Indications for removal of the lacrimal sac

A lacrimal sacectomy is a surgical removal of the entire lacrimal sac to rule out lesions in the lacrimal sac such as inflammation or tumor of the lacrimal sac. Removal of the lacrimal sac is indicated in cases of lacrimal sac tumor, inflammation of the lacrimal sac but no conditions for surgical anastomosis, lacrimal sac inflammation when the surgical method of lacrimal sacral anastomosis has no results.

Cataractectomy is a surgical removal of the entire lacrimal sac to rule out lesions in the lacrimal sac such as lacrimal sac inflammation or lacrimal tumor.

Indications for removal of the lacrimal sac in the following cases:
Inflammation of the lacrimal sac when the surgical method of nasolacrimal anastomosis is unsuccessful. U tear bag. There is no condition for surgical anastomosis in case of lacrimal sac inflammation.

Contraindicated to remove lacrimal sac in cases such as:
Acute eye disease. The patient's general condition does not allow surgery.

4.1 Preparations Performer: Ophthalmologist. Means include: Tear bag cutting tool, self-dissolving thread, nylon thread. Patient: The medical staff explains to the patient and his family the pathology of the lacrimal surgery and the prognosis of the surgery. Prepare patient medical records according to general regulations of the Ministry of Health. 4.2 Procedures Check the record Check the patient Perform the technique Anesthesia Local anesthesia or anaesthesia . Skin incision: The incision is 5mm from the inner corner and 10-15mm long. The incision goes slightly outward, following the curvature of the orbit into two parts: the upper 1/3 of the incision above the inner corner of the eye and the lower 2/3 below the medial angle (location of the ligaments). the inner eyelid divides the incision into two parts: upper 1/3 and lower 2/3). Separation of subcutaneous tissue, periorbital muscles to expose the medial ciliary ligament. Perform a cut of the medial blepharitis close to the attachment point to the anterior epiglottis. Exposing the lacrimal sac: Exposing the anterior wall of the lacrimal sac: Separates the medial ciliary ligament from the anterior wall of the lacrimal sac and exposes this wall completely. Exposing the outer wall of the tear sac: Separation of the outer wall of the tear sac from the inner wall of the orbit. Separate the inner wall of the lacrimal sac from the trough. Expose the top of the lacrimal sac: Dissect the lacrimal sac superiorly and cut the apical ligament of the lacrimal sac. Completely expose the tear sac from the trough. Lactation: Cut the lacrimal sac at the neck of the lacrimal sac, at the position adjacent to the lacrimal duct. Cut close to the lacrimal canal to avoid cutting the lacrimal sac. Check that the removed tear sac is intact. If the tear sac is partially missing, it must be exposed and searched to cut off the remaining tear sac. Burn hemostasis: Burn into the upper end of the lacrimal duct and the common lacrimal duct. Stitches to restore the internal ciliary ligament, soft tissue with self-dissolving thread from 5-0. Close the skin incision with non-absorbable thread. Bandage the wound. 4.3 Monitoring and managing complications After removal of the lacrimal sac, the patient will be given systemic and local antibiotics to combat edema. In surgery Bleeding after lacrimalectomy : Due to surgery to cut into the angular vessel at the time of skin incision. Bleeding can be stopped by electrocautery or hemostasis. Perforation of the inner orbital wall: Due to the right cut into the inner orbital wall when the outer wall of the tear sac is exposed. The bulging orbital fat can be seen through the perforation in the inner wall of the orbit. Complications of perforation of the intraorbital wall make resection of the lacrimal sac more difficult because fat obscures the surgical site. To treat, just cut off the tear sac and do not need to intervene in the perforation. Post-surgery: Need to monitor for surgical fistula or recurrent pouchitis, because of the omission of the sac fragment. When pouchitis recurs or there is a surgical fistula, repeat surgery is required to remove the remaining lacrimal sac. In summary, lacrimal sacectomy is a surgical removal of the entire lacrimal sac to rule out lesions in the lacrimal sac such as inflammation or tumor of the lacrimal sac. Removal of the lacrimal sac is indicated in cases of lacrimal sac tumor, inflammation of the lacrimal sac but no conditions for surgical anastomosis, lacrimal sac inflammation when the surgical method of lacrimal sacral anastomosis has no results.

For examination and removal of the lacrimal sac, you can go to the Eye specialist - Vinmec International General Hospital. The department has a comprehensive vision and eye health care function for children, adults and the elderly including refractive error testing, general examination, diagnostic ultrasound, laser treatment and surgery. Besides, ophthalmology also has the task of coordinating with other clinical departments in the treatment of pathological complications and eye injuries caused by accidents. Why should you choose to examine and treat eye diseases at the Hospital? Vinmec International General Hospital?
Simple and quick procedure. Enthusiastic advice and support, reasonable and convenient examination process. Comprehensive facilities, including a system of clinics and consultations, blood collection room, dining room, waiting area for customers... The medical staff has high professional qualifications, style. Professional, caring way of working.