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Health

Cyst removal

, medical expert
Last reviewed: 23.04.2024
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Removal of the cyst, more precisely, the choice of method depends on the kind of form it is related to, its size and, most importantly, the organ in which it is localized.

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Removal of the kidney cyst

The removal of the cyst, the choice of the method of operation, depends on the size of the tumor, on how quickly the cystic formation develops. The operation is necessary if the cyst causes the following states: 

  • It interferes with the normal functioning of the kidney. 
  • Causes severe pain. 
  • It provokes hypertensive crises that do not lend themselves to drug therapy. 
  • It has all the signs of malignancy - growing into a malignant entity. 
  • It develops to very large sizes - over 4045-millimeters. 
  • Has echinococcal pathogenesis (parasitic).

Removal of a cyst in the operative way can be as follows: 

  • Percutaneous puncture is a puncture, which simultaneously performs a diagnostic function. 
  • Puncture of the neoplasm with obligatory sclerosing of the cavity walls. 
  • Resection of the neoplasm by laparoscopic method under the supervision of ultrasound scanning. This method is considered the "gold standard" in urological surgical practice. 
  • Open radical surgery. 

Removal of the liver cyst

Neoplasm in the liver is also a cavity containing a serous fluid inside. Cystic formations develop as a result of a malfunction of the organ, pathology of the bile duct trauma or echinococcal infection. The main surgical methods of tumor neutralization are the following: 

  • Puncture, combined with laparoscopic ultrasound control and mandatory sclerotherapy of the mucosal walls of the tumor. 
  • Radical open surgery. 
  • Laparoscopy. 

Removal of a cyst of a tooth

The cyst is most often localized in the upper root part of the tooth. The danger of cystic education lies in its ability to expand and spread the infection to nearby tissues, so medication is effective only at an early stage of cyst formation. The most effective method is surgery, which can be as follows: 

  • Cystotomy is an incomplete removal of the cyst, but only its puncture in order to give vent to purulent contents. This intervention is performed under local anesthesia and does not require special preparation from the patient. 
  • Cystectomy - complete removal of the cyst and partial infected root (apex), the tooth remains, it is not removed. 
  • Hemisection - removal of the cyst, the tip of the root, and also the part of the tooth, followed by treatment and its restoration. 
  • Laser cyst removal is one of the most modern methods, characterized by speed, efficiency and painlessness. Cystic education is treated with a laser beam through the canal. In this case, the root is processed and sterilized, and the cyst is sclerosed.

Removal of ovarian cyst

Functional neoplasms are amenable to drug treatment, other types need surgical intervention, which can be performed in the following ways: 

  • Laparoscopic method - one of the most sparing and common in surgical practice, since it allows for surgical intervention with minimal tissue trauma. The operation excludes adhesions in the tissues and organs of the small pelvis and is carried out in such a way that even a small scar with time resolves without a trace. At a laparoscopy in the preliminary made small cut the special tool by means of which the cyst is removed is introduced. The procedure is carried out under the supervision of an ultrasound scanner. Throughout the world, surgeons are trying to carry out exactly such an organ-saving operation. After laparoscopy, after a recovery period, the woman retains a childbearing function and is able to tolerate a healthy baby. 
  • The laparotomic method involves cutting a size through which a large tumor can be removed, as well as associated tumors. If the tumor is diagnosed as rapidly developing and there is a risk of malignancy, then part of the ovary, possibly the uterus, and also the fallopian tubes are removed together with the neoplasm. 
  • Cyst removal can also be performed in a radical way in cases where a biopsy shows a tumor degeneration into a malignant entity.

Removal of the cyst of the breast

The choice of technique also depends on how large the cyst is, how fast it grows, and whether there is a risk of its degeneration into a malignant tumor. Most of the cystic formations of the breast at the initial stage are treated with medication. If the neoplasm does not lend itself to drug curation, surgical treatment is prescribed to avoid the risk of malignancy. As a rule, the resection of that sector of the gland, in which the cyst is localized, is performed. The operation is low-traumatic and practically does not change either the shape of the breast or its density. If the neoplasm is highly enucleated, that is, the removal of the entire neoplasm is vyshushchivanie. 

Removal of the cyst of the brain

This is a serious radical operation that involves the choice of three methods: 

  • A large, traumatic operation is trepanation and removal of the cyst. 
  • Shunting - emptying the tumor through a special tube. The walls of the cavity are gradually sclerosed and overgrown. Drainage is less traumatic than trephination, but it involves a long-term finding of a drainage tube in the skull. 
  • Endoscopic method, when local punctures are made in the skull, the cyst is drained through them. This method is considered the least traumatic, but not all neoplasms can be "accessed" with the help of an endoscope. 

Removal of a cyst localized on the cervix

Cystic formations of this nature are removed by puncturing, cryotherapy, using a laser. Cryotherapy presupposes gentle treatment of the cyst with liquid nitrogen. However, they after this operation have the property of recurrence, so the most effective method is laser therapy. Laser therapy removes both the neoplasm itself and coagulates the vessels to prevent bleeding, and the laser also removes tissues affected by the inflammatory process.

Removal of the cyst, wherever it is and to what kind of attitude, is always the choice of the attending physician. To date, open operations are conducted in exceptional cases, when radical intervention can not be avoided. In all other situations, the "gold standard" is the laparoscopic method as the basis - low-traumatic removal of the cyst.

What is a cyst?

The definition of a cyst is derived from the Greek word kystis, which means a hollow or bubble. This is a hollow neoplasm in which there may be contents of different structures - from liquid to purulent with blood. The pathogenesis of the development of cysts is also different and its species diversity depends on it, which can be as follows: 

  • Cysts that appear in all tissues, organs that have a glandular structure are retentive. Cystic formation blocks the outflowing ducts of the organ, provoking intensive secretion fluid production. The liquid accumulates in the organ, increasing both its walls and walls of the outflow channel. The most common retention formations are formed in the mammary glands, less often in the salivary glands. 
  • Cystic formation that occurs as a result of necrosis of the organ or part of the tissue. Such neoplasms are called Ramolytic and are formed most often in the foci of the brain, in bone tissue. 
  • Cyst, which is a consequence of tissue damage, subcutaneous tissue, organ in trauma. This traumatic cystic formation of the liver, pancreas and other organs. 
  • With cysticercosis, echinococcosis cyst is a consequence of parasitic intrusion and is a cavity that covers the parasite itself. 
  • Congenital cystic formation is a consequence of genetic disorders or intrauterine pathologies. Such tumors are called dysontogenetic.

Cyst removal is usually a surgical intervention when it comes to large lesions, if the cavity contains pus or blood, if the cyst significantly disturbs the functions of the organ in which it is localized. Consider some types of cysts and the ways in which the cyst is removed.

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