Friday, February 20, 2009

Huge Ovarian CA from theatre 卵巢肿瘤-手术室

A major surgery in operating theatre (OT) for gyne was done few days ago. The patient is a chinese lady in 40's, noted abdominal swelling 3 months ago.

Never see a huge tumour? this is the process of removal of tumour mass in OT. This is a major surgery which may have severe blood loss and complications.


After opening the abdomen, a huge ovarian mass was found

The plan was as follow:

  • TAHBSO (Total abdominal hysterectomy and salpingo-ophorectomy) - Remove the uterus and both ovaries and fallopian tubes, together with the tumour.
  • Appendectomy, omentectomy and lymph nodes clearance. - Remove the appendix, the omentum (the 'policeman' which attached to intestine) and the lymph nodes around the pelvis. This is to prevent spread of the cancer.

Closer look of the huge mass, holding at the surgeon's hand

Omentectomy was in process. The 'pen' holding is diathermy to burn n cut open the tissues.

The uterus, tubes and ovaries were removed. Note the huge ovarian mass on the left. It had both solid and cystic component, suggestive of malignant carcinoma.

2 comments:

Jaleen said...

=.=" it's scary... hope that i can take good care of my health...

Anonymous said...

yaloh, it is very scary. After looking these few pics, think of vomit oh. Very scary. How come it is so big? The patient sure suffer very much. Wish she recover very soon. Mayb u can provide us some tips of take care our bodies oh. Hehe. Take care ya.