Treatment of torsion ovarian tumor

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Twisted ovarian cyst is the most common complication of ovarian cyst. When the ovarian cyst twists strongly, the patient feels severe pain in the lower abdomen, dizziness, possibly fainting and many other accompanying symptoms. Treatment is favorable or complex depending on whether the torsion has ruptured the cyst.

1. What is torsion ovarian tumor?

Ovarian tumours are tumors that form in the ovaries of women, can occur at any age, from babies to the elderly are at risk of disease. Ovarian tumors can be solid, cystic, or a mixture of solid and cystic. In which, cystic tumor is the most common type, accounting for 3.6% of gynecological diseases in women.
Twisted ovarian cyst is the most common complication of ovarian cyst. Ovarian torsion usually occurs in tumors of moderate weight, average diameter from 8-15cm, long stalk, non-adherent. There are two forms of torsion:
1.1 Acute torsion The patient has sudden onset of severe abdominal pain, possibly fainting, stable blood pressure, nausea, vomiting, pale face, sweating. smell, panic, ... Tumor has limited mobility, very painful when examining.
1.2 Subacute torsion Pain is slowly dull, when changing position, pain is reduced or eliminated due to self-detorsion, but sometimes it recurs, acute torsion may occur if the tumor torsion is strong, the cyst does not return get the original position.
In addition, twisted ovarian cysts can cause bowel obstruction, if the tumor size is large, it can compress surrounding organs, causing symptoms such as urinary frequency, difficulty urinating if the bladder is compressed, and edema of the lower extremities. if compressing the venous system, constipation if compressing the rectum,...

When an ovarian tumor is twisted, dirty blood will accumulate in the tumor more and more, causing the tumor to gradually enlarge. This is a potentially life-threatening condition.

2. Causes of torsion ovarian tumor

The causes of torsion ovarian cyst can be:
The woman with the cyst walks, runs and jumps a lot, causing the tumor to move in the abdomen. After birth, the uterus retracts, making the abdomen empty, the tumor moves easily, so the risk of torsion is higher. Because tumors have long stalks and do not adhere to surrounding tissues, they have high mobility, are easily rotated, combined with the movement or change of position of women, they are easier to twist.

3. Treatment of ovarian torsion

If detected early, when the twisted ovarian cyst has not ruptured, the patient will be operated on to remove the tumor.
If the torsion ovarian cyst is accompanied by ovarian torsion, it is necessary to remove the torsion. If the ovaries are predicted to be reversible, when the compression vessels are removed, blood supply to the ovaries is restored, the ovaries will be preserved to perform important functions such as endocrine function. helps to produce hormones that make a woman's body smooth, menstrual, smooth hair,...) and exocrine function helps the body ovulate every month. If when removing the torsion, it is found that a part of the ovary has been necrotic, that part of the ovary will be removed, the remaining ovary will still function normally, ensuring reproductive function.
When ovarian torsion has complications of necrosis or peritonitis, the treatment is very complicated, there is a risk of intestinal infection, intestinal adhesions causing intestinal obstruction. If the torsion ovarian tumor is detected late, the tumor has been necrotic, the patient has a high risk of death.

4. Prevention of twisted ovarian cysts

To prevent complications of torsion of ovarian cyst, gynecological examination and ultrasound should be periodically performed. If the presence of ovarian cysts is detected, it is necessary to actively treat, adhere to treatment and periodically re-examine.
Strictly follow the doctor's instructions from taking medicine, eating, living lifestyle. After surgery for ovarian cysts, it is necessary to have regular check-ups and apply measures to prevent cyst recurrence.
Lifestyle has a significant effect on the risk of developing ovarian cysts. To reduce the risk of disease, should pay attention to drink enough water, reduce stress (because stress can increase the risk of hormone disorders) by practicing yoga, meditation, breathing exercises,... Increase activity Physical activity, weight control to help regulate hormonal balance, reduce the risk of cysts.

Ultrasound is a diagnostic method to identify the disease. Therefore, periodic gynecological examination combined with ultrasound is an important preventive method, the earlier the disease is detected, the less it will affect the function of motherhood in the future.
Currently, Vinmec International General Hospital systems have been using modern generations of color ultrasound machines. One of them is GE Healthcarecar's Logig E9 ultrasound machine with full options, HD resolution probes for clear images, accurate assessment of lesions. In addition, a team of experienced doctors and nurses will greatly assist in the diagnosis and early detection of abnormal signs of the body in order to provide timely treatment.

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