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Removal of a giant ovarian cyst
Author(s) -
MORRISON P.,
MORGAN G.
Publication year - 1987
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1987.tb05368.x
Subject(s) - medicine , ovarian cyst , cyst , surgery , blood loss , ventilation (architecture) , mechanical engineering , engineering
Summary Excision of a giant ovarian cyst may be associated with considerable mortality. Problems stem from the size of the cyst and the emaciated state of the patient. We describe a case in which the patient's preoperative nutritional and psychological state required attention. Gradual pre‐operative drainage of a cyst weighing 113 kg was carried out successfully. The main problems intra‐operatively stemmed from copious blood loss and the duration of surgery. Postoperatively, ventilatory inadequacy occurred and was probably caused by altered mechanies of ventilation, postoperative pain and pulmonary oedema. We suggest ways in which the management of such cases might be improved.