What are the surgical methods for ovarian cysts?

Everyone knows that ovarian cysts are a very common gynecological disease and surgical treatment must be adopted when necessary. Especially when the cysts grow to a certain size, medications cannot control them and surgery must be taken. So what are the surgical methods for ovarian cysts? Let me give you a detailed introduction below!

Surgical treatment of ovarian cysts

Adequate preparation must be made before surgery on ovarian cysts, including improvement of the patient's general condition, choice of anesthesia, instruments and related medications, and emergency measures. The method, scope, and specific operation of the surgery will depend on the patient's age and the nature, size, unilateral or bilateral growth of the tumor, and whether there are adhesions or malignant metastases. For some cases that cannot be determined, a biopsy of the diseased tissue can be taken before surgery.

Surgical treatment of benign ovarian cysts:

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 can be performed on the affected side.

2. Salpingo-oophorectomy: One ovarian cyst occurs in older patients (over 45 years old). Bilateral ovarian cysts usually undergo unilateral or bilateral oophorectomy. Patients with general incompetence or 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 disregarded and complete removal is preferred to avoid

The patient's pulse is broken and the contents 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. 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: For unilateral or bilateral ovarian cysts in women who are near menopause or menopause and whose general condition is not suitable for the surgery, bilateral adnexectomy and total hysterectomy are appropriate, but this will seriously affect endocrine disorders.

Surgical treatment of malignant ovarian cysts:

Most patients are in the late 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, such as by rolling carpet or dumpling-like removal of the greater omentum, partial intestinal resection, partial bladder and ureter resection. 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.

As can be seen from the above, surgery for ovarian cysts can be divided into benign cyst surgery and malignant cyst surgery. When ovarian cysts occur, you should go to a regular professional hospital for examination. Timely treatment is the best choice, because ovarian cysts are very harmful to women's bodies and may be life-threatening in severe cases.