Is the laparoscopic procedure for ovarian teratoma painful?

Ovarian cyst is a common gynecological disease, which sometimes requires surgical treatment. Laparoscopic surgery is a common treatment method. The main process of the operation is to separate the tumor through sharp or blunt forceps to prevent the tumor from penetrating. Finally, suturing is required. This operation is divided into conservative surgery, semi-conservative surgery and complete radical surgery. Patients can choose treatment according to their condition.

Ovarian cyst surgery surgical steps 1. Use blunt and sharp techniques to separate adhesions of the tumor, free the swelling and pain, and avoid tumor penetration.

The second step of ovarian cyst surgery is to make a circular incision in the capsule along the normal tissue of the ovarian hilum and bluntly remove the cyst.

Ovarian cyst surgery step three: suture the wound with fine silk thread or intestinal suture, and suture the ovarian resection edge again.

1. Conservative surgery for ovarian cysts: including 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 nerves. During the operation, normal ovarian tissue was preserved as much as possible. It is suitable for young patients with persistent infertility, when conservative treatment is ineffective, or those with severe dysmenorrhea that cannot be relieved by medication. The postoperative pregnancy rate is 40-60%. The postoperative recurrence rate is high, and some patients often need another surgery.

2. Semi-conservative surgery for ovarian cysts: mainly involves removing the uterus and endometriosis lesions and preserving ovarian function. It is suitable for those who are under 45 years old, have no fertility requirements, or have extensive lesions and cannot retain fertility, or have uterine fibroids or adenomyosis.

3. Radical surgery for ovarian cysts: total hysterectomy and bilateral salpingo-oophorectomy without preserving ovarian function. If adhesions are severe and total hysterectomy is difficult, subtotal hysterectomy or removal of only the bilateral ovaries can be performed. 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 patients with severe symptoms, low-dose estrogen treatment can be given. If the symptoms relapse, the medication should be discontinued promptly.

For patients with malignant tumors: Surgery is the preferred method. The scope of surgery should be wide, generally removing the entire uterus, bilateral adnexa and enlarged omentum. Chemotherapy and radiotherapy are required after surgery.