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Surgical treatment of pelvic pseudocyst Clinical Study

Author: LiCheng
Tutor: SunDaWei
School: Peking Union Medical College , China
Course: Obstetrics and Gynaecology
Keywords: pelvic pseudocyst laparoscopy laparotomy
CLC: R713
Type: Master's thesis
Year: 2010
Downloads: 18
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Abstract

Objective:To investigate the clinical characteristics and the auxiliary examination characteristics of pelvic pseudocyst.Evaluation of surgical treatment and the recurrence rate of pelvic pseudocyst.Methods:Utilize the software of SPSS 16.0 to perform the regression analysis.The samples are 75 patients who had already been confirmed by pathology.Telephone follow-up was made to know their prognosis.Results:Average age of these 75 samples is 38.28±7.08 years.32% of them had no clinical symptoms.41.3% of them had low abdominal pain.26.7% of them were infertile. 37.3% of them had no history of any surgical procedure.66.7% of them had surgical history. According to abdominal ultrasonography,92% of them showed no echo while 8% indicated mixed echo.61.3% of cysts with no echo had separate merger with no blood flow.52% of the masses are in the left side and the average diameter of the masses is 7.8±2.825 centimeter.CA125 test results of all patients were less than 200U/ml. Gynecological checkup before surgery showed that 70.7% of the masses are inactive and 77.3% of them are no tenderness. Preoperative diagnosis rate was 29.3%. The recurrence rate of cyst excision increases significantly compared to excision with other operation. The operation time and blood loss of laparoscopic surgery are less than laparotomy. However, there is not significant difference in recurrence rate. The recurrence time is 10.96±4.15 months.Conclusion:1.Key points of preoperative diagnosis:clinical symptoms are abdominal dull pain, infertility or no symptoms. Most of the pelvic pseudocysts occur after operation.According to B-ultrasound, most of the cysts belonged to the type of echo-free, showing dividers with no blood flow. Most of the cysts are in the left of pelvis. CA125 test results are normal.2. The main treatments mainly include imaging-assisted needle aspiration and the laparoscopic or laparotomy. When selecting the surgical method, the age of the patients should be considered. Unilateral salpingo-oophorectomy by laparoscopy is the recommended surgerical method.3. The recurrence rate of surgery was lower than needle aspiration, but the recurrence rate of simple excision was higher than cyst removal with other operations. The operation time and blood loss of laparoscopic surgery were less than laparotomy. However, there is not significant difference in recurrence rate. The recurrence time is 10.96±4.15 months.

Surgical treatment of pelvic pseudocyst Clinical Study

Abstract

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