What are the disadvantages of cystotomy?

The puncture of the cyst is generally not recommended. Although it does not feel uncomfortable and causes little harm to the body, it can only suck out the cyst fluid but cannot completely clean the diseased tissue. If it is irritated or the venom that was not completely sucked out leaks again, new cysts may form.

Key technical aspects of puncture and sclerotherapy of cysts 1. Safety aspect: The puncture routes are divided into transabdominal and transvaginal. Transabdominal puncture must avoid the intestine and iliac vessels. Transvaginal puncture must avoid the uterine artery and vein and ovarian artery. It is very important to use better ultrasound equipment and color Doppler ultrasound for strict examination and design the puncture path.

2. Efficacy: The "chocolate cyst" is filled with blood for a long time. The water in the stagnant blood is absorbed, so the concentration of the accumulated blood continues to increase, forming a thick and even hardened "blood mud". During puncture, the blood mud must be thoroughly cleaned away before using the hardener. Otherwise, the anhydrous alcohol will coagulate as soon as it comes into contact with blood, and the puncture needle will be blocked, making it impossible to aspirate, making it difficult to achieve therapeutic effects. Secondly, when injecting the hardener, do not let the hardener remain statically in the cystic cavity, as this is not conducive to the hardener fully contacting with the cystic wall lining tissue and exerting a hardening effect. The hardener should be allowed to flow to fully harden the cystic wall. Such technological improvements should not be underestimated. If they are not done in this way, the treatment effect will be compromised. A large amount of case data shows that under the premise of maintaining the minimally invasive advantages of sclerotherapy, through technical improvement and innovation, it is entirely possible to cure "cysts" with a size of 6 to 7 or less with one sclerotherapy (the cysts can be reduced by more than 80% or even disappear completely). Cysts larger than 7 to 8 usually require 2 sclerotherapy sessions.

Postoperative precautions

Chocolate cysts require a month of rest after surgery, avoid heavy physical labor, pay attention to hygiene, pay attention to diet, and strengthen nutrition. Suggestions: It is recommended to follow the doctor's advice for regular check-ups after surgery, eat a reasonable diet, have a balanced diet, and engage in appropriate exercise. I wish you a speedy recovery.

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