How long after minimally invasive teratoma surgery can one take a bath?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on January 09, 2025
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After minimally invasive surgery for a teratoma, one can generally take a bath three to seven days later; many people simply find it difficult to accept this. Minimally invasive surgery involves only a few small incisions in the abdominal wall. Such wounds, generally after 48 hours, as long as there is no redness, no secretion discharge, and they remain relatively dry, are not likely to be penetrated by water or a small amount of bacteria during bathing. As long as one takes a shower and avoids sitting baths, there wouldn't be complications concerning the vagina or cervix, etc. It is only necessary to avoid cold water temperatures, exposure to wind, and fatigue.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How large must a teratoma be to require surgery?

Ovarian teratomas belong to a type of ovarian germ cell tumor. Ovarian teratomas can be classified into mature teratomas, also known as dermoid cysts, which are a type of benign tumor. There are also immature teratomas, which are malignant tumors commonly found in younger patients, typically between the ages of 11 and 19. If an ovarian teratoma is found to be over three centimeters in diameter, further examinations such as a CA125 test and pelvic CT scan are needed. In the absence of other complications, elective surgical treatment can be planned. However, if the examination reveals high CA125 levels and the pelvic CT confirms the diagnosis, and the cyst is growing rapidly with high blood lipids, timely surgical treatment is necessary, followed by a rapid pathological examination during the surgery.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Do teratomas hurt?

Teratomas themselves do not cause pain, especially when they are relatively small, women often have no clinical symptoms. As the size gradually increases, the tumor pulls on the surrounding ligaments, causing abdominal discomfort, such as a feeling of abdominal heaviness, or even abdominal pain. Some women may also experience infection or adhesions with surrounding tissues, leading to abdominal pain. Additionally, some women may have malignant transformation of their teratoma, which invades surrounding tissues and nerves, possibly causing headaches. A small number of women may experience a change in the position of the teratoma after pregnancy or urination, leading to torsion, which can obstruct the blood flow to the tumor, resulting in necrosis and bleeding, causing acute abdominal pain.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How long after ovarian teratoma surgery can I go back to work?

Ovarian teratoma surgery generally requires at least one month of rest. Afterward, the timing to return to work should depend on one's personal health status and recovery condition. It also depends on the physical demands of the job, as everyone's situation is different. Ovarian teratoma surgery usually involves minimally invasive procedures, which generally allow for a faster recovery; most people can return to work after about a month. Only a minority of patients undergo open surgery, or some individuals who are in poorer health might need to rest for up to three months post-surgery.

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Written by Liu Wei Jie
Obstetrics
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Ovarian teratoma grows during pregnancy

Will ovarian dermoid cysts grow larger after pregnancy? According to clinical experience, there is no correlation between ovarian dermoid cysts and pregnancy status. If there was a dermoid cyst before pregnancy, it is sufficient to monitor its changes during pregnancy check-ups. Generally, ovarian dermoid cysts do not grow larger after pregnancy. However, it is important to note that ovarian dermoid cysts are prone to torsion and rupture. Therefore, patients with ovarian dermoid cysts should be attentive to any abdominal pain during pregnancy. If there is no abdominal pain, generally there should not be a major issue.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to Determine if a Teratoma is Benign

Teratomas in women are classified into benign and malignant categories. Benign teratomas typically have a complete capsule and grow very slowly. Some women find that the size of the teratoma does not change significantly during follow-up exams. Malignant teratomas, however, grow quickly and can present severe clinical symptoms, such as abdominal pain, bloating, and pelvic masses, with some women also experiencing fluid accumulation in the abdominal cavity. Furthermore, blood tests for gynecological tumor markers can also be used for differentiation. For example, in malignant tumors, markers such as CA-125, CA-199, and alpha-fetoprotein are elevated to varying degrees, particularly alpha-fetoprotein. During a CT scan, malignant teratomas may show unclear borders, potentially indicating invasion into the surrounding tissues. Additionally, after surgical removal of the tumor, pathological histological examination can be conducted for further differentiation. For instance, malignant teratomas tend to have a higher proportion of immature components.