Ovarian cyst surgery sequelae

Ovarian cyst surgery has sequelae. Many women have para-ovarian cysts, which are harmful to women's health. Therefore, in order to prevent para-ovarian cysts from affecting their health, many women want to fully understand the symptoms of para-ovarian cyst complications. In order for you to have a comprehensive understanding and to recover through treatment as soon as possible, let's take a look at the following introduction to the possible sequelae after surgery.

Tumor pedicle torsion

About 10% of ovarian tumors are torsion. The conditions for ovarian tumor pedicle torsion are that the tumor pedicle is long and the tumor is as big as a fist or a fetal head, there is no adhesion to the surrounding tissues, and the tumor is easy to move in the abdominal cavity. Cystic teratomas, mucinous and serous cystadenomas are most likely to have pedicle torsion. The pedicles of these tumors are generally long and the center of gravity is biased to one side. The tumor body is easily affected by intestinal peristalsis or changes in body position and rotates. Many patients complain that before the onset of pain, they had activities such as getting up or bending over, but sometimes the patient wakes up due to the onset of pain (it may also be caused by turning over in sleep or intestinal peristalsis). If the patient with ovarian tumor is pregnant, the tumor pedicle torsion often occurs in the first half of pregnancy or after delivery. Because the ovarian tumor rises into the abdominal cavity with the uterus during the second trimester, it has more room for movement than before in the pelvic cavity, resulting in a shrinkage of the uterus and a relaxation of the abdominal wall. The ovarian tumor has more room for movement, so it is also easy to have pedicle torsion.

First, the vein is compressed and blocked, but the artery continues to supply blood, causing the tumor to become congested and purple-brown. The blood vessels in the cyst may rupture, filling the cyst cavity with blood, and occasionally there is intra-abdominal bleeding. If the tumor pedicle is severely twisted, the artery is also blocked, and the tumor will become necrotic over time. The main symptom of the patient is sudden severe pain in the lower abdomen. There are also those with mild pain attacks, which means that the tumor pedicle twists slowly and is not serious. Those with sharp twisting are accompanied by vomiting; occasionally there is a small amount of uterine bleeding due to congestion of the endometrial blood vessels. There are often movable masses in the lower abdomen in the patient's history, and there may be one or two similar paroxysmal abdominal pains.

Rupture and puncture

The former refers to the rupture or squeezing of the cyst, with its contents spilling into the abdominal cavity; the latter refers to the erosion of the cyst wall by the contents of the cyst and entering the abdominal cavity, such as the papillary protrusions of serous cystadenoma or carcinoma penetrating the tumor wall.

The rupture rate of ovarian tumors is about 3%, and malignant teratomas are most likely to rupture.

Spontaneous rupture is more common. Due to the rapid growth, the local blood supply of the cyst wall is insufficient, and the increased cystic fluid breaks out from the weak part of the cyst wall and overflows into the abdominal cavity. Different tumor contents can cause different consequences in the abdominal cavity, and in the process of forming these conditions, it can cause complex inflammation, intestinal adhesions and even intestinal obstruction.

Traumatic rupture is rare and may occur after a patient with a larger cyst has suffered a severe abdominal injury. Occasionally, an ovarian cyst is incarcerated in the uterine rectal fossa and is squeezed and ruptured by the fetal presenting part during delivery. However, the more common cause is that a smaller cyst with unclear boundaries is squeezed and ruptured during bimanual examination or repeated examination under anesthesia. Therefore, when examining an ovarian tumor, even during B-ultrasound examination, the movements must be gentle. When a small cyst ruptures, the patient usually only feels mild abdominal pain, but different symptoms may occur later due to the different nature of the cyst. The rupture or rupture of a large cyst is particularly large, and the patient often has severe pain, and the stimulation caused by the tumor contents entering the abdominal cavity causes vomiting and varying degrees of shock. Abdominal examination shows tenderness and tension of the abdominal wall, and the original mass disappears or only a mass smaller than before the onset of pain can be touched. Ascites may occur if the cyst contents overflow a lot or are highly irritating. Bimanual examination: There may be tenderness and a shrunken mass in the posterior fornix of the vagina or a floating uterus.

Bleeding

During laparotomy, a small amount of bleeding is found in many ovarian cysts, but it does not cause symptoms. Occasionally, there is a large amount of bleeding in the tumor, especially in advanced tumors, which may cause symptoms similar to tumor pedicle torsion. Tumor pedicle torsion or rupture can cause varying degrees of bleeding in the cyst cavity, and even cause shock.

Infect

The incidence of ovarian tumor combined with infection is as high as 20%, which can be caused by various reasons. Most infections are secondary to tumor pedicle torsion or infection. Ovarian tumor pedicle torsion or rupture and adhesion to the intestine, secondary E. coli infection, and even tumor contents are discharged from adjacent adhesion organs (intestines, bladder), such as cystic teratoma.

Due to the tension of the abdominal wall caused by peritonitis, it is difficult to find out the boundaries of the tumor. Sometimes it is misdiagnosed as an abscess. Patients often first feel a mass in the lower abdomen and then have symptoms of infection such as abdominal pain and fever.

Incarceration

Ovarian tumors that are smaller than the fetal head may be squeezed into the rectouterine pouch, and occasionally into the uterine bladder, causing defecation or urination disorders.

Edema

Cysts are mainly fibroids, which may be complicated by obvious edema, causing the tumor to increase rapidly and are often misdiagnosed as malignant tumors.

ascites

Ascites can be complicated by benign or malignant, cystic or sudden, intact or ruptured ovarian tumors. Ascites is light yellow, yellow-green, or reddish or even obviously bloody; sometimes it is turbid due to the presence of mucus or other tumor contents.

Ascites is often associated with malignant ovarian cysts, especially those with peritoneal implantation or metastasis. The occurrence of ascites is proportional to the malignancy of the tumor. Ascites is most commonly associated with solid primary cancer, accounting for 75%. Ascites can also occur in benign tumors without pedicle torsion, necrosis or inflammatory changes.

Symptoms of complications of paraovarian cysts. I believe that many women have learned about the symptoms of complications of paraovarian cysts through the above comprehensive understanding. After fully understanding the symptoms of the disease, in order to prevent the spread of this disease and affect their own bodies, they must go to a regular hospital for comprehensive treatment to get rid of paraovarian cysts as soon as possible.