Patient's question:
During this period, the ovarian cyst twisted 720 degrees. The baby was normal. Immediate laparoscopic surgery was performed. Half of the ovary was removed, and the baby was saved. After the surgery, cephalosporin drugs were used for anti-inflammatory purposes, and fetal preservation measures were also taken. The ultrasound results the next day showed that the baby was completely normal.Past Treatment and Effectiveness: No prior treatment was given.
Desired Help: I want to know how much impact this surgery had on the baby? Will it cause developmental issues in the child? Should I continue with fetal preservation or consider a miscarriage?
Doctor's answer:
Hello, in clinical practice, it often presents with lower abdominal pain, lower abdominal discomfort, increased vaginal discharge, yellow vaginal discharge, vaginal odor, and menstrual irregularities. Additionally, there is usually a solid, painless mass in the lower abdomen, and sometimes pain during intercourse may occur. When the cyst affects hormone secretion, symptoms such as irregular vaginal bleeding or hirsutism may appear. If the cyst twists, severe symptoms such as severe abdominal pain and distension, difficulty breathing, decreased appetite, nausea, and fever may occur.① Ovarian cystectomy: This type of patient often has no menstrual disorders, and some may even be pregnant. If one side of the tumor is more prominent, a unilateral salpingo-oophorectomy can be performed.
② Salpingo-oophorectomy: Unilateral ovarian cysts in older patients (45 years and above) often undergo unilateral or bilateral salpingo-oophorectomy. If the patient's overall condition cannot tolerate the surgery or if the inflammation is severe, a total hysterectomy is often performed. It is worth noting that when dealing with larger ovarian cysts, the surgical approach should not be limited by the size of the incision.