After an ovarian tumor occurs, many treatment methods need to be considered. The current surgical treatment effect is still very good. Especially for women, ovarian tumors are a very common disease. After they occur, effective treatment methods need to be considered. What should be paid attention to during surgical treatment of ovarian tumors? Let's take a detailed look below. 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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