Do pregnant women need surgery for ovarian cysts?

After getting an ovarian cyst, some special cases require laparoscopy, abdominal puncture, laparotomy, etc. So, do pregnant women who get an ovarian cyst during pregnancy need surgery?

The ovary is an important organ for ovulation and secretion of gonadal hormones. Ovarian tumors often occur during the reproductive age. Clinically, the basic pathophysiological changes of many patients with ovarian cysts and polycystic ovary syndrome are that the ovaries produce too much androgen, and the excessive production of androgen is the result of the synergistic effects of the abnormal functions of multiple endocrine systems in the body.

Pregnant women with ovarian cysts have an intra-abdominal mass of medium or smaller size. If there is no complication or malignant transformation, its biggest feature is mobility, which can often move from the pelvic cavity to the abdominal cavity. In malignant or inflammatory conditions, the movement of the mass is limited. The mass is generally not tender, but if there are complications such as infection, not only will the mass itself be tender, but there may even be symptoms of peritoneal irritation and ascites.

The treatment for ovarian cysts during pregnancy depends on factors such as the patient's age, whether it is malignant, the location, volume, size, growth rate of the cyst, whether the reproductive function is preserved, and the patient's subjective wishes. Pregnant women must choose the appropriate treatment method under the doctor's advice.

If a pregnant woman has an ovarian cyst that is malignant, she generally needs surgical treatment. The surgical treatment of malignant ovarian cysts is as follows:

Do everything possible to remove the primary cyst and any visible pelvic and abdominal metastases. Since ovarian malignant cysts are often adhered or infiltrated with the uterus and adnexa, and are closely attached to the pelvic peritoneum, a blanket-rolling method is often used to remove the uterus and tumor together with the pelvic peritoneum, such as omentectomy, partial intestinal resection, partial bladder and ureter resection.