Special Surgical Procedures II
LESSON 2: Procedures in Gynecological and Obstetrical Surgery
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2-40. OOPHORECTOMY AND OOPHOROCYSTECTOMY
a. General. Oophorectomy is the removal of an ovary. Oophorocystectomy is the removal of an ovarian cyst. A wide variety of tumors, both benign and malignant, are found in ovaries. Functional cysts comprise the majority of the ovarian enlargements, follicle cysts being the most common. The choice of operation depends on the patient's age and symptoms, findings on physical examination, and direct examination of the adnexa during exploration. If the ovarian tumor is recognized as benign, only the visibly diseased portions of the adnexa are removed. In the presence of dermoid, follicle, and corpus luteum cysts, the cyst is usually enucleated, and most of the ovarian parenchyma is preserved. In tubal pregnancy, the pregnant tube is removed and, in some cases, the ovary also.
b. Operative Procedure. The abdominal peritoneal cavity is opened, the cyst is removed.
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