How to treat mucinous adenoma

Mucinous adenoma is a relatively uncommon disease, which means many people do not understand their condition very well, which results in them not being able to get good treatment results in the first place, and it also makes their infection more serious. The best treatment for this type of disease is to take some medication, which is the best treatment method at present. However, if the patient's condition is relatively serious, surgical treatment is the only option. This is to treat the disease fundamentally and remove the lesions. This is one of the most fundamental purposes of surgical treatment, to make the condition improve faster.

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1. Lesion treatment

Eliminating the cause of peritonitis is the main purpose of surgical treatment. The earlier the source of infection is eliminated, the better the prognosis. In principle, the surgical incision should be as close to the lesion as possible. A straight incision is preferred to facilitate upward and downward extension and to facilitate changes in surgical methods. The exploration should be gentle and meticulous, and try to avoid the spread of infection due to improper operation. The primary lesion should be treated after making a judgment based on the situation.

2. Clean the abdominal cavity

After eliminating the cause of the disease, the pus in the abdominal cavity should be sucked out as much as possible, and the food and residue, feces, foreign matter, etc. in the abdominal cavity should be cleared. The best way to remove is negative pressure suction, which can be assisted by wet gauze folding when necessary. Rough movements should be avoided to avoid damaging the endothelial cells on the surface of the serous membrane. If there is a large amount of bile and the gastrointestinal contents seriously contaminate the entire abdominal cavity, a large amount of normal saline can be used for abdominal lavage. When a large amount of pus in the abdominal cavity has been separated by the formed pseudomembrane and fibrin, in order to achieve the purpose of smooth drainage, the pseudomembrane and fibrin must be separated and removed. Although there is some damage, the effect is better.

3. Drainage

A drainage tube is placed after the operation. The purpose of drainage is to allow the exudate that continues to be produced in the abdominal cavity to be discharged from the body through the drainage material so that the residual inflammation can be controlled and the occurrence of abdominal abscess can be prevented.

Most patients are women, usually under 40 years old, and generally have a single nodule in the thyroid gland. The disease progresses slowly, usually over months to years or even longer, and the patient is found to have a neck mass due to slight discomfort or without any symptoms. Most of them are single, round or oval, with a smooth surface, clear boundaries, firm texture, no adhesion to surrounding tissues, no tenderness, and can move up and down with swallowing. In a small number of patients, the tumor will suddenly increase in size due to intratumoral bleeding, accompanied by swelling and pain; some tumors will gradually be absorbed and shrink; some may undergo cystic changes.