Apply to the following types of ovarian tumors are normal organizers. 1. Inflammatory ovarian tumors. 2. Ovarian endometriosis. 3. Ovarian cyst or genistein luteal cyst. 4. Ovarian cyst simple. 5. Ovarian benign tumor.
[Anesthesia]
1. Continuous epidural anesthesia cavity.
2. Endotracheal intubation general anesthesia.
[Special preoperative preparations]
1. A pelvic adhesions, may be involved in the operation of intestinal operation should be done before the bowel preparation.
2. Tumor and pelvic adhesions than worse, to IVP, to learn ureter, bladder situation.
[Operating time]
1. Ovarian tumors repeated inflammatory anti-inflammatory treatment invalid.
2. Ovarian endometriosis drug therapy ineffective.
3. Cystic ovarian tumors, the observation of six months without narrowing, or increased> 5 cm.
[Surgery Range
Along the wall in the integrity of ovarian tissue from the peel to ovarian tumors.
[Anesthesia]
1. Continuous epidural anesthesia cavity.
2. Endotracheal intubation general anesthesia.
[Special preoperative preparations]
1. A pelvic adhesions, may be involved in the operation of intestinal operation should be done before the bowel preparation.
2. Tumor and pelvic adhesions than worse, to IVP, to learn ureter, bladder situation.
[Operating time]
1. Ovarian tumors repeated inflammatory anti-inflammatory treatment invalid.
2. Ovarian endometriosis drug therapy ineffective.
3. Cystic ovarian tumors, the observation of six months without narrowing, or increased> 5 cm.
[Surgery Range
Along the wall in the integrity of ovarian tissue from the peel to ovarian tumors.
[Steps and techniques of surgery]
1. Abdominal incision or lower abdomen median suprapubic incision at the top of the whole transverse incision.
2. Exploratory understanding of the tumor site, size, nature and the surrounding masses and the relationship between the neighbouring organs.
2. Exploratory understanding of the tumor site, size, nature and the surrounding masses and the relationship between the neighbouring organs.
3. Separation of mass use, show that clamping doors ovarian blood vessels to reduce bleeding. In normal ovarian tissue and tumor at the junction to make a curved incision, the mass-coated stickers or blunt sharp separation so that the masses and normal ovarian tissue separately.
4. Tumor removed from the basement of the masses, with a bleeding clamp clamp, cut out tumors.
4. Tumor removed from the basement of the masses, with a bleeding clamp clamp, cut out tumors.
5. Suture ovarian dissection of bleeding after the incision, using absorbable suture line to eliminate dead space and mattress suture ovarian cortex incision.
6. Abdominal Commissioner of Albert washing with water pelvic operative field to check the wound, the peritoneal cavity placed dextran 500 ml, the prevention of adhesion. Inflammation obviously, can be placed in the abdominal effective antibiotics. Stratified layers suture abdominal wall.
[Common mistakes Analysis
1. Tumor perforation stripping level unclear, too shallow to be excessive bleeding and with the normal ovarian tissue; too deep can cause cancer and pollution perforation of wild and should be along the tumor capsule separation. If broken, care should be taken in removing the net residual normal ovarian tissue in the wall, so as to avoid recurrence; timely irrigation and reduce pollution capsule contents of wild.
2. Ovarian ovarian hematoma suture the wounds, if left dead space or stop bleeding can not complete a hematoma, should immediately remove blood clots and stop bleeding through suture.
6. Abdominal Commissioner of Albert washing with water pelvic operative field to check the wound, the peritoneal cavity placed dextran 500 ml, the prevention of adhesion. Inflammation obviously, can be placed in the abdominal effective antibiotics. Stratified layers suture abdominal wall.
[Common mistakes Analysis
1. Tumor perforation stripping level unclear, too shallow to be excessive bleeding and with the normal ovarian tissue; too deep can cause cancer and pollution perforation of wild and should be along the tumor capsule separation. If broken, care should be taken in removing the net residual normal ovarian tissue in the wall, so as to avoid recurrence; timely irrigation and reduce pollution capsule contents of wild.
2. Ovarian ovarian hematoma suture the wounds, if left dead space or stop bleeding can not complete a hematoma, should immediately remove blood clots and stop bleeding through suture.
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