At 8 pm on July 30, 2019, a young female patient came to the emergency room of Shenyang Red Cross Hospital with lower abdominal pain, nausea and vomiting, sweating profusely, and very panic...
Director of the Department of Obstetrics and Gynecology Sun Jiqing Based on the analysis of current symptoms, imaging prompts, and physical examination results, careful examination and demonstration, it was determined that the patient was an ovarian teratoma, which was neither a typical pelvic abscess nor a typical ovarian cyst with pedicle torsion. To reverse the combined necrosis and infection, it was decided to perform emergency surgery while actively anti-inflammation. Considering that the patient was young, unmarried, and had no children, and had aesthetic requirements, we decided to use laparoscopic minimally invasive surgery with quick postoperative recovery time and minimal trauma. The
patient was obese and weighed 200 pounds, with thick abdominal fat. The tumor was larger than a newborn's head and his blood count was high. Director Sun Jiqing led the team to conduct adequate preoperative assessment and preparation, and decided to overcome the difficulties and perform laparoscopic minimally invasive surgery on the patient. During the operation, all difficulties were overcome, such as the thick fat layer on the patient's abdominal wall, heavy burden on the heart and lungs, huge tumor, very narrow operating space for instruments, and hard bones in the tumor that were difficult to remove from small holes. After 3 hours, the patient was successfully performed intra-abdominal surgery. Minimally invasive surgery. During the operation, not only the necrotic and blackened attachments on the affected side were completely removed, but no bleeding occurred. The postoperative specimen showed that the tumor contained a large amount of hair, fat, irregular bones and four complete teeth.
The patient's reaction after surgery was very mild. His gastrointestinal function recovered quickly and he had early flatus. He could eat and drink 6 hours after the surgery. He could get out of bed and move around freely the morning after the surgery. There was almost no incision pain after the surgery. The patient and his family were very happy and satisfied, and were amazed by the magic of minimally invasive surgery!
