Some patients are unaware of the severity of their illness and are tormented by yourself.
I once had a patient who I remember very well, and it was very difficult to operate on him at that time! The female patient was supposed to be about 45 years old at the time. Actually, I've seen this patient twice. The first time I was diagnosed with adenomyosis, it was still a bilateral cyst. Adenomyosis is still diffuse, almost all without borders. She described herself as suffering from menstrual cramps, and almost fainted in severe cases.
I suggested removing the uterus directly, because her bilateral pouches are about 6 cm, and the uterus is large, resulting in a large belly as if she was pregnant. The pelvis is sticky, the intestines, fallopian tubes, cysts, and uterus are all sticky, and if you don't cut the uterus, it is extremely difficult and risky to do the surgery to remove the cyst and the adenomyosis, and it will be ** in a few years. However, the patient did not agree to the incision at that time, and did not have surgery, and decided to maintain it with medication on his own.
Later, the emergency department came to me again, and the sac ruptured. It turned out that because she couldn't stand the *** of the drug, she didn't take the medicine anymore and didn't have a re-examination, and went to see a Chinese doctor, and the Chinese medicine only temporarily dealt with the problem of menstrual pain. The sac grew larger and larger, ruptured on one side, and the abdominal pain was sharp. The surgery is done laparoscopically.
At that time, the fluid and sac fluid in the abdominal cavity were all cleaned up during the operation, and then the family agreed to remove the uterus. An electric knife was used to separate all adhesions in his pelvis and the chocolate cyst was removed. After the cysts on both ovaries are treated, the uterus is removed, the blood vessels near the uterus are ligated, the ligaments are severed, and then the hysterectomy is discussed. Although the procedure was difficult and complicated, it was successfully completed.
I am the chief physician Zhou Yingfang, who has been practicing medicine for 40 years, you can ask me any questions you have, or you can leave me a message, and I will give you the most professional answer.