A brief introduction to three types of ovarian cyst surgery

Generally speaking, ovarian cysts are usually treated thoroughly through ovarian cyst surgery. However, there are many types of ovarian cyst surgery, and it is extremely important to choose the ovarian cyst surgery method that is suitable for the patient.

1. Conservative surgery

It includes laparotomy and laparoscopic surgery. The scope of surgery includes separation of pelvic adhesions, electrocautery or removal of pelvic lesions, uterine suspension, ovarian endometriosis cystectomy, and simultaneous removal of uterine fibroids. For patients with severe dysmenorrhea, it is often recommended to remove the presacral nerve. Normal ovarian tissue should be preserved as much as possible during the operation. It is suitable for young patients with persistent infertility, when conservative treatment is ineffective, or severe dysmenorrhea that cannot be relieved by drugs. The pregnancy rate after surgery is 40-60%. The recurrence rate after surgery is high, and some patients often need another ovarian cyst surgery.

2. Semi-conservative surgery

This type of ovarian cyst surgery mainly removes the uterus and endometriosis lesions, preserving ovarian function. It is suitable for those under 45 years old who have no fertility requirements, or those with extensive lesions who cannot preserve fertility, or those with uterine fibroids or adenomyosis.

3. Radical Surgery

It is a total hysterectomy and bilateral adnexectomy without preserving ovarian function. If it is difficult to perform a total hysterectomy due to severe adhesions, a subtotal hysterectomy or only bilateral ovarian removal can be performed. It is suitable for those who are near menopause or those who are young but have serious conditions. The incidence of postoperative menopausal syndrome is high. For those with severe symptoms, low-dose estrogen treatment can be given. If the medication recurs, the medication should be stopped in time.

The above is a brief introduction to the three common types of ovarian cyst surgery. Here we would like to remind everyone that how to choose the correct ovarian cyst surgery method requires examination at a regular hospital and cannot be simply confirmed by the patient. You can also consult our online experts about ovarian cyst surgery.