Patient's question:
I had laparoscopic surgery for a right ovarian polycystic cyst six months ago. Yesterday, during an ultrasound, it was found to have recurred, measuring 3.4x3.0cm. I don't want to have surgery again. What should I do?Endometrial fragments shed during menstruation flow backward through the fallopian tubes into the pelvic cavity, implanting on the surface of the ovaries or other pelvic areas to form ectopic cysts. If endometrial fragments travel through the bloodstream to the fallopian tubes and into the pelvic cavity, does this mean the fallopian tubes are open?
Doctor's answer:
For chocolate cysts smaller than 8cm, medication can be used to shrink them until they completely disappear; while for larger ones, surgical treatment is preferred to prevent them from twisting or rupturing due to physical movement. Additionally, oral contraceptives have a certain effect in preventing the recurrence of chocolate cysts through laparoscopy.Nowadays, the most advanced laparoscopic technology can be used. This technology employs a cold light source for illumination and inserts a laparoscopic camera (with a diameter of 3-10mm) into the abdominal cavity. Digital imaging technology is then used to transmit the images captured by the laparoscopic camera through optical fibers to a secondary signal processing system, which is displayed in real time on a dedicated monitor.
Subsequently, the doctor analyzes and judges the patient's condition by viewing the images of different angles of the patient's organs on the monitor screen and performs the surgery using special laparoscopic instruments.