Everyone knows that ovarian tumors can cause many harms, especially some women will not be able to get pregnant for their entire lives, because the ovarian tumors are not eliminated in time. Therefore, for such ovarian tumors, we should learn to use the correct method to treat them. Surgical treatment: ① Comprehensive staging laparotomy: A. Vertical abdominal incision (from the pubic symphysis to 4 horizontal fingers above the navel). B. Comprehensive investigation. C. Peritoneal cytology (ascites or pelvic, collateral gutter, diaphragmatic washings). D. Resection of the greater omentum. E. Total hysterectomy with bilateral salpingo-oophorectomy + appendectomy. F. Pelvic and abdominal exploration and biopsy (adhesions, suspicious lesions, diaphragm, liver, intestinal serosa, mesentery, and pelvic side wall peritoneum). G. Pelvic and para-aortic lymph node dissection (to the level of the inferior mesenteric artery). ②Re-staging lapanotomy: refers to a comprehensive exploration and accurate staging performed without accurate staging in the first surgery and medication. McGoWan found that only 54% of ovarian cancer patients underwent comprehensive surgical staging during the first surgery. Young et al. reported that the initial diagnosis of early ovarian cancer increased by 3% during re-staging surgery. ③ Cytoreductive surgery: Make every effort to remove the primary lesion and all metastatic tumors, so that the diameter of the residual cancer is less than 2cm. The scope of surgery includes: The above introduces the precautions in the surgical treatment of ovarian tumors. At the same time, you need to know as much as possible about the surgical process of ovarian tumors. Many people know that this disease must be treated surgically to improve, so it is necessary to pay attention to the surgical process. |
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