How to treat ovarian cysts?

Ovarian cysts are considered to be a relatively serious gynecological disease, but many patients do not notice it in the early stages of the disease. They may think that symptoms such as abnormal leucorrhea are just vaginal inflammation, which will delay treatment. In fact, it is not too difficult to cure ovarian cysts. The following editor will focus on introducing the specific treatment methods, which you can use as a reference.

1. Surgical treatment of benign ovarian cysts.

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

2. Surgical treatment of malignant ovarian cysts.

(1) Most patients are 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 peritoneal cavity to facilitate the postoperative intraperitoneal injection of chemotherapy drugs.

Generally speaking, the treatment methods of ovarian cysts are generally divided into the above types. After a detailed examination, the patient can choose the appropriate method for treatment, so that the purpose of targeted treatment can be achieved. At the same time, the editor recommends that all patients insist on follow-up examinations after treatment, preferably once a week.