Ovarian surgery as the name suggests involves surgery of the ovary either by conventional open surgery or minimal access surgery also called as laparoscopic surgery . The laparoscopic surgery is performed by placing the specialised instruments in the abdomain and performing surgery on the monitor under complete vision. The minimal invasive surgery is established way of performing pelvic organ which are well support various research and clinical based evidences.
Ovarian surgeries are considered to be major surgeries and involves appropriate team work. With the advancements of techniques and improvisation of surgical skills the surgical results of major liver resections have become excellent with time.
The types of colon surgery performed either via open conventional surgery or laparoscopic surgery are ovarian cystectomy ( ovary cyst removal) , oophorectomy ( removal of ovary) , salphingio-oophorectomy ( removal of tubes with ovary ) , Unilateral/ bilateral oophorectomy with hysterectomy( removal of ovary with uterus) and cytoreduction surgery( in case of carcinoma ovary) with or without intraperitoneal chemotherapy.
Indication of ovarian surgery
- Benign ( Non cancerous) ovarian cysts
- Serous cystadenoma of ovary
- Mucinous cystadenoma of ovary
- Teratoma of ovary
- Ovarian cancers
- Hemorrhagic cysts of ovaries
- Ovarian cancers with peritoneal spread.
Once you are planned for surgery the surgeon will explain all the details , it’s risk involved , informed consent and recovery protocols after the surgery they are planning to perform. Usually the length of the procedure will depend upon the extent of the surgery.
- Surgery is performed under General anaesthesia
- Particular position of the patients according to the area of the surgery is given to the patient (commonly done in supine position and position is changed during the surgery depending upon the ease to perform surgery)
- Technically incision is given upon extent of surgery and preference of surgery in cases of open conventional surgery. The extent of the surgery usually depend upon the disease.
- In laparoscopic surgery, Small hole are made to enter the abdomain using video scope to assess the complete abdominal cavity and area of the disease.
- Mobilisation of the diseased ovary from the surrounding structures is done is done . Care is take that the ovary wall is not breached to prevent spread of cancer or cyst fluid in suspected cases of cancers.
- Surgery is performed using specialised instruments, energy sources , clips , staplers to separate the diseased colon with healthy margins. The continuity of the alimentary canal is restored using staplers.
- The diseased part is removed and the abdominal drain is placed in abdominal cavity.
Recovery after surgery
- The patient might be in surgical intensive care unit for initial observation and management. Bleeding and infection major risks involve after these surgeries.
- Intensive physiotherapy is advised for enhanced recovery of the patients as breathing might be hampered because of long incisions in case of open surgery and pain associated with them.
- Diet is usually started once your bowel function starts returning after surgery.
- Early mobilisation of the patient is recommended.
- Routine check up up of your blood will be performed to study your recovery and chances of infection.
- Diet is managed with the help of the dietician to enhance your recovery and protein supplements are added.
- The length of stay after the hospital is usually depending upon the extent of surgery and recovery of the patients.
Advantages of Laparoscopic ovarian surgery
- Big incision is avoided which is used in conventional surgery which causes significant discomfort and pain.
- Early recovery of bowel functions
- Early healing of the wound
- Shorter stay of hospital
- Early mobilisation and early return to work
- Scar is minimal
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