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[妇产] 卵巢囊肿切除术-腹腔镜下卵巢囊肿切除术

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发表于 2018-1-8 15:58:29 | 显示全部楼层 |阅读模式
 楼主| 发表于 2018-1-8 15:58:52 | 显示全部楼层

                               
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Ovarian Cyst Removal Surgery - Laparoscopic Ovarian Cystectomy

Ovarian cystectomy in twisted ovary in 19 year young female admitted with acute pain abdomen with ultrasound showing a big ovarian haemorrhagic cyst on the right side with torsion.
Many questions come to mind in relation to having a laparoscopic procedure. Some of the more common will be addressed and answered. It is always best to consult a licensed medical professional immediately if you experience any of the symptoms that are considered to be an emergency.

When a woman is told that her doctor has ordered a laparoscopic cystectomy, she will have quite a few questions.

The very first one that should be answered is...
What is a laparoscopic ovarian cystectomy?

A laparoscopy is a procedure that involves a tiny little scope being inserted through a small incision near the navel. The laparoscope has a light on the end of it, as well as a camera that transmits the images to a monitor for the surgeon to view and perform surgery, if necessary. Carbon dioxide gas is normally pumped into the abdomen, so that the organs are able to be seen more easily, and they are much more accessible. To assist in performing the operation, two or three additional slits are made in order to pass very slim instruments through to remove the cyst.

What are the benefits?

The scars that will be left from a laparoscopic ovarian cystectomy will be very small compared to having open surgery. The recovery will also be more appealing to the patient, because they can be back to their normal activities in less than half of the time that it would take to recuperate from a laparotomy...or conventional, open surgery.

Are there any risks or complications?

Even though a laparoscopy is sometimes called 'keyhole surgery', it is still an operation...therefore there is a chance that something could go wrong. A common complication is an infection that might develop at the incision sites. Another potential problem with a laparoscopic cystectomy is possible damage to the bladder, bowel or blood vessels from inserting the scope.

Who are not candidates for this minimally invasive surgery?

Woman over thirty five years old are usually in a higher risk category for ovarian cancer, and a doctor will usually schedule open surgery in case the ovaries will need to be removed. Also, is the cyst is either partially solid, or totally solid, a laparotomy will be performed instead. Women who have a cyst on both ovaries, or a patient with a cyst that is larger than three inches would need to have conventional surgery done, as well.

What can be expected in the days following surgery?
In the twenty four to seventy two hours following a laparoscopic ovarian cystectomy, it is very common to have pain near the incisions, to feel nauseous and bloated, and more groggy and sleepy than usual. The navel area will be tender and sore, and a patient might experience a change in bowel habits. Vaginal bleeding, similar to a period as well as abdominal pain, possibly accompanied by cramping may also occur.

How much recovery time?

A laparoscopic operation is normally done as an outpatient, and the woman will be released within hours of the completion of the procedure. Many factors are involved in determining how quickly someone might recover. Strenuous activity or heavy lifting should be avoided for the first couple of weeks. The majority of woman report that they feel fully recuperated after a month.

Although Laparoscopic Ovarian Cystectomy is an option to eliminating ovarian cysts, it should certainly NOT be the first treatment considered.
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