How to treat pelvic lymphocele?

The pelvis is a very critical part of the human body. It connects the upper and lower body and is the basic skeleton that enables the human body to move freely. The internal space of the pelvis is large, but there are many organs and tissues. Among them, lymph is a relatively important tissue. Pelvic lymph is prone to disease, which brings great harm to health. For example, how to treat pelvic lymph cyst? Let’s take a look at the explanation below.

Differential diagnosis of pelvic lymphocele 1. Pelvic inflammatory mass: Most patients with chronic pelvic inflammatory mass have no obvious systemic symptoms, mainly manifested by lower abdominal pain and lumbar discomfort. Palpation of the lower abdomen is accompanied by tenderness, rebound tenderness, and muscle tension. Antibiotic treatment is effective. 2. Pelvic hematoma: Hematoma usually occurs within a short period of time after surgery. Ultrasound examination shows pelvic endoscopic effusion. Pelvic hematoma puncture under ultrasound guidance can extract bloody or coffee-colored fluid.

3. Tumor recurrence and metastasis: It can be differentiated from lymphocele based on the patient's medical history, clinical symptoms, tumor marker detection and imaging examination results.

Treatment of pelvic lymphocele 1. Expectant treatment: For smaller lymphoceles, most of them can be absorbed by themselves and no special treatment is required. 2. Drug treatment: Use Chinese medicine for external application. Mix rhubarb and Glauber's salt (1:4) and grind into powder. Put it in a gauze bag and apply it to the lymphocystic area. It has obvious effect. Chinese patent medicines such as Guizhi Fuling Capsule or Sanjie Zhentong Capsule also have a certain effect on promoting the disappearance of lymphocele. 3. Surgical treatment: (1) Puncture and fluid extraction: Puncture and fluid extraction under ultrasound guidance is simple and easy to perform and is widely used in clinical practice. However, its recurrence rate is also high, and repeated puncture is a high-risk factor for infection. (2) Sclerotherapy: In order to reduce recurrence, a sclerosing agent can be injected to cause a sterile inflammatory response in the cyst wall, thereby causing fibrosis and atrophy of the cyst wall. Sclerosing agents include ethanol, tetracycline, doxycycline, bleomycin, and fibrin glue. However, we must be aware that the injection of sclerosing agents may cause serious complications such as atrophy and necrosis of surrounding tissues. (3) Lymphatic cyst resection: When the above methods have no obvious effect and the compression symptoms are severe, surgical resection of the cyst can be considered. The surgical methods include open and laparoscopic. Open surgery can remove the cyst more thoroughly, but it causes great trauma and slow recovery. Laparoscopic surgery may not be able to completely remove the cyst, but it can suture the remaining cyst wall to the surrounding peritoneal tissue, with better results.

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