Laparotomy ovarian cyst (removal): what is the consequences
Laparotomy is a surgical procedure in which to penetrate to the organs of the pelvis, is a relatively large incision in the skin. It is shown in the case of small effectiveness of medical treatment. Also, for certain reasons, laparotomy may be performed instead of laparoscopy.
Indications for laparotomy
Laparotomy was used less as an alternative solution in the form of laparoscopy has minimal traumatism of tissue, due to the small incisions in the conduct of such an operation. But despite this, removal of ovarian cyst open method can be required in the following cases:
- ovarian cyst of large size;
- purulent processes cystic education;
- the occurrence of cysts in deep tissues of the ovary, which negatively affects its functionality;
- problematic cysts (torsion or rupture);
- adhesion phenomenon of the pelvic organs;
- cancerous tumors of the appendages or the uterus.
If you have been diagnosed with an ovarian cyst, you need as quickly as possible to begin treatment. This will eliminate the risk of complications. After all, if a problem is detected will be promptly subjected to treatment, you can even avoid the removal of the ovary. In the opposite case, when confirming the need for laparotomy should be treated in a specialist unit.
What is a laparotomy?
This operation is carried out only with the use of General anesthesia. Before laparotomy the woman is a complete colon cleansing enema, and especially before surgery should refuse food and fluid intake.
At the beginning of the operation, after pre-treatment of the skin antiseptic, incision is made horizontally in the lower part of the abdomen. Then the surgeon carefully removes the cyst, using the method of excision.
However, it necessarily reviewed all neighbouring authorities, in order not to miss possible metastases or their education. Depending on what is found during surgery, can be performed removal of one ovary or both.
Heavy bleeding stopped by ligation of the vessel or by cautery. Seams are formed on the cut very carefully, because the fabric is incredibly delicate appendage. Remote ovarian cyst go for research. This ensures that the tumor is not malignant in nature.
After the surgery was performed to remove ovarian cyst, you may experience some complications. However, it is understood that for any abdominal surgery there is always the risk of their occurrence. Although much depends on the professionalism of the surgeon. Among possible complications, you should highlight the most common:
After it was produced ovarian cyst removal, comes the rehabilitation period, during which the patient is required 3-4 days stay in the clinic under the supervision of medical staff.
Active and full life needs to be delayed for 1-1,5 months. Usually this is enough time for full recovery.
In the early days a woman can bring discomfort to the surgical area, which manifests itself by pain and unpleasant sensations inside. If there is unbearable pain, the doctor prescribes painkillers. Also, do not shower or bathe until the stitches are removed, usually a week after surgery.
In the first month after the operation, is strictly prohibited physical exertion and heavy lifting. A prerequisite of this period must be full compliance with the recommendations of doctors and the drugs. Usually in such situations, prescribe vitamins, hormonal and immunomodulatory.
If a laparotomy was performed on one ovary, the other, healthy, able to produce hormones and allow to ripen the egg. From this perspective, it becomes quite obvious is the fact that the function of procreation is retained completely, so the woman will be able in the future to get pregnant and have a baby.
The final recovery of this function after the surgery occurs within a few months. Usually doctors, if there is such an opportunity, strive the maximum to preserve ovarian tissue and the uterus. In that case, if the operation is recommended for the woman who has menopause, there is removal of both ovaries.
Pregnancy after cyst removal on ovary
Planning pregnancy after surgery for ovarian cyst removal is advisable after 4-5 months. However, it is understood that each surgery is individual, therefore, and recommendations concerning future pregnancy should be given only by a qualified technician.
After surgery, it is advisable to refrain from sexual intercourse for 1-2 months for a complete restoration of the ovary. If proper planning is not impossible to get pregnant within a year after the removal of ovarian cysts, there is a need for additional research.