anhydrous ethanol is injected. After fixing for 5 to 10 minutes, it is aspirated out, and finally rinsed with saline and aspirated out.

The fallopian tube can also be inspected under laparoscopy.

2. Ovarian endometrioid cyst puncture under B-ultrasound:

For cases of recurrence after surgical dissection or laparoscopic puncture, ultrasound puncture and drug treatment can be considered.

3. Conservative laparotomy:

For patients with more serious lesions and adhesions, especially those in medical institutions without laparoscopic equipment or those who are not proficient in laparoscopy, laparotomy can be performed to separate adhesions, remove ovarian endometrioid cysts, and preserve normal ovarian tissue as much as possible. If the lesion is limited to one side and is severe, and the other side is normal, some people advocate removing the adnexa on the diseased side. The pregnancy rate is higher than that after retaining the diseased ovary. A simple uterine suspension can also be performed. Whether to perform presacral neurectomy is debatable.

One of the important purposes of conservative surgery is to achieve full-term pregnancy and delivery, so a thorough infertility examination should be conducted on both husband and wife before the operation. Patients with recurrence after surgery can still undergo conservative surgery again and still achieve therapeutic results.