Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
Fertil Steril. 2019 Sep;112(3):608-609. doi: 10.1016/j.fertnstert.2019.05.014. Epub 2019 Jul 4.
To introduce an effective approach for excision of ovarian endometrioma by "water injection"-assisted laparoscopy treatment.
Step-by-step video explanation of the surgical procedure with still pictures and surgical video clips to demonstrate the detailed technique, approved by the Shengjing Hospital of China Medical University.
Hospital.
A 26-year-old young woman diagnosed with a 6 cm in diameter right ovarian cyst, who endured 5 years of dysmenorrhea.
The "water injection"-assisted laparoscopic excision of ovarian endometrioma consists of five steps: rupture the ovarian endometrial cyst and remove the "chocolate fluid;" inject the "water" (diluted vasopressin solution) into the interface between endometrioma and ovarian parenchyma; stop injecting until the solution overflow; separate the endometrioma away from the ovarian parenchyma; and suture the ovary.
Value and feasibility of "water injection"-assisted laparoscopic excision of ovarian endometrioma.
The "water injection"-assisted laparoscopic excision of ovarian endometrioma was feasible and effective. In the follow-up period, the patient did not report any symptom of dysmenorrhea; and the sex hormone and antimüllerian hormone tests reached to normal levels.
Our surgical approach demonstrated several noteworthy advantages. After "water injection", the endometrioma and ovarian parenchyma was easily distinguished and separated. The approach avoided normal ovarian tissue destruction during endometrioma separation. The utilization of diluted vasopressin solution might decrease bleeding of ovarian wound. Considering its simplicity of realization, our surgical approach should be promoted to more reproductive-age patients.
介绍一种通过“注水”辅助腹腔镜治疗切除卵巢子宫内膜异位囊肿的有效方法。
对手术过程进行分步视频讲解，并配以静态图片和手术视频片段，详细演示该技术，该技术已获得中国医科大学盛京医院的批准。
医院。
一名 26 岁年轻女性，诊断为 6cm 直径右侧卵巢囊肿，痛经 5 年。
“注水”辅助腹腔镜切除卵巢子宫内膜异位囊肿包括五个步骤：刺破卵巢子宫内膜囊肿并清除“巧克力样液体”；向子宫内膜异位囊肿与卵巢实质之间的界面注入“水”（稀释的血管加压素溶液）；停止注射直至溶液溢出；将子宫内膜异位囊肿与卵巢实质分离；缝合卵巢。
“注水”辅助腹腔镜切除卵巢子宫内膜异位囊肿的价值和可行性。
“注水”辅助腹腔镜切除卵巢子宫内膜异位囊肿是可行且有效的。在随访期间，患者未报告任何痛经症状；性激素和抗苗勒管激素检测恢复正常水平。
我们的手术方法具有几个显著的优点。注水后，子宫内膜异位囊肿和卵巢实质很容易区分和分离。该方法避免了在分离子宫内膜异位囊肿时破坏正常卵巢组织。稀释血管加压素溶液的使用可能会减少卵巢伤口出血。考虑到其实现的简单性，我们的手术方法应推广给更多育龄期患者。
