Sunday, March 9, 2008

Benign ovarian tumors attention to the matter

Surgical resection is the only ovarian tumor treatment. For children, young patients take more ipsilateral uterine resection, or simply ipsilateral ovarian surgery. Before and after menopause and the majority of patients taking uterine adnexa plus surgery. Intraoperative should pay attention to the following questions : 1, although the preoperative diagnosis of benign ovarian tumors, laparotomy should be carefully examined further to determine location, nature, in order to properly handle. If surgery can not distinguish between good, evil, it should make quick frozen biopsy. 2, preoperative difficult to distinguish between good and evil, should the operation by the naked eye observation, made a preliminary judgment, Exploration and contralateral normal ovarian found that roughly visible tumors should be removed. Can judge by its nature, should make quick frozen biopsy. 3, surgical incision to long enough, the tumor enucleation extrusion to avoid its breakdown to avoid abdominal tumor cells in the plant. If the tumor is hardly too much integrity Retrieve, can first puncture attract released liquid, tumor size decreased by then remove. 4, once diagnosed as ovarian tumors torsion immediately surgical resection, It should be noted in reversing parts of the roots cut off Schnable, Schnable before irreparable reversed, in order to avoid causing embolization. Tumor necrosis, become more brittle and easily broken should be particularly cautious operation. 5, abdominal tumor was found broken, or surgery and careless operation should complete rupture exhaustion tumor contents, and the suture before saline peritoneal thorough cleansing abdominal cavity. 6, bilateral ovarian tumors of the young pregnant patients not viable tumor enucleation, the retention of some ovarian tissue. to maintain and nurture menstrual function.

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