Complications of ovariohysterectomy

After the ovarian and hysterectomy surgery, the patient will definitely experience some complications. This is a very common reaction. The patient will often feel abdominal pain, and even the waist will be involved and painful. In this case, he or she needs to stay in bed more during the onset period, and also use some Chinese herbal medicine to gradually regulate his or her body, so that his or her symptoms can improve faster.

Generally speaking, ovarian tumors do not cause acute abdominal pain, but sudden abdominal pain may occur in the following situations.

Pedicled torsion

About 10% of ovarian tumors are complicated by pedicle torsion, which is a common gynecological acute abdomen. Pedicle torsion is common in teratomas and is prone to occur when the body position changes suddenly. After twisting, bleeding occurred inside the tumor, causing the tumor to grow rapidly. Due to obstructed blood flow, the tumor may become necrotic and prone to secondary infection or rupture. The typical symptom of acute torsion is sudden unilateral lower abdominal pain, which may be relieved or aggravated as the body position changes. May be accompanied by nausea, vomiting and even shock. Gynecological examination may reveal a mass with obvious tenderness, great tension, and muscle tension. Sometimes the torsion corrects itself, and the abdominal pain is relieved. Once pedicle torsion is diagnosed, surgical treatment is required as soon as possible.

rupture

The incidence rate is about 3%, and it may rupture spontaneously or due to external pressure. The severity of symptoms depends on the nature of the cyst and the amount of cystic fluid that flows into the abdominal cavity. It may cause only mild abdominal pain or severe abdominal pain, nausea, vomiting, and sometimes internal bleeding and shock. Examination may reveal abdominal tenderness and rebound tenderness, and the original mass cannot be felt or only a deflated mass can be felt. If there is any suspicion of tumor rupture, laparotomy should be performed immediately to remove the tumor and thoroughly clean the abdominal cavity.

Infect

It is rare, mostly caused by adhesion of the tumor to the intestine after twisting or rupture, or it may be caused by the spread of infection foci in adjacent organs. Clinical manifestations include abdominal pain, fever, and a tender mass. Treatment is surgical removal of the tumor after adequate control of the infection.

Malignant transformation

Benign ovarian tumors can become malignant. If the tumor is found to be growing rapidly or ascites appears, the possibility of malignancy should be considered and surgery should be performed as soon as possible.

1. During abdominal examination, when the tumor grows, a bulge in the lower abdomen can be seen, and a mass can be felt in the lower abdomen. The swelling may be movable or fixed, may vary in hardness or softness, and may be tender to touch.

2. Gynecological examination: The gynecologist may feel a mass outside the uterus during the examination. If the tumor is unilateral, has a smooth surface, is movable, and is cystic, it is likely to be a benign tumor or early cancer. If it is bilateral, with an irregular surface, solid or cystic texture, poor mobility, or even solid nodules of varying sizes can be felt in the posterior depression, then the possibility of a malignant tumor is high.