ovarian tumor removal

Treatment of diseases: ovarian fibroma ovarian cysts Indication 1. Ovarian inflammatory mass. 2. Ovarian endometriosis. 3. Ovarian corpus luteum cyst or flavin cyst. 4. Ovarian simple cysts. 5. Benign ovarian tumors. Contraindications Ovarian cyst removal is the surgery to remove the benign tumor on the ovary and preserve the ovarian tissue. This is similar to the excavation of the insect or the plaque on the apple. The rest can still be as good as the uterus, and it is similar to the uterine fibroids. Constructional surgery rarely seen in gynecology. Preoperative preparation 1. If there is pelvic adhesion, the intestine may be involved in the operation, and the bowel preparation should be done before surgery. 2. Tumor and pelvic floor adhesions are worse, venous pyelography, to understand the ureter, bladder. Surgical procedure 1. Abdominal incision: a median incision in the lower abdomen (Fig. 1) or a transverse incision above the pubic symphysis. 2. Exploration: Understand the location, size, nature of the mass and the relationship between the mass and surrounding organs. 3. Isolation of the mass: use the middle and index fingers to clamp the ovarian portal blood vessels to reduce bleeding. An arc-shaped incision is made at the junction of the tumor and the normal ovarian tissue, and the tumor capsule is sharply or bluntly separated to separate the tumor from the normal ovarian tissue. 4. Excision of the mass: Separate the base of the tumor, clamp it with a hemostatic forceps, and cut the mass. 5. Stitching the ovarian incision: After the hemorrhoids were hemostasis, the anterior and posterior sutures of the ovarian cortex were cut with an absorbable suture. 6. Acupuncture: After the operation, the pelvic field was cleaned with clear water, the wound was examined, and 500 ml of dextran was placed in the peritoneal cavity to prevent intestinal adhesion. If the inflammation is obvious, effective antibiotics can be placed in the abdominal cavity. The layers of the abdominal wall are layered and sutured. complication Cyst removal is obviously more time-consuming than accessory removal, but the damage is small and there are few complications after surgery. A few will have a hematoma due to incomplete hemostasis.

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