Unilateral adnexectomy

1. Ovarian endometriosis or accessory inflammation with tubal adhesions or obstruction, conservative treatment is ineffective. 2. The ovarian mass can not be separated and retained separately. Treatment of diseases: fallopian tube ovarian abscess endometriosis Indication 1. Ovarian endometriosis or accessory inflammation with tubal adhesions or obstruction, conservative treatment is ineffective. 2. The ovarian mass can not be separated and retained separately. 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. Probe: When the tumor is large, it should be pulled out of the abdominal cavity to expose the relationship between the base of the tumor and the surrounding area. Note the presence or absence of displacement of the ipsilateral ureter. 3. Treatment of the base of the tumor: lift the fallopian tube and ovary, expose the pelvic funnel ligament, the upper edge of the broad ligament and the ovarian intrinsic ligament, divide the biliary vascular and broad ligament at the lower edge of the tumor, cross the suture stump. When the tumor is large and the base is wide, the pelvic funnel ligament can be shortened, and the ureter often shifts. At this time, the pelvic peritoneum on the surface of the pelvic funnel ligament should be opened. The ureter should be found under direct vision, and the ureter should be pushed open. Cut off ovarian motion, veins and mesentery. If the tumor is too large to be pulled out of the abdominal cavity, and it is judged to be a benign cystic tumor, after the abdominal wall incision is protected with a gauze pad, a purse-string suture can be made in the small vessel area of the tumor wall, and a small hole is cut in the center, and the straw is inserted. The tightness of the purse string is prevented, and the fluid in the capsule is prevented from flowing out, and the liquid in the capsule is slowly sucked out, and then surgically removed. 4. Treatment of the fallopian tube and ovarian intrinsic ligament: clamp the ovarian suspensory ligament and fallopian tube at the corner of the uterus, and suture the stump. Ovarian tumor pedicles are reversed and venous congestion may have thrombosis. If the thixolysis solution is first applied, the thrombus can be detached into the blood circulation to cause embolism. The pedicle should be loosened under the twist of the pedicle, and the twisted pedicle should be loosened after clamping. Then the attachment is removed. 5. Embedding the stump: suture the anterior and posterior lobe of the broad ligament and embed the stump. If the front leaf is too small, the round ligament can be covered to keep the surface smooth. 6. Acupuncture: suture the layers of the abdominal wall.

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