Tratamentul chirurgical laparoscopic al chistului ovarian

Ungureanu Sergiu; Şipitco Natalia; Ungureanu Ion

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UNGUREANU, Sergiu, ŞIPITCO, Natalia, UNGUREANU, Ion. Tratamentul chirurgical laparoscopic al chistului ovarian. In: Arta Medica , 2023, nr. 3S(88), pp. 106-107. ISSN 1810-1852.

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Arta Medica

Numărul 3S(88) / 2023 / ISSN 1810-1852 /ISSNe 1810-1879

Tratamentul chirurgical laparoscopic al chistului ovarian

Laparoscopic surgical treatment of the ovarian cyst

Pag. 106-107

Ungureanu Sergiu¹², Şipitco Natalia¹², Ungureanu Ion¹²

¹ Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“,
² IMSP Spitalul Clinic Republican „Timofei Moșneaga”

Disponibil în IBN: 23 ianuarie 2024

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Scopul lucrării. Chist ovarian este o patologie frecventă la femeie în perioada de activitate genital- reproductivă, morfologic cu colecții lichidiene anormale, delimitate de o membrană și situate în interiorul unui ovar. Chisturile de ovar se clasifică în: chisturile funcționale – reprezintă 90% dintre cazuri (cauzate de disfuncții hormonale) și chisturile organice- endometriozic, dermoid, mucoid sau seros. Scopul lucrării: Tratament Laparoscopic / metoda tradițională. Chistectomia ovariana laparoscopica este necesar în următoarele situații: un ovar sau un chist torsionat sau erupt, dureri severe și sângerări, dimensiuni de 6-7 cm sau în cazul compresiei altor organe intraabdominale. Progresarea chistului după 2-3 luni cu tratament hormonal reprezintă o alta indicație chirurgicala – mai ales dacă au existat 1-2 menstre în aceasta perioadă fara dinamica de regresie sau laparotomie mediană, în cazul chisturilor gigante cu diametru 10-14 cm Rezultate. Pacienta 41 ani investigată prin RMN. D.c:Chist ovarian pe dreapta. Clinic dureri pelvine, eliminări patologice vaginale. Intervenit chirurgical laparoscopic cu excizia chistului 3x5 cm. Postoperator cu restabilirea totala în 3 zile. Pacienta 18 ani investigată prin USG și CT abdominal D.c Chist ovarian pe stânga. S-a intervenit chirurgical prin LMM unde se determina chist gigant 30x30 cm. S-a efectuat chist-ovarectomia în bloc pe stânga. Perioada de spitalizare 9 zile, cu dureri în plagă, drenuri abdominale, risc de infectare a plăgii Concluzii. Acțiunea prin tratament laparoscopic: este minim invaziv, abord incizional mic, perioada de recuperare postoperatorie este scurtă, risc de infectarea plăgii minim. Dureri postoperatorii minime. Necesitate medicației postoperatorie minim..

Aim of study. Ovarian cyst is a frequent pathology in women during the period of genital-reproductive activity, morphologically with abnormal liquid collections, delimited by a membrane and located inside an ovary. Ovarian cysts are classified into: functional cysts represent 90% of cases (caused by hormonal dysfunctions) and organic cysts - endometriotic, dermoid, mucoid or serous. Purpose: Laparoscopic treatment vs traditional method. Laparoscopic ovarian cystectomy is necessary in the following situations: a twisted or ruptured ovary or cyst, severe pain and bleeding, 6-7 cm in size or in case of compression of other intra-abdominal organs. The progression of the cyst after 2-3 months with hormonal treatment is another surgical indication - especially if there were 1-2 periods during this period without regression dynamics or median laparotomy, in the case of giant cysts with a diameter of 10-14 cm. Results. 1. Patient, 41-year-old, Investigated by MRI. Diagnosis: Ovarian cyst on the right. Clinical pelvic pain, pathological vaginal discharge. laparoscopic surgical intervention for excision of the 3x5 cm cyst. Postoperative, with total recovery in 3 days. 2. Patient, 18-year-old. Investigated by USG and abdominal CT. Diagnosis: Ovarian cyst on the left. Surgery was performed through laparotomy, where a giant 30x30 cm cyst was determined. En bloc ovariectomy was performed on the left side. Hospitalization period 9 days, with pain in the wound, presence of abdominal cramps, risk of wound infection. Conclusions. Action through laparoscopic treatment: it is minimally invasive, small incisional approach, the postoperative recovery period is short, the risk of wound infection minimal. Minimal postoperative pain. Minimum necessary postoperative medication.

Cuvinte-cheie
Chist ovarian, tratament laparoscopic, chistectomie,

ovarian cyst, Laparoscopic treatment, cystectomy

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<cfAbstr cfLangCode='RO' cfTrans='o'><p>Scopul lucrării. Chist ovarian este o patologie frecventă la femeie &icirc;n perioada de activitate genital- reproductivă, morfologic cu colecții lichidiene anormale, delimitate de o membrană și situate &icirc;n interiorul unui ovar. Chisturile de ovar se clasifică &icirc;n: chisturile funcționale &ndash; reprezintă 90% dintre cazuri (cauzate de disfuncții hormonale) și chisturile organice- endometriozic, dermoid, mucoid sau seros. Scopul lucrării: Tratament Laparoscopic / metoda tradițională. Chistectomia ovariana laparoscopica este necesar &icirc;n următoarele situații: un ovar sau un chist torsionat sau erupt, dureri severe și s&acirc;ngerări, dimensiuni de 6-7 cm sau &icirc;n cazul compresiei altor organe intraabdominale. Progresarea chistului după 2-3 luni cu tratament hormonal reprezintă o alta indicație chirurgicala &ndash; mai ales dacă au existat 1-2 menstre &icirc;n aceasta perioadă fara dinamica de regresie sau laparotomie mediană, &icirc;n cazul chisturilor gigante cu diametru 10-14 cm Rezultate. Pacienta 41 ani investigată prin RMN. D.c:Chist ovarian pe dreapta. Clinic dureri pelvine, eliminări patologice vaginale. Intervenit chirurgical laparoscopic cu excizia chistului 3x5 cm. Postoperator cu restabilirea totala &icirc;n 3 zile. Pacienta 18 ani investigată prin USG și CT abdominal D.c Chist ovarian pe st&acirc;nga. S-a intervenit chirurgical prin LMM unde se determina chist gigant 30x30 cm. S-a efectuat chist-ovarectomia &icirc;n bloc pe st&acirc;nga. Perioada de spitalizare 9 zile, cu dureri &icirc;n plagă, drenuri abdominale, risc de infectare a plăgii Concluzii. Acțiunea prin tratament laparoscopic: este minim invaziv, abord incizional mic, perioada de recuperare postoperatorie este scurtă, risc de infectarea plăgii minim. Dureri postoperatorii minime. Necesitate medicației postoperatorie minim..</p></cfAbstr>
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