Patient's question:
Last year, I had surgery for chocolate cysts. After the surgery, I often experienced abdominal pain. Yesterday, I went to the hospital for a thorough examination, and the doctor recommended another surgery. Below is the ultrasound report. Should I undergo minimally invasive surgery or open surgery? Is it necessary to remove the fallopian tubes and ovaries along with the uterus? I am only 30 years old and still want a second child. Will I be able to have children in the future?Doctor's answer:
Based on your medical history and the detailed ultrasound examination results you uploaded, the possibility of chocolate cyst is the highest. If this is only to alleviate the symptoms of abdominal pain, there is no need to remove the uterus and ovaries together. Only the cyst needs to be removed. After the surgery, a Mirena IUD can be placed in the uterine cavity to relieve symptoms. When you're ready to have your second child, you can remove the IUD and prepare for pregnancy. Whether this surgery should be performed laparoscopically for minimally invasive treatment or through an open incision depends on the surgeon's expertise and the degree of adhesion in the abdominal cavity.