How to perform laparoscopic removal of ovarian cysts and what to do if complications occur after surgery

How to perform laparoscopic ovarian cystectomy? What to do about postoperative complications?

Laparoscopy is a method of opening the uterine cavity through a fiber-optic light beam and lens. A cold light source is passed through the hysteroscope into the uterine cavity, and the lower cervical canal, uterine os, endometrium and fallopian tube opening are directly observed to examine and diagnose the physiological and pathological conditions of the uterine cavity. Corresponding treatments can also be performed at the same time. It is more intuitive, accurate and reliable than traditional methods such as curettage and B-ultrasound in understanding the images within the uterine cavity, and samples can be taken more accurately for pathological examination. Surgical treatments within the uterine cavity can also be performed by directly viewing the cavity.

There are many laparoscopic methods for treating ovarian cysts, including removing cysts, preserving ovaries, releasing cystic fluid, destroying cyst walls, perforating polycystic ovaries, and removing adnexa when necessary.

The nursing care for laparoscopic complications after ovarian cyst surgery is as follows:

1. Abdominal distension. Used during surgery. CO2 weakens intestinal peristalsis and generally does not require treatment. If there is obvious abdominal distension and no gas is passed after 48 hours, it should be discharged through the rectal tube, or 0.5 mg of Neosat can be injected intramuscularly to promote intestinal peristalsis.

2. Subcutaneous emphysema is often related to the failure of the pneumoperitoneum needle to enter the abdominal cavity, excessive pneumoperitoneum pressure during surgery, excessive incision, or severe pelvic adhesions. It manifests as a feeling of distortion and there is no need to treat mild subcutaneous emphysema at the same time.

3. Replace the bleeding dressing at the puncture site promptly.

4. Pay attention to abdominal signs such as abdominal distension, abdominal pain, and shifting dullness. Notify the attending physician promptly. If there is a small amount of bleeding, apply pressure bandage. If there is a large amount of hematoma, the bleeding point should be removed.

5. In case of hypercapnia, oxygen should be administered after surgery, electrolytes and blood gas analysis should be checked, and acidosis should be corrected if necessary.