Post Date November, 17 2024
We must pay attention to the occurrence of ovarian cysts. This condition varies and the treatment methods also vary. After falling ill, it is necessary to pay attention to timely treatment and reasonable cooking.
Do ovarian cysts require surgery?
When treating ovarian cysts, it is necessary to consider the patient's age, whether the cyst has worsened, as well as the location, volume, size, and growth rate of the cyst. At the same time, it is also necessary to consider whether to preserve reproductive function, as well as the patient's own subjective desires. Most ovarian cysts are benign and cannot be treated blindly with surgery.
How much surgery is needed for ovarian cysts
Usually 5 centimeters. Cysts smaller than 5cm are generally considered physiological cysts and do not require surgical treatment. Ultrasound follow-up every 3 months is sufficient. Most physiological cysts will shrink or disappear on their own, but they may also grow again in the other or ipsilateral ovaries. Cysts with a diameter greater than 5 centimeters are mainly considered for complications such as rupture, infection, and torsion, and surgical treatment is recommended.
Many patients believe that surgical resection is only necessary if the cyst is large enough to reach a certain extent, but in reality, not only the size of the cyst should be considered, but also other factors such as whether the cyst is ruptured, whether the patient is infected, and whether it is severe should be comprehensively considered.
Treatment of ovarian cysts
1. Benign cyst treatment:
(1) Ordinary treatment: Simple cysts, no separation, no intracystic papilla, no calcification and other complex features, basically benign, can be conservatively observed. After 4-8 weeks of follow-up, cysts usually become smaller or disappear. If the cyst does not disappear, but the ultrasound shows a simple cyst, strict observation can continue. Physiological ovarian cysts, such as those with endocrine symptoms such as menstrual disorders, can be treated with oral medication to alleviate symptoms. However, for pathological cysts, oral medication with clear therapeutic effects has not yet been found.
(2) Surgical treatment: Ovarian cyst resection, which is commonly used in young patients, especially those before amenorrhea, to preserve normal ovarian tissue as much as possible. Tubal oophorectomy is feasible for older (45 years old or above) or postmenopausal patients, who may undergo unilateral or bilateral tubal oophorectomy.
2. Malignant cyst treatment: consider malignant or poorly diagnosed cysts. After surgery, the excised material should be sent for pathological examination to determine the nature of the cyst under a microscope, and then consider the next step of treatment. If complications such as torsion, rupture, bleeding, infection occur in ovarian cysts, emergency surgery should be performed. Many patients are already in advanced stage when they visit the hospital. When they are treated, the primary cysts and visible pelvic and abdominal metastasis furnaces should be removed as much as possible. Now, the rolling carpet method is used to remove the uterus, tumor and pelvic peritoneum, such as greater omentum resection, intestinal resection, bladder and ureterectomy. Consideration should also be given to indwelling a catheter in the abdominal cavity for postoperative use such as intraperitoneal injection of chemotherapy drugs.
