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How to perform surgery on chocolate cyst

2026-01-14 20:21:27 Mother and baby

How to perform surgery on chocolate cyst

Chocolate cysts (endometriomas) are a common gynecological condition in women that usually require surgery to treat. The following is a detailed analysis of chocolate cyst surgery, including structured data such as surgical methods, indications, and postoperative precautions.

1. Common methods of chocolate cyst surgery

How to perform surgery on chocolate cyst

surgical methodDescriptionApplicable people
laparoscopic surgeryMinimally invasive surgery, where the cyst is removed or stripped through a small incision in the abdomen, resulting in a quick recovery.Patients with large cysts or obvious symptoms.
laparotomyTraditional surgical methods are suitable for complex cases or situations where laparoscopy cannot be performed.Patients with huge cysts or severe adhesions.
Ultrasound guided punctureCystic fluid is aspirated through ultrasound-guided puncture, but the recurrence rate is high.Temporary relief of symptoms, not suitable for long-term treatment.

2. Indications and contraindications for surgery

IndicationsContraindications
Cyst diameter ≥5cmSevere cardiorespiratory insufficiency
Pain seriously affects lifecoagulopathy
infertility patientsacute infection stage

3. Precautions before and after surgery

Preoperative preparation:

  • Complete examination (B-ultrasound, CA125, etc.).
  • Fast for 8 hours before surgery.
  • Avoid menstrual surgery.

Postoperative care:

  • Stay in bed for 24 hours.
  • Avoid strenuous exercise for 1 month.
  • Regular review to prevent recurrence.

4. Surgical risks and complications

Risk typeprobability of occurrencePrecautions
bleeding3-5%Delicate operation during surgery
infection2-3%Postoperative antibiotic prophylaxis
ovarian function impairment10-15%Preserve normal ovarian tissue

5. Postoperative recurrence and prevention

The recurrence rate of chocolate cyst after 5 years is about 20-40%. The risk of recurrence can be reduced by the following methods:

  • Long-term use of birth control pills (doctor’s guidance required)
  • Get pregnant as early as possible (for those who need fertility)
  • Regular gynecological examination

6. Surgery cost reference

Surgery typeCost range (yuan)Medical insurance reimbursement
laparoscopic surgery8000-15000Partial reimbursement
laparotomy5000-10000Partial reimbursement

Summary:Chocolate cyst surgery requires a suitable method based on factors such as the patient’s age, fertility needs, and cyst size. Laparoscopic surgery is currently the preferred method, with the advantages of less trauma and faster recovery. Long-term management is required after surgery to reduce recurrence.

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