Resection of the ovary: features and implications
Gynaecological resection of the ovary is quite frequent manipulation, which is carried out with the purpose of treatment or diagnosis of various pathologies, the Term «resection» in translation from Latin means excision. So, excision is a surgical procedure whose purpose is to remove organs or bones. Today let’s talk about the main indications for such surgery, rehabilitation period and probable complications.
The main indications
Operations on ovary are the most common gynecological procedures. In most cases, such operation shall be ordered if the diagnosis of ovarian cyst with a different character, which is not treatable with conservative methods. However, this is not all the evidence. Below follows a more detailed list of the main indications for carrying out resection of the ovaries.
To conduct curative resection are the following testimonies:
- Contusion of ovary and apoplexy. Excision is performed in the case of an emergency, paramedics to prevent heavy bleeding.
- Tumors – fibroma, ovarian TECOM.
- Sklerokistoz ovaries.
Very often, resection of the ovary is one of the stages of therapy of infertility, which is observed in the polycystic ovary. For the treatment of polycystic ovarian syndrome widely used wedge resection.
More recently (literally 5-10 years ago) of almost any surgical intervention occurred via the usual method, more specifically, laparotomy. This interference is characterized by a traditional incision with a length of a few centimeters. Of course, this method has the following negative consequences and is characterized by:
- A high level of injury of the body.
- Great emotional strain.
- A high percentage of various complications.
- A long recovery period.
Currently the above method is used very rarely. The doctor may use laparotomy in the case of immediate access to the body due to heavy bleeding.
You need to know! To cure ovarian cancers with resection impossible. This can be achieved by laparotomy. Malignant tumors are characterized by not only complete removal of the gonads, but also in regional lymph nodes and the greater omentum. Also the experts carry out detailed examination of adjacent organs with the goal of detecting metastasis.
The essence of laparoscopy
To replace the standard method came modern technology, referred to as laparoscopy. This technology confidently and permanently penetrates into every field of medicine, including in the field of gynecology.
Today, resection of the ovary is carried out by laparoscopy. The doctors stopped the choice on endoscopy in the absence of severe pain due to small incisions. In addition, the recovery of the female body is much faster and easier.
Laparoscopic intervention is usually performed under General anesthesia.
As for the duration of the activity, by the time it is identical to the traditional method. The main difference between laparoscopic surgery to conventional surgery is the lengthy training. During normal surgery made incision allows the physician to access the organ. While during laparoscopic resection, it is first necessary to prepare tools and optical devices before the introduction into the abdominal cavity. This surgery requires several incisions, the length of which does not exceed two centimeters. These incisions are needed to enter into the abdominal cavity of a special metal tubes (trocars). Trocars serve for the introduction of instruments and cameras into the abdominal cavity. Cameras what is happening is projected on the monitor screen.
Damaged tissue the surgeon removes with the help of electrocautery or electroisolators. At the same time stopping bleeding.
After a portion of the ovary was cut, it with a special tool removed. Then the abdominal cavity is dried with tampons, check the quality of homeostasis. Further, the tool is derived from the abdominal cavity.
In the case of minor damage is assigned to wedge resection.
This operation is done with the purpose of the temporary release of the egg and successful conception.
The recovery period
Rehabilitation after laparoscopic surgery is quick and no severe pain. Due to the fact that the abdominal wall was performed small incisions, the patient is not experiencing severe pain: in the supine position, and in movement. After surgery, the patient is prescribed analgesics to reduce pain and antibiotics. This is necessary in order to prevent the development of infectious complications.
As a rule, the sutures are removed after a week.
The occurrence of side effect subsequently performed operation can be called directly any surgical procedure (complications), or functional state of the ovary (consequences). Talk about it below.
In most cases, the patient after the operation is facing such a problem as decrease in the number of follicles.
The danger of such consequences lies in complete end to separate way to form the eggs. As a result of which the remaining follicles stop their development. This situation is the absolute cessation of the functioning of the ovary, not only as the sexual glands, but also glands of internal secretion.
According to numerous studies had established the likelihood of conception. After operation on ovaries the likelihood of pregnancy in women decreases in the number of times on how much was reduced the volume of the body. So first of all, the reproduction to insist on holding sparing surgery so that the patient could continue to get pregnant.
Regardless of the type of intervention, whether traditional or laparoscopic may be some complications, manifested in the following detections:
- The deterioration of the patient may be caused by anesthesia.
- Involuntary injury of internal organs with a special tool.
- Injury of blood vessels.
- The reaction of the body to the injected gas.
- Complications caused by various infections.
- The occurrence of hematomas.
- The occurrence of adhesions and incisional hernias.
The result of surgical intervention
The consequences of the removal of one of the ovaries are manifested in the decrease in the number not only follicles, but also hormonal. This leads to complete cessation of ovarian function and reduced fertility. Removal of a large amount of tissue is accompanied by the development of such conditions as menstrual, endocrine imbalance. The latter manifests itself in passivity, lethargy, lack of interest in sex, psychosis, and tearfulness. Also surgery may be supplemented with problems of the cardiovascular system and early menopause. Women who have had surgery on the ovaries must recognize that the natural force of the ovaries has been reduced and therefore, to be a mother to her as soon as possible need to get pregnant.
As can be seen from the above, laparoscopic surgery is accompanied by less intensity of pain, a slight recovery period and a smaller percentage of occurrence of various complications. It is very important that this operation has a positive cosmetic effect. It helps to avoid long scars.
If a woman wants to get pregnant on their own, the fact that he’s got six months or a year. If pregnancy in this period did not come, you can contact the experts and get pregnant with IVF.