Recently, Director He Quanqin of the Department of Gynecology of the Central Hospital led the department team to successfully complete laparoscopic ovarian teratoma removal and pelvic adhesions release for an 11-year-old girl. During the operation, the teratoma on the right ovary was successfully removed through a small incision in the lower abdomen. The patient was able to walk freely on the second postoperative day.
Liu, an 11-year-old girl, is a junior high school student in Queshan County. She has loved sports since she was a child and often runs for exercise when she has nothing to do. According to the girl's recollection, she felt her lower abdomen was a little hard when she was lying down one month ago. She always thought it was the abdominal muscles she had developed through years of sit-ups and training. She felt very accomplished, so she continued to train hard, and her "abdominal muscles" became bigger and bigger. , especially in the past week, it has grown so fast that I dare not wear too thin clothes when I go to school for fear of being laughed at by my classmates as if I am pregnant.
Liu was filled with fear, but she was too shy to speak out. Her parents were busy with work and were careless. It was not until a week ago that the girl's symptoms of constipation and frequent urination worsened, and her back pain became severe, that she told her family.
Seeing her daughter’s belly, which looked like she was four months pregnant, Liu’s mother blamed herself and cried, and hurriedly took her daughter to a local hospital for an ultrasound examination. The mother and daughter were dumbfounded by the examination results. They found a tumor the size of a ball in their stomach. The local hospital believes that this situation is rare, and Liu is still young. This situation can only be removed surgically, but an incision of at least 10 centimeters in the abdomen is required to completely remove the tumor.
In order to avoid leaving long and ugly scars, the mother and daughter rushed to the central hospital overnight with a glimmer of hope and found He Quanqin, the director of the gynecology department. "When the girl was admitted to the hospital, she was supporting her waist with one hand and holding her belly up, as if she were a pregnant woman. The patient felt pain because the tumor had twisted in the abdominal cavity. Once it was reset, the pain would disappear. Within the tumor You can see hair, teeth, bones and other debris, and it is judged to be a teratoma," He Quanqin said. After detailed preoperative examination, she believed that although the ovarian teratoma had occupied the entire pelvic cavity, it could be treated with laparoscopic minimally invasive surgery, and a treatment plan was formulated for the girl with an incision of only 2 to 3 centimeters. The two women burst into tears after hearing the plan.
After sufficient preoperative preparation and careful arrangements, Director He Quanqin was the surgeon and Dr. Liu Xiuling was the first assistant to perform the surgical treatment on the girl in time. During the operation, the doctors first made a 2-cm incision in the patient's lower abdomen, and used a suction device to suck out the fluid in the tumor. After the tumor volume was reduced and the tumor contents were removed, the tumor was pulled out of the incision and removed. The entire operation lasted only one hour, and five teratomas of varying sizes were successfully removed, the larger of which was about 13 centimeters in diameter. Dense adhesions in the pelvic cavity, intestines and bladder were separated, and the ovaries were repaired. The operation ended successfully.
Currently, Liu is recovering well and will be discharged soon. (Chen Siyu)
