Unilateral wide adnexectomy

1. Ovarian borderline tumors. 2. Ovarian malignant tumor ia phase. 3. Ovarian germ cell malignant tumor, the primary lesion is limited to the unilateral ovary. Treatment of diseases: ovarian borderline tumors, postmenopausal ovarian malignancies Indication 1. Ovarian borderline tumors. 2. Ovarian malignant tumor ia phase. 3. Ovarian germ cell malignant tumor, the primary lesion is limited to the unilateral ovary. Surgical procedure 1. Incision: According to the size of the tumor, determine the length of the skin incision to ensure complete removal of the tumor. A large abdominal incision is appropriate for large tumors. 2. Cytological examination of abdominal pelvic irrigating fluid: After entering the abdominal cavity, 300-500 ml of normal saline is injected into the diaphragm, and the surface of the colon and the omentum are raised and lowered. Put your head high and low, take the rinsing solution in the pelvic uterus rectum, and send it to the cytology. 3. Check: understand the liver, spleen, stomach, intestine, omentum, retroperitoneal lymph nodes and tumors. 4. Cut the pelvic funnel ligament at high position: open the peritoneum of the pelvic funnel ligament at the entrance of the pelvis, the inner side is 1cm away from the ureter, and extend along the path to the base of the posterior lobe of the broad ligament and the uterus; the outer side extends along the surface of the psoas muscle to the cervix Below the 1/3 of the ligament, follow the path to the corner of the palace. Lift the pelvic funnel ligament, separate the surrounding tissue, recognize the ureter, and ligature the ligament at the entrance of the pelvis, double-ligature or suture at the proximal end. 5. Cut off the fallopian tube and ovarian intrinsic ligament: lift the distal end of the pelvic funnel ligament, separate the loose tissue in the broad ligament to the uterine horn, and cut the ovarian intrinsic ligament and the root of the fallopian tube with the clamp at the corner of the uterus. The stump is sutured. 6. Embed the stump. 7. Acupuncture: suture the layers of the abdominal wall.

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