Parovarian cyst of the ovary: treatment, causes and symptoms

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Parovarian cyst of ovary - a benign tumor formation, coming out of the epididymis. More likely to develop symptoms, sometimes it causes cycle disorders, pain and infertility. Dangerous complications -nagnoenie tissue membrane rupture, torsion legs.

ovarian cyst

Content

  • pathology characteristic
  • The causes of the disease
  • Symptoms parovarian cyst
  • Parovarian cyst during pregnancy
  • When the operation is necessary
    • laparotomy
    • laparoscopy
  • Treatment without surgery
    • Traditional methods

pathology characteristic

C by ovarian cysts anatomically not connected, but located close to it, so it can cause dysfunction of the fallopian tubes, or both. Changes or structural abnormalities in appendages affect the size and characteristics of the tumor.

Formation is due to formation of liquid accumulations. The ovary can be corpus luteum cyst or education in the follicle. parovarian cyst fluid-filled localized between supporting sheets uterine ligaments, increases from paraovariuma - epididymis.

Such education is rudimentary, have lost their function and unnecessary woman's body. Paraovarium itself - a network of small tubules that connect into one large. It is situated between the masterbatch fallopian tubes and ovaries. But due to its underdevelopment is not provided with excretory ducts.

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Functional disorders occur when the liquid expands the duct wall. Classical cyst prone to tissue growth, always has a thick wall. Paraovarialnaya increases due to accumulation of serous fluid, subsequent stretching of the capsule walls. The cells are unable to divide the shell, which ensures absolute purity tumor.

The causes of the disease

Parovarian cyst occupy up to 12% of all diagnoses of such formations (luteal and follicular). Provoking factor considered early puberty, so cyst in menopause extremely rare.

Education has formed during embryonic growth against a background of local disturbance of differentiation of tissues.

Stimulate the growth of ovarian cyst on the left or right side of the following factors:

  • infectious-inflammatory processes, endocrine diseases, diabetes;
  • menstrual disorders;
  • hormonal disorders;
  • Regular injuries genitals as a result of involuntary miscarriage, curettage, abortion;
  • underweight or obese;
  • long uncontrolled use of COCs or Navy.

Ovarian cysts in the early stage have dimensions of 2 cm, the amount of fluid in them is insignificant, so there is no symptoms. In this state, the tumor may be many years, often diagnosed during ultrasound.

Symptoms parovarian cyst

If the dimensions are impressive parovarian cyst, you may experience these symptoms:

  • pain lower abdomen, aggravated by movement and physical activity;
  • urge to defecate and urinate;
  • abdominal distension;
  • cycle crash;
  • difficulty conceiving and / or infertility.
lower abdominal pain

Rupture of the capsule legs, torsion characterized brighter clinic:

  • pale skin;
  • fever;
  • tachycardia;
  • dizziness;
  • change in blood pressure;
  • sharp pain in the lower abdomen.

Parovarian cyst of the right or the left ovary at rupture requires immediate hospitalization as threatening life and health of the woman.

Parovarian cyst during pregnancy

Pregnancy at this pathology is possible, but increases the risk of miscarriage, premature birth. The best is a cyst treatment after delivery or at the planning stage.

As the volume of liquid in the capsule fetal growth will be increased, increasing tumor compressed uterus, the possibility of rupture or torsion legs repeatedly increases. Damage to the sheath may both during pregnancy and during labor, especially natural.

Removal laparoscopy recommended if formation size is 6 cm in diameter and more, content of turbid walls inflamed.

Such tumor diseases increase the risk of infection, sexually transmitted infection, suppuration, output serous fluid in the abdominal cavity, peritonitis.

When the operation is necessary

Cyst left / right ovary subject to surgical treatment in the case of a large volume of liquid accumulated and strong stretching capsule walls. In the initial stage uses dynamic observation and treatment by conservative methods - gormonosoderzhaschimi preparations.

Education paraovariya appendage removed if you notice a progressive increase in the risk of twisting the legs, thinning of the walls, a bacterial infection, abscess.

laparotomy

When the formation reaches impressive size, the wall becomes thin, a median laparotomy is not used. It does not provide optimal access to the tumor.

During such an intervention performed midline incision, sometimes with a cyst removed from the ovaries. Operation is quite traumatic, increases the risk of bleeding, uterine tissue injured, rehabilitation takes up to 10 days.

He tells the story of a laparotomy

laparoscopy

The choice of method of removing the education takes place after the ultrasound examination and determine the exact size of the brush. Laparoscopy ovarian cyst It involves injecting into the peritoneum through small puncture special telescopic tube and the tool. Manipulation is controlled by the camera, the cyst is excised.

During the procedure the ovaries are not affected, the intervention is considered to be less traumatic, there is practically no risk of bleeding, the recovery period does not last more than 5 days. Removal of the tumor near the left or right ovary occurs equally.

Excision neoplasm is disposed between the tube and ovary, performed if it does not resolve independently on the background of conservative treatment for 3 months, a credible threat of complications observed progressive growth. Laparoscopy may be carried out if the dimensions are greater than 2 cm. In pregnancy, surgery is performed not earlier than the 16th week.

Treatment without surgery

The choice of therapeutic measures is determined by specific clinical symptoms and data research. Crucial paraovara size - the bigger it is, the higher the efficiency of surgical treatment. When tumors of small diameter is used to conduct dynamic monitoring ultrasound every 3-6 months the defining localization cysts, the presence of vascular pattern, the wall thickness.

Therapy without operation includes the use of hormonal preparations, mainly combined contraceptives. They are required to:

  • normalization of hormonal levels;
  • elimination of PMS;
  • stabilization cycle.

During the entire duration of conservative therapy is used by the ultrasound observation.

If there is growth of a cyst, fluid inside the capsule becomes yellow, the stem is twisted, surgical removal is recommended.

Traditional methods

Treatment of tumors national agents is auxiliary. Tinctures, decoctions, tampons based on vegetable components can slow down tumor growth or even promote its resorption.

From ovarian cyst use these tools:

  1. Tinctures. Underlying - alcohol diluted with water or vodka. As medicinal components take yarrow, St. John's wort and Artemisia in the proportion 1: 1: 1. Dried herbs are mixed, are welded in a water bath and then infused at least 2 hr. Thereafter, the mixture must be to filter and mix the same amount of alcohol base. The infusion is ready, you can add 3 tablespoons of honey and the same amount of aloe juice. Taken daily before 50 ml of food.
  2. Ointment. The basis of unrefined linseed or sunflower oil. It needs to be warmed in a water bath, add 1 egg yolk. The emulsifier acts as natural beeswax. The ointment is used to impregnate gauze tampons independently prepared. a tampon into the vagina at night need to be administered daily.
  3. Broth. Used yarrow, wild rose, upland grass of the uterus. Herbs need to brew in a thermos overnight, then filter and take 125 ml of 1 times a day before meals.

If you use any traditional medicine is necessary to undergo regular check-ups to monitor the size of the tumor. In the absence of adequate therapy, there is a risk of complications - compression of the fallopian tube and subsequent infertility, rupture of the capsule, cycle failure, infection and further tissue inflammation on the background of the penetration of pathogens microorganisms.

In addition, tissue cysts can grow into the ovary or uterus, disrupt their functionality. Education more dimensions 6 cm next squeezes are organs - intestines, tubes, bladder, uterus. As a result, damaged blood vessels, there are congestion and inflammatory processes, increased abdominal and lower extremity veins.

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  • Oct 19, 2019
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