SURGERY FOR OVARIAN CYSTS

When an ovarian growth or cyst needs to be closely looked at, a surgeon can do so through a small incision using laparoscopy or through a larger abdominal incision (laparotomy). Either type of surgery can be used to diagnose problems such as ovarian cysts, adhesions, fibroids, and pelvic infection. But if there is any concern about cancer, you may have a laparotomy. It gives the best view of the abdominal organs and the female pelvic organs. Then, if the doctor finds ovarian cancer, he or she can safely remove it. During surgery, a noncancerous cyst that is causing symptoms can be removed (cystectomy), leaving the ovary intact. In some cases, the entire ovary or both ovaries are removed, particularly when cancer is found.

LAPAROSCOPY

Laparoscopy is a surgical technique in which a lighted viewing instrument (laparoscope) is inserted into the lower abdomen through a small incision, usually made below the navel. The abdomen is inflated with gas injected through a needle, which pushes the wall of the abdomen away from the organs so the doctor can see them more clearly.
Laparoscopy may be used for both diagnosis and treatment. Incisions may be made so that other instruments, such as cutting devices or lasers, can be inserted to treat certain problems. With laparoscopy, the doctor can identify diseased organs, take tissue samples for biopsy, and remove abnormal growths. Laparoscopy may allow a person to avoid more invasive open surgery that uses larger incisions. Compared to open surgery, it leaves smaller scars, is often less risky, and usually requires a shorter recovery period.

The Procedure

As with any surgery, food and drink are restricted for eight hours before the procedure, unless the surgery is done as an emergency. General anesthesia is provided, which means the patient is asleep during the procedure.
With laparoscopy, tiny fiber-optic instruments are inserted into the body through small surgical openings (thus the name "keyhole"). A person may have three or more small incisions. A video camera is inserted into one opening, which guides the surgeon who is manipulating the instruments in the other two openings. On the ends of these instruments are such devices as scissors, surgical staplers, scalpels, and sutures (stitches).
When the surgery is finished, the surgeon removes the instruments. The incisions are stitched closed, and bandages are placed over them. Very small incisions may not require stitches, just small strips of sterile tape. The patient is asleep and feels nothing during the procedure.

How long do I have to be hospitalized?

Depend on which procedure was performed and what was found. In most cases, people recover quickly with minimal pain and discomfort because they have only small incisions to heal.
Recovery is much faster with laparoscopy than with regular (open) surgery. The procedure may even be performed on an outpatient basis, meaning the patient can return home the same day of the procedure. For outpatient surgeries, someone else should come along to drive the person who has just had surgery home.

Recuperation and follow up

If stitches were used, a follow-up appointment for removal of stitches may be scheduled in a week or two as directed. Avoid heavy lifting or strenuous activity until fully recovered. If the procedure was for diagnosis of a condition or to view a diseased organ, the patient will meet with the doctor to go over the results of the exploratory surgery. For other procedures, follow up with your doctor as advised.

For more information please register

LAPAROTOMY

Laparotomy is a procedure in which a surgeon makes an incision in the lower abdomen in order to inspect the abdominal cavity. During laparotomy, the surgeon can correct structural problems or remove tumors, sites of endometriosis (implants), or scar tissue (adhesions).
Laparotomy is also used to diagnose and treat female pelvic conditions such as endometriosis, uterine fibroids, ovarian cysts, and ectopic pregnancy.

The Procedure

A laparotomy is performed under general anaesthesia. The surgeon makes a large, single cut through the skin and muscle of the abdomen, so that the underlying organs can be clearly viewed. The exposed organs are then carefully examined. Once diagnosed, the problem may be fixed on the spot (for example, a perforated bowel may be repaired). In other cases, a second operation may be needed. Once the laparotomy is complete, the muscle of the abdominal wall and the overlying skin are sutured (sewn) closed.

How long do I have to be hospitalized?

You may have to remain for observation anywhere from 3 to 7 days depending on the surgery done.

Recovery and Recuperation

Try to rest as much as possible for two weeks. You need to strictly avoid any heavy lifting, pulling or pushing. You may need a modified diet following discharge from hospital. Follow all dietary suggestions. Make sure you take your medications and follow instructions precisely. Continue with any exercises you were shown in hospital.
Recuperation time following laparotomy is six to twelve weeks. As with any post-operative recovery, it is important to always consult your doctor. Make sure you have a final check-up.

For more information please register

Disclaimer; Contact Us Powered by IXCHEL © 2010