Laparoscopy ovarian cyst removing: preparation, performance, recovery
In gynaecological practice, the laparoscopic ovaries is widespread. It is used for diagnostic or therapeutic purposes. The most common reason for assignment becomes paraovarian laparoscopy cyst. This operation is gentle, less traumatic, enabling women to recover quickly.
What is a cyst?
This round, hollow tumor that forms on the ovary (ovaries). It can also arise on such education are called provability. With ultrasound, the cyst resembles a bubble with a hollow core. It’s not that bad education, but nevertheless, they require treatment. Sometimes the only option is laparoscopy the ovaries, due to the danger of their degeneration in malignant tumors, and also due to the fact that they violate the normal operation of the ovaries, leading to hormone imbalance and the inability to get pregnant.
The most common cases of tumors capable of self-absorption. Follicular, luteal cysts are affected by hormones, and often seen cures. Laparoscopy ovarian cysts will be needed if education reached a larger size and will not be observed trend of regression.
In the treatment of endometriotic cysts first try conservative treatment. In case of ineffectiveness of resorting to surgery laparoscopy ovarian cyst. It is worth saying that the above situation is the exception, where the successful application of conservative therapy. In other cases, the only choice is laparoscopy ovarian cyst.
Indications for laparoscopy in the case of ovarian cysts the following:
- Dermoid nature of the cyst. Another name for a neoplasm – teratoma, i.e., a tumor containing embryonic tissue.
- Mucinous cyst. Usually characterized by huge size, up to 30-40 cm in diameter.
The preparatory phase
Surgery starts with preparatory activities. What is the preparation for laparoscopy ovarian cysts? The patient must pass the examination. Often the question arises, what tests must pass how to prepare for a laparoscopy.
The required list of tests prior to laparoscopic surgery ovarian cyst:
- Clinical analysis of blood.
- The General analysis of urine.
- Of BH (biochemical) blood test.
- Tests for HIV (AIDS), hepatitis (A, B, C), RW (syphilis).
- Coagulation, determination of blood group and Rh (rhesus factor).
- FLG (x-rays), EKG, gynecological ultrasound.
- A swab from the vaginal mucosa.
Before laparoscopic surgery, you should protect good and reliable methods of contraception. During pregnancy, the operation may not be possible, so a doctor should be forewarned.
Constipation or any other digestive disorders can be an obstacle for the normal inspection of the pelvic cavity in the process of laparoscopy removal of ovarian. Therefore, it is necessary to observe the rules of supply. Limitation required in the last few days before will have to undergo a laparoscopy cyst removal. You need to eliminate from the diet all foods that can cause the active gas and thus flatulence. The night before the surgery is done enema or other methods of purification of the intestine, which can tell the doctor. Also advised to limit the amount you drink, especially on the day of surgery.
Diet is an essential part of preparing for surgery. Diet can facilitate surgical intervention.
A mandatory rule is the shaving of pubic hair and perineum, and taking a shower. After that, you cannot use any additional funds for the care of the skin: lotions, oils and cream.
The technique of laparoscopic surgery
Patients assigned to surgery, concerned with the question of how is a ovarian cyst removal. The staff prepares the equipment and the equipment for laparoscopy, to prevent possible complications during its conduct.
Below will be described the method that women do not have worried, as the operation takes place. The patient is premedication, which includes a sedative drug with hypnotic effect and sedation. Also be sure to hold explanatory conversation with the anesthesiologist. Then, to perform a laparoscopic surgery, the patient is on the operating table which is tilted 30 degrees so that the head end was located below. This position allows you to move the intestines in the direction of the diaphragm and to facilitate access to the small pelvis. Often anatomical position of the right ovary is such that it is difficult to see beyond the intestines.
After the patient entered in the anesthesia, the operative field is processed and make three holes in the abdominal wall. It is necessary to enter in the abdominal cavity gas. Through the hole is carried out directly by the laparoscope. Two puncture need for manipulators. A woman with nothing to feel, because it will be hard to sleep.
The doctor conducts examination of the organs when ovarian cyst, ovarian cyst stands out from the healthy tissue of the organ. Often after laparoscopy of ovarian cysts, removal of ovaries does not occur, and only excised the diseased tissue. But the radicality of the surgical procedure always solved on the basis of the clinical picture and the condition of the surrounding damaged body tissues.
In severe cases, might need the removal of the ovaries. This is a necessary measure in case of significant dimensions of education or suspected malignancy. Also, resection of the ovaries causes a dermoid cyst, which is constantly increasing in size.
If there is risk of effusion or bleeding at the end of the operation, can be installed drainage, which is almost not felt by the patient. Drainage is necessary for the cleansing of the operated region and reduce the risk of infection. To clean drains you the very next day. You need to remember that this measure is applied not in all cases.
Cyst laparoscopy after the ultrasound is not specified if it was completely removed and the operation was successful.
Possible complications in the postoperative period
According to statistics, the patient’s recovery goes without complications. The patient normally do not suffer from pain after laparoscopy ovarian cyst. Recovery and restoration of the body ends at the end of two weeks, the ion can return to normal life. In the process of recovery often does not arise unpleasant sensations.
After experts were able a laparoscopy to remove a ovarian cyst, can cause complications. Adverse effects are usually associated with different causes:
- the use of anesthesia,
- the reaction of the tissues of the abdominal cavity for the introduction of gas
- directly operational.
Because laparoscopy is still surgery, albeit with minor injuries, she may be accompanied by various complications.
Complications after laparoscopy ovarian cyst associated with a risk of infection of surgical wounds, if there is no proper care of the seams. To avoid such problems, you need to follow the recommendations after laparoscopy your doctor. Bleeding and pain at the site of puncture requires immediate postoperative bandaging, and seeking medical attention.
Immediately after termination of anesthesia, the woman may experience discomfort. Especially susceptible patients can even say that experiencing pain in the right ovary or complain of what a pain in ovary after laparoscopy.
Diet after laparoscopy the ovary is not necessary. Enough follow, to the food was sparing at least a few days after treatment to avoid a stomach ache, and could pass a sufficient amount of time to restore the digestive system.
On what day discharged from the hospital? With a favorable course of the rehabilitation period, the woman is issued a few days later. This will be enough time to understand there was a complication or not. Extract will risk-free event. A woman will relax at home, because it is proved that the recovery is successful.