Gyne - Functional Ovarian Cysts Treatment and Management
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VII. THERAPEUTIC MANAGEMENT LIST OF PROBLEMS THERAPEUTIC OBJECTIVES ADVICE AND INFORMATION NON-PHARMACOLOGIC MANAGEMENT Pre-Operative Management: 1. Admit patient. 2. Secure patient’s/parent’s consent. 3. Monitor vital signs every 4 hours. 4. Diet: NPO 5. Start venoclysis Intra-Operative (Surgical Management): Due to the low frequency of malignancy in the pubertal age group, OVARIAN SPARING SURGERY is the goal. The treatment consists of OPEN LAPAROTOMY and CYSTECTOMY. 1. Open laparotomy: - Inspect the contralateral ovary. 2. Cystectomy is the operative treatment of choice, with preservation of the remaining portion of the ovary. - Scalpel incision is made in ovary at intersection of dermoid and normal ovary. - Dermoid will be separated from the ovary. - Reconstruction of the normal ovary.
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Transcript of Gyne - Functional Ovarian Cysts Treatment and Management
VII. THERAPEUTIC MANAGEMENT
LIST OF PROBLEMSTHERAPEUTIC OBJECTIVES
ADVICE AND INFORMATIONNON-PHARMACOLOGIC MANAGEMENT
Pre-Operative Management:1. Admit patient.2. Secure patients/parents consent.3. Monitor vital signs every 4 hours.4. Diet: NPO5. Start venoclysis
Intra-Operative (Surgical Management):Due to the low frequency of malignancy in the pubertal age group, OVARIAN SPARING SURGERY is the goal. The treatment consists of OPEN LAPAROTOMY and CYSTECTOMY. 1. Open laparotomy: Inspect the contralateral ovary.2. Cystectomy is the operative treatment of choice, with preservation of the remaining portion of the ovary. Scalpel incision is made in ovary at intersection of dermoid and normal ovary. Dermoid will be separated from the ovary. Reconstruction of the normal ovary.
