Women often suffer from some gynecological diseases. Some of these gynecological diseases are inflammations, such as vulvitis, cervicitis, pelvic inflammatory disease, etc. There are also some cysts, such as cervical cysts, vaginal cysts, adnexal cysts, uterine cysts, fallopian tube cysts, etc. No matter which disease it is, it must be actively treated, because these diseases will not only make women feel uncomfortable, but may also cause infertility or even malignant changes. So, how should we treat fallopian tube cysts? Fallopian tube cyst is a type of adnexal cyst, which is mostly caused by inflammatory stimulation. If the cyst is relatively small, no surgical treatment is required and it can be closely observed. If the growth rate is relatively fast, surgical treatment should be considered. Surgical method Laparoscopic salpingostomy surgery first fully frees the adhesions between the fallopian tube and other tissues. The fallopian tube is insulated through the cervix to expand the distal atretic fimbria of the fallopian tube, and the fallopian tube is fixed to the fundus of the uterus with non-destructive forceps. Whenever possible, make a cross incision at the original fallopian tube opening using a carbon dioxide laser or microscissors. If the original opening cannot be identified, a "cross" incision can be made in the thinnest avascular area of the fallopian tube wall. Place the grasping forceps into the incision and open and close it several times until the incision is the desired size. The incision should be made towards the ovary as much as possible to facilitate egg collection in the future. Use atraumatic forceps to grasp the fallopian tube lining at the new incision and turn it outward. In order to keep the incised valve in an everted state and prevent the new incision from adhering again, the serosal surface of the newly incised valve can be treated with a defocused laser or low-power micro-bipolar electrocoagulation. The surface tissue shrinks to achieve the purpose of everting the incision edge. You can also use 4-0 absorbable sutures to directly suture the everted valve to the serosa of the fallopian tube. During the operation, the wound was continuously irrigated with heparin-containing Ringer's lactate solution (5000U/L). After the operation, lactated Ringer's solution, sodium hyaluronate, antibiotics, corticosteroids, antispasmodics and other drugs can be placed in the pelvic cavity to prevent adhesion. If a cyst appears in the fallopian tube, you should pay attention to check and see the size of the cyst. If the cyst is very small and there are no discomfort symptoms in the body, it generally does not need to be treated and just regular checks are sufficient. If the cyst is large or grows rapidly, it needs treatment, and the most common treatment method is surgery. |
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