Are there any side effects from injections after cystectomy?

Chocolate cyst surgery refers to the surgery for chocolate cyst. The injection after chocolate cyst surgery is to make the uterus enter a dormant state. It will not have any side effects. It will return to normal after stopping the medication and will not affect fertility. After the operation, you must pay more attention to prevention, because if the operation is not cleaned thoroughly or the endometrium is not completely hardened during the puncture treatment, recurrence is possible.

1. The main formation mechanism of ovarian chocolate cysts 1. In addition to existing in the endometrium, endometrial tissue can also exist in many other parts of the body, such as the ovaries, uterine smooth muscle, peritoneum, mesentery, bladder wall, thyroid, nasal mucosa, lip mucosa, etc., especially in the ovaries and uterine smooth muscle layer. The situation that occurs outside the endometrium is called endometrial (tissue) ectopic, and the related clinical manifestations are collectively called endometriosis. 2. The ectopic endometrium (tissue) also has the monthly cyclical changes of the normal endometrium, namely proliferation, shedding, repair, etc. Menstrual blood is discharged from the vagina, but the ectopic endometrial tissue has basically no normal discharge channel when bleeding occurs. It accumulates more and more locally, forming a nodular change with blood congestion as the main body. After a long period of blood accumulation, it will degenerate and become coffee-like in color and relatively viscous. Therefore, it is called a "chocolate cyst", or "chocolate cyst" for short. This is quite common in the ovaries. It is inappropriate for some people to call it a chocolate cyst directly, because the cyst is not made of chocolate, and the product is not chocolate.

2. The main hazards of ovarian chocolate cysts : 1. "Chocolate cysts" mainly cause new bleeding during the menstrual cycle, which leads to increased tension in the cyst cavity. The nerve endings on the cyst wall are affected by the tension and cause pain; 2. The space-occupying effect of "chocolate cysts" can block or compress the fallopian tubes, affecting the fertilization of follicles or the return of fertilized eggs to the uterine cavity, leading to infertility. 3. The "occasional cyst" itself or the ovary may twist, causing acute abdominal pain or even ovarian necrosis. 4. "Ovarian cysts" can also mask certain concurrent ovarian tumors, delaying diagnosis and treatment.

3. The main surgical treatment for ovarian chocolate cysts Since chocolate cysts are caused by bleeding from ectopic endometrial tissue, in principle, the effect of "hemostasis" treatment can be achieved as long as the endometrium loses the ability to change cyclically, such as entering menopause, the endometrium is no longer affected by estrogen; or the ectopic endometrium is destroyed and loses its activity before menopause. If you want to control it through systemic medication, it will inevitably affect the normal physiological cycle changes of the endometrium, which is obviously not the best choice. Facts have also proven that drug treatment often has limited effectiveness, and for most patients, surgical intervention is essential. Judging from the evolution history of surgical treatment technology, minimally invasive surgery is an inevitable trend of development. 1. Open surgery: open the abdominal cavity and remove the ovarian "cyst" under direct vision. In most cases, the cyst can be removed smoothly, but sometimes the ovary on the same side is removed together. 2. Laparoscopic surgery does not involve opening the abdominal cavity. Instead, 2 to 3 holes with a diameter of about 1.5 to 2.0 cm are made on the abdominal wall (commonly known as the belly). Television monitoring and imaging are used to guide laparoscopic instruments to complete the cyst removal or remove the ovary together. It is a minimally invasive treatment and is still a popular minimally invasive technology. 3. Ultrasound-guided percutaneous puncture and aspiration of blood combined with sclerotherapy with sclerotherapy agents, this method also falls into the category of surgery. Under the guidance and monitoring of ultrasound images, a metal needle with a diameter of 1.1 mm is used to accurately puncture the "cyst". The puncture route can be through the lower abdomen or through the vagina (depending on factors such as whether the patient is married, the location of the cyst, and the size of obstacles on the puncture route). First, the old blood that has been accumulated for a long time is sucked out, and the cyst cavity is thoroughly cleaned with saline. Then, the cyst cavity is flushed with anhydrous ethanol (now rarely used) or lauromacrogol (has a good hardening effect and does not have the disadvantage of alcohol irritation and pain), so that the endothelial cells in the cyst cavity undergo necrosis and lose the ability to "bleed" again. Sclerotherapy does not involve removing the cyst from the body, but rather causing the cyst lining to necrotize. The necrotic tissue is gradually absorbed by the body to achieve the therapeutic purpose. The biggest advantage of puncture sclerotherapy is that it is truly minimally invasive, creating only a tiny puncture hole of 1.1 mm on the abdominal wall and cyst wall, and the damage of the lauromacrogol sclerosant to the ovarian tissue is very slight.

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