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Skilled "Bomb Disposal" Ensures Mother and Child Safety - HeYou Hospital Successfully Performs Cesarean Section Combined with Ovarian Tumor Removal

  • News
  • 2025-01-21

“The baby has been successfully delivered, but there is ‘one more’ issue to resolve”

“Mother and child are safe! The ovarian tumor has also been completely removed”


On December 11, 2024, the Obstetrics and Gynecology team at HeYou Hospital successfully performed a cesarean section combined with ovarian tumor removal. During the procedure, an ovarian cyst measuring 14 cm in diameter was completely excised. Not only was the safety of both mother and child ensured, but the patient’s ovarian function was also preserved.

During an early pregnancy check-up, a cyst approximately 5 cm in size was found in the patient’s right ovary. As the pregnancy progressed, the cyst gradually enlarged to 14 cm by the third trimester. Fortunately, the tumor had clear margins, a thin wall, and good sound transmission, indicating a high likelihood of being a benign cyst.

Due to a history of a previous cesarean section, the patient opted for a cesarean delivery for this pregnancy. However, considering that the large ovarian cyst could adversely affect postpartum recovery, the Obstetrics department promptly consulted with Director Chen Jianguo from Gynecology. After detailed discussions between Director Chen and Director He Zhihui from Obstetrics, and in accordance with the patient’s wishes, a combined surgery was decided upon to complete the cesarean section and ovarian cyst removal in a single procedure, thereby avoiding the risks and burden of a second surgery for the patient.

The surgery was a complete success, and postoperative pathology confirmed it was a benign cyst. Both the mother and newborn had excellent vital signs and were discharged from the hospital after a smooth recovery.

This successful case not only brought health and joy to the patient and her family but also set a new benchmark for interdisciplinary collaboration between the Obstetrics and Gynecology departments at HeYou Hospital.

Director He Zhihui explained that if the cyst had not been removed after delivery, it could have affected uterine contractions, leading to postpartum hemorrhage, or even caused serious complications such as ovarian torsion. The combined surgery achieved “two goals with one procedure,” reducing physical trauma, shortening hospital stay, and lowering costs.

What are the possible symptoms of ovarian cysts

Early-stage ovarian cysts often have no obvious symptoms, especially when the cyst is small, making them difficult to detect. However, as the cyst grows, the following symptoms may appear:

•Lower abdominal discomfort: Such as a feeling of fullness or vague pressure.

•Pain: Including lower abdominal pain or lumbosacral soreness.

•Compression symptoms: Such as abnormal bowel movements or frequent urination.

If the cyst ruptures or undergoes torsion, it can cause severe lower abdominal pain, accompanied by nausea and vomiting. In severe cases, it may even lead to shock, requiring immediate medical attention.


What are the dangers of ovarian cysts during pregnancy

During pregnancy, ovarian cysts may pose the following risks:

1. Early pregnancy: May increase the risk of miscarriage.

2. Second trimester: Prone to ovarian cyst torsion, leading to acute abdominal pain requiring emergency treatment.

3. Third trimester: Large cysts may affect fetal position, leading to malpresentation; during delivery, the cyst may obstruct the birth canal, increasing the risk of dystocia.

4. Delivery-related issues: The cyst may rupture during delivery, or torsion may occur after delivery, making management more complex and dangerous.


What to do if an ovarian cyst is found during pregnancy

If an ovarian cyst is discovered during pregnancy, consult an obstetrician immediately for evaluation and a personalized treatment plan developed by a professional team.

1. Management of benign cysts

If the cyst is assessed as likely benign, doctors typically do not recommend immediate surgery during pregnancy. Instead, they advise monitoring until after delivery for further evaluation and treatment.

2. Special cases requiring surgery

Surgery may be recommended in the following situations:

• High suspicion of malignancy.

• The cyst is excessively large, causing compression or affecting the health of the mother and fetus.

If surgery is necessary, it is usually performed during the second trimester (when the fetus is relatively stable). However, for patients in the third trimester, it may be necessary to combine with traditional surgical methods or assess whether to deliver early before addressing the cyst.

3. Whether to combine with cesarean section

Not all cysts require removal, nor is it suitable to manage an ovarian cyst simultaneously during a cesarean section in all cases. The doctor will develop the safest and most effective treatment plan based on the cyst’s nature, size, stage of pregnancy, the mother’s overall health, and the fetus’s development.