Ovarian cyst: laparoscopic or abdominal surgery?

November 3, 2015

Ovarian-cyst--laparoscopic-or-abdominal-surgery

Quite a lot of women in the modern world has to face such a diagnosis as an ovarian cyst. Laparoscopy – this is the most gentle method of surgical treatment of her. But not all kinds of cysts require surgery.

Ovarian cyst

By itself, a cyst is a growth on one or another human body. The contents of this bag is very flexible and is due in full view of the tumor. Also, the type of build-up depends on the tactics chosen correction. In this case, it will be about ovarian cysts. They come in several forms.

Classification kistoobraznyh tumors

First of all tumors in the internal female organs are divided into two types: requiring treatment and pass on their own.

Functional cysts

Follicular cysts

This type of tumor occurs when a woman does not ovulate. There could be many different reasons. Follicle with the upcoming egg grows and grows in size, but not broken, and not ovulate. Too much can be called grown ovarian follicular cysts. These cysts do not pose any threat to the life and health of the patient, of course, if such a thing is not repeated regularly.

This type of education does not usually require treatment and disappear on their own with the advent of a new cycle of women. In some cases, a doctor sees the necessity of administering hormonal correction.

Another thing, if follicular cysts appear monthly. And not until the end of time to dissolve one entity as close to him already appears more. This phenomenon is called polycystic, it must be treated. Typically, this is done using laparoscopy. The doctor makes a notch on the ovaries to the egg could easily leave their place of residence. The forecast of this treatment are very favorable. After a woman gets pregnant easily and bears healthy children.

luteal cysts

This type of tumor occurs when ovulation is still held, and the egg left his long stay. After that, the place sovulirovavshego follicle forms a new body called “yellow.” It is this releases a hormone necessary for the development of a normal pregnancy and its progression.

Often the size of this bag exceeds the norm, most often this happens when fertilization took place. Do not worry and panic. By about the third month of pregnancy corpus luteum itself compresses and transmits its essential function the new body – the placenta.

The presence of luteal cysts are not necessarily indicative of the occurrence of pregnancy. In cycles with failed fertilization also can grow large yellow body bags. They disappear with the advent of a new menstrual cycle and does not require medical intervention. No threat to life and health of the female body is not a lutein cysts are. Although abnormalities in size, they can appear almost every month, under the influence of great women’s ovaries produce progesterone. There is nothing wrong with such a situation does not require any correction. The body itself will have more to cope with the build-up and eventually get rid of it.

Non-functional cysts

Endometrial cysts

This type of tumor disease is much rarer than functioning growths. Also, it is called ovarian endometriosis. The tumor arises when a woman has a hormonal disease as endometriosis.

The symptoms of this disease is very blurred. The disease may be many years to progress and develop in a woman’s body, but not to be felt. Typically, endometrioma occur in the later stages of the disease process. If you found this brush – you know, that is not the first day in your body lives is insidious disease such as endometriosis.

This type of tumor is definitely require medical correction. Typically, surgical removal is necessary endometrioid ovarian cysts. Laparoscopy is suitable in this case is very helpful. Under general anesthesia, the doctor makes a small incision in the abdominal cavity and pulls out a pathological degree.

Quite often there is a controversial question: “Ovarian cyst: surgery or laparoscopy?”. The unequivocal answer to it is not. It is necessary to examine each situation individually. And then take the right decision.

Laparoscopy endometrioid ovarian cysts usually gives a fairly favorable forecasts. After the treatment a woman can get up after a few hours and come back a week later by the habitual way of life.

Dermoid cyst

This type of tumors most often found in girls during puberty and puberty. The reason is that these bags dermoid cyst has its origins back in the womb, when the little girl is still an embryo. Under the influence of various factors there are certain irregularities in the formation of the genitals, and in the ovaries settle stem cells. That is why in such cysts can detect a variety constituents. This is usually hair or nails, teeth or bone fragments.

Such a benign tumor before the onset of puberty is almost not growing. Whereas under the influence of hormones and flared in connection with the development of genital begins to increase. It was then found most dermoid cysts.

Such growths necessarily require medical correction. Laparoscopy dermoid ovarian cyst performed under general anesthesia. During the operation, the woman is sleeping and feels nothing. Surgeon with special reduced tool manipulators removes pathological education. After the procedure, called ‘laparoscopic ovarian cyst “postoperative period passes quickly enough. Woman after some time could get on their feet.

itself laparoscopy ovarian cyst has only positive reviews. The procedure for its implementation is quite gentle and less traumatic.

Parovarialnaya cyst

This type of neoplasm appears like a dermoid tumor types. Similarly, in the womb can already lay the beginnings parovarialnyh cysts. As in previous cases, in this type of education requires laparoscopic ovarian cyst. The hospital in this case is made according to the rules described in the Labour Code.

The preference during treatment parovarialnyh cysts always given to this method as laparoscopic ovarian cyst. After the operation goes quite a bit of time needed for recovery.

Carcinoma

Absolutely exactly the kind of cyst is the most dangerous. Women are always afraid to hear from such a diagnosis a doctor. Upon detection of such diseases need urgent laparoscopy – removal of an ovarian cyst. Operation is conducted under general anesthesia, so the patient does not feel any pain. After laparoscopic ovarian cyst necessary courses of chemotherapy as cancer is a malignancy.

The forecast of future health status in this case is totally dependent on the stage of the disease. In this regard, the statement of the diagnosis to begin treatment immediately. In this case, there is every chance of a successful outcome of events.

So, how should be broadly in the formulation of such a diagnosis (ovarian cyst) treatment? Laparoscopy is not always selected. Depending on the type of education, location and size can be chosen methods of conservative treatment and so-called “watchful waiting.” With such a method, the doctor conducts a thorough monitoring of the development and the growth of abnormal pouch. If he does not deliver his mistress interference to conduct a normal way of life, it may be decided to cancel the operation.

There is a certain group of the fairer sex, which most likely waiting for laparoscopy. Removal of ovarian cysts has led scientists to conclude that the risk of tumor formation are most susceptible to certain groups of women.

Risk Factors

  • The constant failures of the menstrual cycle.
  • The early onset of sexual activity and the conduct of the early arrival of the first period.
  • The various thyroid diseases and metabolic disorders.
  • Hormonal disease and malfunction of the pituitary gland.
  • The frequent interruptions of pregnancies and diagnostic scraping the muscle layer of the uterus.
  • The presence of erosions or other diseases of the cervix.
  • The infectious-inflammatory diseases of the female urogenital.
  • Wrong lifestyle, smoking or use of narcotic drugs.

How to determine if a woman has an ovarian cyst? Laparoscopy requires it or the health of the sexual sphere in the norm? There are a number of symptoms that should alert any lady.

Symptoms

  • When the presence of the female body in a variety of pathological entities can be menstrual irregularities, increased monthly, or, conversely, their long delay.
  • Also, by having fairly large tumors can be pulling or arching pain in the lower abdomen.
  • Unpleasant pressing sensation during intercourse.
  • The increase in the abdominal cavity at the location of the cyst.
  • The elevated temperature in the absence of other signs of colds or infections.

Complications

Those or other complications can give virtually ignored by any ovarian cyst. Laparoscopy in this case often the only way to treat.

The most common one is twisting the legs on which the cyst is growing. This phenomenon of a woman, a strong paroxysmal pain, lowering blood pressure. There may be a blanching of the skin, or even fainting. There is severe vomiting or diarrhea. It’s hard not to give the value of such complications. When it becomes necessary to prompt access to a doctor and hospitalization. Later held laparoscopy – removal of an ovarian cyst.

One complication that occurs most frequently – a gap walls tumor followed by rupture of its contents into the peritoneal cavity. At the same time the woman was rapidly deteriorating state of health, the pressure drops, there is a weakness and dizziness. This complication can be fatal, if time does not take action. If it is to be sure to remove an ovarian cyst. Laparoscopy – not terrible operation, much worse than the consequences that may result from ripping cyst. However, if it came to peritonitis in this case need to have a full abdominal surgery.

Diagnosis

independently determine the presence of cysts is very difficult. For an accurate diagnosis is necessary to conduct a series of surveys and analyzes.

Usually, the presence of certain symptoms of this disease and the treatment of women to the doctor to start regular gynecological examination is conducted, in which an experienced physician may suspect the presence of cancer. Next, to confirm the diagnosis and clarify the type of cyst is sent to a woman an ultrasound. That is where you can most accurately consider wall tumors and suggest that it contains.

For a more accurate and detailed inspection may be assigned to a puncture. Under local anesthesia is injected through a needle long abdominal or vaginal wall into the cyst to fence part of its content. Further studies are under a microscope.

Treatment

There is no doubt that only a doctor can prescribe the right therapy and to select further tactics. Depending on the type of education and its size is assigned to a particular type of treatment.

Functional cysts require no treatment, they are on their own. But, as well as for others, for these tumors must be monitored. Usually, the doctor gives the patient about three months for self-extinction cysts. In some cases, it may be assigned correction hormones.

Non-functional cysts by themselves never will, they always require medical intervention. Such education as carcinoma, dermoid cyst and endometrioma require that surgery, or may lead to irreparable consequences. After removal of these tumors and the patient is assigned to hormone antibiotic therapy, as well as preparations for a general recovery.

Benign tumor type parovarialnoy cysts usually require surveillance for several months. And according to the results of such an examination a decision on the need for surgery.

To the surgical treatment of various types of cysts are two methods – laparotomy and laparoscopy. Of course, that kind of abdominal surgery more traumatic for the woman’s body and causes many complications in the future. It is much easier to bear laparoscopy ovarian cysts, reviews the operation can be found only positive.

During the laparoscopy, the surgeon inserts into the abdominal cavity of the patient a microscopic camera. It is with its help is displayed on a large screen image, and the doctor sees all the internal organs of a woman. Next, create two times the minimum wage cut, and then after they entered Controllers – Instruments for surgery. Thus, the patient does not cause traumatic incisions and do not damage the muscles of the abdomen.

Finally

It is said that if any complaints and suspected presence of a particular type of cysts you need to see a doctor for diagnosis and treatment options. It is not necessary to run this state and bring to complications, because the consequences can be quite unpredictable. Watch out for your health!

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