Ovarian cyst is a pathological space, usually filled with fluid, surrounded by a capsule. They may be single or bilateral.
They depend on the type, size and location of cysts, most are uncharacteristic or the disease is completely asymptomatic (detection occurs accidentally during routine gynecological examination):
• menstrual disorders
• vaginal bleeding unrelated to menstrual cycle
• nonlocalized abdominal pain
• nervousness, stress, headaches
• nausea, vomiting
• constipation (pressure on the large intestine)
• urgency (pressure on the bladder)
• endocrine disorder (hirsutism, breast tenderness).
Types of ovarian cysts
Depending on the histological structure, we distinguish several types of ovarian cysts:
• functional - relate to women of childbearing age and are associated with endocrine disorders
• serum (simple) - filled with serous fluid, resembling a bubble
• chocolate (endometrial) - bilateral tumors, the size of about 15-20 cm, painfull and are often the cause of infertility, endometriosis occurs in the course
• dermatoids (leatherback) – histologically is cystic teratoma (an approximately 25% of all ovarian tumors) and may contain tissue from the three germ layers (e.g. bone, fat, hair, teeth) dimensions - up to 25 cm
• tecaluteinal - appear most often on both sides in the course of pregnancy and are associated with the presence of molar pregnancy, may also occur after treatment with gonadotropin, it is necessary to periodic inspection (up to and including diagnostic laparoscopy).
There are standard gynecological examination, which complements the methods of imaging (ultrasound, transvaginal ultrasound). In some cases a biopsy and diagnostic laparoscopy. Suspicion of ovarian cancer requires the determination of markers.
Most operating (especially in the case of pressure on other organs, the risk of rupture or high risk of cancer), made the traditional way (in older women with suspected ovarian cancer) and laparoscopic (to protect your fertility).
In the video there is shown a removal of large ovarian cyst on the right side, diameter 20 cm. Patient after removal of uterus with fallopian tubes by laparotomy. Currently operated due to lower abdominal...
Objective -Discuss the utility of ovarian malignancy biomarker panels/mutlimodal tests and to review the key steps in the contained removed of an adnexal mass to prevent spillage and minimize incision...
This is a 9 year old girl with history of pain in abdomen. She has gangrenous ovary secondary to torsion. The video demonstrates the procedure of safely tackling the situation. This video is merely for...
This video directed by Dr. Moulay nabil (www.drmoulaynabil.com) gynecologist in Rabat Morocco shows the surgical strategy for the treatment of a big ovarian cyst in the context of infertility. To minimize...
This video demonstrates Laparoscopic Oophorectomy for Ovarian Torsion performed by Dr. R K Mishra. Ovarian torsion is a surgical emergency. If not treated quickly, it can result in the loss of an ovary....
This video made by doctor Moulay nabil gynecologist in Morrocco (www.drmoulaynabil.com) shows a laparoscopic bilateral protected adnexectomy for huge ovarian cyst in a post menopausal woman.This endoscopic...