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Oophorectomy - Procedures

A. Open Abdominal Surgical Procedure

1. After administering anesthesia the abdomen and vagina are prepared with an antibacterial solution.

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2. A surgical incision about 5 to 6 inches long or 12 to 15 cms is made either vertically, running from the navel to the pubic bone, or horizontally, running along the top of the pubic hairline. Horizontal incisions leave a less noticeable scar, but vertical incisions give the surgeon a better view of the abdominal cavity.

oophorectomy


3. After the incision is made, the abdominal muscles are pulled apart, not cut, so that the surgeon can visualize the ovaries.

4. The ovarian ligaments are identified, which are cut and ligated

5. The ovaries are separated from the surrounding tissues and vessels and are removed. The blood vessels are tied off to prevent bleeding.

6. The fallopian tubes are often removed with the ovaries.

7. Similarly the ovary on the other side is identified and removed, if bilateral oophorectomy is indicated.

8. After ensuring that all the bleeding points have been checked, the abdomen is closed in layers.

The type of surgery for ovarian cysts depends on the nature of the disease, age of the patient, and the patientís desire to have children.

The advantage of an abdominal incision are that the ovaries can be removed even if a woman has many adhesions from previous surgery. The surgeon gets a good view of the abdominal cavity and can check the surrounding tissue for disease. A vertical abdominal incision is mandatory if cancer of ovary is suspected.

The disadvantage is that it is more painful in comparison to the laparoscopy procedure and has the usual associated complications of open surgical procedures like bleeding, and infections and longer post surgery recovery period.
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maligi Thursday, November 22, 2012

I had my left ovary,fallopian tube and the cyst removed a week ago. I had a lot of adhesions that is why my left ovary and tube had to be removed. Now am having stabbing pain on my right lower abdomen and some discharges. Discharges were brown and think on the second day post op, red and clotty on the 5th day, today the discharge is black. Can i have some advice please?

Sabrina2U Saturday, November 3, 2012

I had surgery two days ago, as I had a cyst on my right ovary. My doctor remove the ovary and tube as it was full of Endrometrioma, I feel ok today, except my stomach is really swollen and quite red will the swelling go down? How long after can I start to exercise? I feel like my body looks so ugly. Other then that Iam just tired and a bit weak. Will I get normal periods as they were normal before.

MissP32 Monday, November 21, 2011

In April this year I had my left ovary and fallopian tube removed due to a tumour the size of a grapefruit. Eight months on and I am getting stabbing pains and shooting pains, deep inside where my scare is. Its making me feel sick and I'm having hot flushes at the same time. Has anyone else experienced this also? If so is this normal or should I contact my consultant about it?

peggy1 Monday, September 12, 2011

had left overy and cyst removed Aug 2011, all seem to be okay had some dicharge ,checked no infection now got bad pain comes and goes in left side bad back pain started bleeding with some clots is all okay. instions sites slightly lumpy stomach appears swollen/bloated

Velinda79 Tuesday, June 21, 2011

I had a right unilateral oopherectomy 2 years ago because I had a cyst. Since my surgery I have experienced weight gain, irritability, water retention and extremely hot palms and soles of feet. I have tried an estrogen spray, estrogen injection,birth control pills and natural estrogen pills....all without success! I have recently started applying a natural progesterone cream that seems to help a little. I am also taking lasix as needed for the water retention, which seems to be getting worse. Any suggestions?

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