What Is a Hydrocelectomy?

Hydrocystectomy of neck

Hydrocystectomy of neck

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Hydrocystectomy of neck

Cervical cystic lymphangioma resection; precision of cystic lymphangioma of the neck; cervical cystic lymphangioma resection; precision of hygroma of the neck; cervical hydrocystic lymphangioma resection

Pediatric Surgery / Neck Surgery

40.2902

Cystic lymphangiomas (cystic hydromas) of the neck are characterized by surrounding blood vessels, nerves, or extensor muscles, and are prone to infection. Most are located in the supraclavicular fossa of the lateral neck and posterior cervical triangle. Extending around can enter the mediastinum through the deep side of the sternocleidomastoid muscle, extend along the brachial plexus to the axillary or back to the scapula, wrap around the carotid sheath to the back of the trachea, esophagus, or the parotid area through the angle of the mandible. .

Cystic lymphangiomas consist of single or multiple cystic cavities of varying sizes, isolated or communicating with each other. Cysts are mostly round or oval, smooth, soft, and irregular edges. The capsule wall is thin and transparent, lined with flat epithelium, the cavity is pale yellow and clear lymph fluid, and there is old bloody when there is bleeding, and the capsule wall and skin are generally non-adhesive.

Neck cystic lymphangioma is constantly growing and oppressed, causing breathing and swallowing difficulties, and can be repeatedly infected and bleeding. Surgical removal of the entire tumor is an effective radical cure. With anesthesia and surgical conditions, patients with cervical cysts can be resected 5 to 6 months after birth. Severe dyspnea caused by the mass compression of the trachea requires surgery as soon as possible, and emergency tracheotomy is performed first, and then the tumor is selectively removed.

1. Tumors are closely related to adjacent important tissue structures, and severe dysfunction is expected to be caused by resection.

2. Uncontrolled cyst infection.

1. Controlling cystic lymphangioma with infection.

2. Fully estimate the extent of lesion invasion and difficulty of resection. Ensure good access to intravenous fluids.

Endotracheal intubation is usually used for general anesthesia. Intratracheal intubation can be induced quickly when there is no airway compression. If tracheal compression is present, consider awake intubation. The sick child is lying on his back with a soft pillow under his shoulders so that the neck is extended backwards and his head is turned to the opposite side.

1. Due to the irregular growth of cystic lymphangioma and the complex anatomical structure of the neck, the operator must be familiar with local anatomy, operate carefully and patiently, and avoid various side injuries. Pay particular attention to the internal jugular vein hemorrhage and air embolism Possible.

2. Strictly stop bleeding during the operation, drain well, and properly bandage to prevent postoperative hemostasis and fluid accumulation.

3. One-stage resection is indeed difficult, but two-stage resection. When there is danger of damaging important tissues and organs, do not operate blindly or by chance. The cyst can't be completely removed. It is better to leave part of the cyst wall to avoid damage to important tissues or dysfunction.

Observe the respiratory situation of the children closely after the hydrocystoma resection of the neck. Pay attention to the adequacy of drainage and promptly handle the effusion or hematoma.