Ovarian cysts; a health problem that almost every woman has had at least once in her lifetime. The majority do not give any signs and are detected incidentally during gynecological examination. Therefore, regular control is necessary, the ovarian cysts are sometimes referred to as formations that are found in various sizes, sometimes only in the right or left ovary, sometimes on both sides, as fluid filled vesicles, or as blood-containing or denser. Memorial Ataşehir Hospital Department of Obstetrics and Gynecology Assoc. Dr. Tolga Ergin informed the patient about the privileges of the ovarian cysts and laparoscopic methods, which are gold standard in treatment:
One of the symptoms is a groin pain. "Some patients with ovarian cysts have no complaints. In some cases, it can only be a groin pain. Pain is not severe. Seating is suddenly felt in movements that compress the inside of your abdomen, such as pulling the knees on the carp. However, if the cyst is torn or rotates around itself, sudden and severe groin, abdominal pain, nausea, vomiting, fainting may occur. In addition to ultrasound, computer tomography, magnetic resonance, and calm tumor markers are examined in the setting of ovarian cyst diagnosis and a decision is made for treatment. If the tumor markers are elevated and the likelihood of the cyst being malignant on other imaging findings is high, the operation is decided for treatment.
Regular follow-up of treatment
Most of the ovarian cysts disappear spontaneously within a few months. Drug treatment or surgery may be required if it is not lost. It is important to follow up to be able to decide on the shape of the treatment at this point. Factors such as the size of the cyst, the image, the tumor markers determined in the blood test, the story of the patient, age and complaints play a decisive role in the treatment.
Laparoscopy reduces risks to a minimum. The gold standard for laparoscopic surgery in the surgical treatment of ovarian cysts. This technique becomes even more important, especially in non-child patients, because it allows the patient to discharge from the hospital more quickly, to return to normal life faster, and to cause fewer adhesions within the abdomen.
In addition, the ability of the endoscope to enlarge the surgical area during laparoscopic surgery allows for more careful and detailed operation. Since there are fewer incisions in the body, it is also advantageous in terms of cosmetic results, such as surgery. Besides these, risks such as hernias and infections that can be seen after some operations are much less visible. "
Frequently seen cysts and their features
Follicular cyst: It is common in young people. It occurs because the developing egg cell does not crack and continues to grow. It's usually 2-4 centimeters. It does not create any complications. After menstruation, it disappears spontaneously and does not require treatment.
Corpus luteum cyst: Normally, after each laying, the tissue of the egg cell is differentiated and transformed into tissue called corpus luteum, a hormone called progesterone is produced. This tissue may turn into a cyst due to fluid accumulation over time. Usually 3-4 cm. in size. Hormone secretion can lead to melee because it is secretion. In the absence of a complication, treatment is not required. It usually disappears spontaneously after menstruation.
Endometrioma: The formation of a membrane layer called the endometrium, which is implanted in the uterus, is found in the ovaries, and it is the result of bleeding and cysting in each period. The inside of the cyst is filled with a liquid in the consistency of the chocolate and is also called chocolate cyst. The patient is referred to the doctor with infertility, painful menstruation, pain during the relationship. Surgical treatment is required. Dermoid cyst: It is common in women younger than 20 years. It is caused by events that occur in the embryonic period. Any kind of tissue such as hair, skin, teeth, cartilage pieces, bone, nerve cells can be seen in the kilt. As a complaint, abdominal pain can occur and surgical treatment is required.
Serous Cystadenoma: They are the most common tumors. It is mostly seen in women in reproductive age and does not disappear spontaneously. It can turn into a 30% malignant disease. Contains a clear liquid. Sizes are 5-15 cm. . Generally, it does not complain, it does not give any symptoms. It is diagnosed incidentally during gynecological examination. If they do not disappear spontaneously, they require surgical intervention.
Müsinöz Kistadenom: 25 percent of benign ovarian tumors are mucinous cystadenomas. It is the largest cystic structures seen in man. 15-30 cm. . They do not disappear spontaneously and surgical treatment is needed.
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