Laparoscopic surgery to remove ovarian cysts

The article was consulted professionally by Master, Dr. Nguyen Nhu Thu Truc – Obstetrician and Gynecologist – Obstetrics and Gynecology Department, Share99 Nha Trang International Health Hub.

Currently, treatments for cutting ovarian cysts with laparoscopic surgery are increasingly dominated by safety, efficiency, fast processing, less pain. However, not all cases can have laparoscopic surgery.

Laparoscopic surgery is a much-trusted method used today in surgical treatment, removal of ovarian cysts or appents. This method is in place for the following cases:

• Ovarian tumors are not suspected malignant and not too large, not too sticky.
• Water follicles next to the proboscis.
• Inflammation of the proboscis pus.
• Breast cancer is in dinhated to cut the ovaries.

In cases where it is contrained to have laparoscopic surgery to remove the ovarian cyst or have performed the old surgery several times will be forced to open the abdomen for removal. Contrain-trained cases include:

• The patient is in the menstrual cycle or is bleeding abnormally without treatment.
• Are suffering from bacterial infections or blood diseases.
• Medical diseases and cases of contraindicing to laparoscopic surgery.
• The tumor is very sticky, has had abdominal surgery several times.
• Ovarian cancer.

2.1. Preparation for surgery

Performing laparoscopic surgery to remove the ovarian cyst is a specialist in obstetrics and gynecology who has been trained in laparoscopic surgery. A full set of laparoscopic surgeries, staging, vehicles, wearer and nurse should be fully prepared, handwashing, wearing a hat, and wearing scoped gloves.

Before prescribing surgery, the patient needs a full body and specialist examination to assess the overall health and detect contraindicing cases. After that, the doctor will carefully advise on the disease, laparoscopic techniques as well as possible complications. It is recommended to operate after menstruation for about 1 week, the patient will be cleaned 2 hours before surgery, when transferred to the operating room, the patient is disinfected in the abdomen, scous towels and intocular anesthesia.

2.2. Implementation procedure

The steps to perform laparoscopic surgery to remove the ovarian cyst are as follows:

• Inflatable of theitoneal drive (via needle or trocart).
• Put the lights in the abdomen.
• The examination assesses the condition of the ovarian tumor to see how mobile and sticky with the surrounding organs.
• If sticky, it must be removed, when removing sticking note to prevent the tumor from breaking.
• If multiple dosing is difficult when cutting with an endoscopy, it must be transferred to open surgery.

For laparoscopic surgery of ovarian cysts:

• Use a knife to make an incision on the face of the tumor about 2cm long close to the healthy ovaries.
• Use a small forcep on one side of the edge of the tumor incision and pull it up high.
• Using a stick, gradually remove the tumor from the tumor shell.
• Once at the bottom of the tumor, depending on the condition of the tumor, do one of the following 2 ways:
  • If the tumour is small, the full amount does not bleed, then remove the tumor.
  • If the risk of bleeding in the tumor stalk is high, use a 2-pole electric knife to burn the organization at the bottom of the tumor, using scissors or a knife to cut the tumor stalk.
• Take the patient through the bag and send a test for anatomy of the pathology to check the nature of the tumor, benign or malignant.
• Check if there is bleeding, if necessary, it is necessary to bleed with a double-pole knife.
• Drain the trocarts, stitch up the abdominal incision.

For laparoscopic surgery for tumor removal:

• Use a 2-pole knife and burn the tumor stalk from the lumbar ligament – ovaries.
• Use scissors or a knife to cut the tumor stalk.
• Take the product into the bag and send a test for anatomy of the pathology to check the nature of the tumor, benign or malignant.
• Check if there is bleeding, if necessary, hemost hold the bleeding with a double-pole knife.
• Check the opposite ovaries. If the tumor is suspected to have been cut off with cancer, cut a small piece of the opposite ovant for a hism histic test.
• Drain the trocarts, stitch up the abdominal incision.
• Note: If the tumor is large, remove the solution and proceed as above.

For laparoscopic surgery of the sub-section:

• The examination assesses the condition of the sub-section to see if it is attached to the surrounding organs.
• If sticky, the stick must be removed, while removing the sticky note to avoid breaking the epidemic.
• Use a double-pole knife and burn the tumor stalk consisting of extensive ligaments and a proboscis-ovarian mescillitis.
• Using scissors or knives a pole cuts the lumbar ligaments of the ovaries and wide ligaments.
• Take the product into the bag and send the test for anatomy of the pathology.
• Check if there is bleeding, if necessary, hemost hold the bleeding with a double-pole knife.
• Drain the trocarts, stitch up the abdominal incision.

In general, accidents and handling during laparoscopic surgery remove ovarian cysts in the same way as regular laparoscopy. If the bleeding does not hold, then switch to open surgery. This method of endoscopy is less accidental, good effect, patients can be discharged after 24-48 hours of monitoring.

Share99 Nha Trang International Health Hub has been applying laparoscopic surgery since 2018 in the treatment of ovarian cysts. This method achieves a treatment effect of more than 95% withrare cases of treatment, gynecology pathology, carried out by experienced doctors such as:

• Master. Dr Thai Bang has over 14 years of experience in obstetrics and gynecology, pre-birth diagnosis and assisted reproduction.
• doctor. Dr. Ngo Thi Uyen, has more than 20 years of treatment experience in the field of Obstetrics and Gynecology, especially examination and surgery of ovarian cysts, uterine fibroids, benign breast tumors.
• Dr. Mykhailo Dudik has 8 years of experience working at many international hospitals, especially with the strength of examination and treatment in the field of obstetrics and gynecology.