Oophorectomy – Oophorectomy – Salpingo-oophorectomy

Description ovariectomy

Ovariotomy – removal of one or both ovaries. The operation may be carried out in conjunction with the removal of tubal (salpingo-oophorectomy). Removal of the ovaries and / or fallopian pipes often done in the complete hysterectomy.

Causes of ovariectomy

Oophorectomy may be done to:

• Treat Cancer;
• Remove large ovarian cysts;
• Treat chronic pelvic pain;
• Treat pelvic inflammatory disease.

Possible complications during spaying

Complications are rare, but no operation ensures no risk. Before, how to perform ovariectomy, you need to know about possible complications, which may include:

• Changes in sex drive;
• Hot flashes and other symptoms of menopause (If both ovaries are removed);
• Depression and other forms of psychological distress;
• Reaction to anesthesia;
• Bleeding;
• The formation of blood clots, particularly in the veins of the legs;
• Damage to internal organs;
• Infection.

Factors, that may increase the risk of complications:

• Previous surgery on the hip joint, or a serious infection;
• Obesity;
• Smoking;
• Diabetes.

How is surgery to remove the ovaries?

Preparing for Surgery

It may be performed following analyzes:

• Physical examination;
• Blood and urine tests;
• Ultrasound examination – test, that uses sound waves to the study of internal body parts;
• CT scan – type of X-ray inspection, which uses computer, to make pictures of structures inside the body.

Before surgery:

• It may be necessary to stop taking some medicines:
  • Aspirin or other anti-inflammatory drugs;
  • Blood thinners, eg, clopidogrel (Plaviks) or warfarin;
• In the evening before surgery you can eat a light meal. After midnight, there is nothing to eat and drink, including water;
• It is necessary to arrange a ride home after surgery and help at home.

Anesthesia

• To open or laparoscopic surgery can be used general anesthesia. The patient will sleep;
• For the laparoscopic procedure, local anesthesia may be used – operation will numb the area.

Procedure ovariectomy

There are two different methods of:

Open surgery – via abdominal incision

The cut will be made or horizontally (from side to side) the line of pubic hair, or vertical (up and down) from the navel to the pubic bone. Horizontal incisions leave less scarring. Vertical incisions give the surgeon to better see the inside of abdominal. The abdominal muscles will be moved apart in the parties. The surgeon can see the ovaries. The blood vessels will be connected, to help prevent bleeding. Ovaries, and often the fallopian tubes are removed. The incision will be closed with staples or stitches.

Laparoscopic surgery

A laparoscope is an instrument with a tiny camera on the end. It will be inserted through a small incision near the belly button. This allows the surgeon to see the pelvic organs on a video monitor. There are additional small incisions are made. Through these special tools will be inserted, to be used, to cut and tie the blood vessels and fallopian tubes. The ovaries will be separated. They will then be removed through a small incision in the upper part of the vagina. The ovaries may also be cut into smaller pieces and removed through a small incision in the abdominal wall. The incisions will be closed seams, that after healing will leave very small scars.

Immediately after surgery

The patient was moved to the ward to recover. Distant organs will be sent to the lab for analysis.

How long does the surgery?

Operation takes from one to four hours.

Will it hurt?

Anesthesia will prevent pain during surgery. After operation may be felt discomfort in the section. Laparoscopic surgery is less painful than the open. To facilitate postoperative pain painkillers are administered to the patient.

The time spent in hospital

Typically, the duration of hospitalization:

• Open surgery (abdominal incision) – 3-5 days;
• Laparoscopic surgery – 1 day.

If complications arise, length of stay in the hospital can be extended.

Postoperative care after surgery to remove the ovaries

In the hospital

• Hospital staff provides the following care:
• It helps when walking;
• Ensures, to intravenously through a catheter provided with the necessary nutrients and drugs. If the patient is able to eat and drink on their own, the catheter is removed;
• Maybe, You will need to wear special socks or boots to help prevent blood clots;
• For some time may need to install Foley catheter, to help to urinate.

Home Care

When you return home, you need to perform the following actions, to ensure the normal recovery:

• Properly care for sectional. This will help prevent infection;
• We need to ask the doctor about, when it is safe to shower, bathe or expose the surgical site to water;
• It is necessary to gradually increase the pace of activity, eg, You can start with short walks. Depending on work, the patient may be able to return to it. Returning to normal activities takes 2-6 weeks, depending on the type of operation;
• To speed healing recommended diet, rich in fruits and vegetables;
• We must try to avoid constipation, what you need:
  • Eating high-fiber foods;
  • Drinking plenty of water;
  • Use stool softeners, if necessary;
• We need to ask the doctor, when you can resume sexual activity;
• Some women may have emotional distress after the removal of the ovaries. Psychological assistance and / or support group can help deal with these problems.

After removal of both ovaries stop menstruation. Besides, a woman can not get pregnant. If one ovary or even a portion of an ovary remains, the patient will be menstruating and she is even able to get pregnant.

It is necessary to go to the hospital in the following cases

• There are signs of infection, including fever and chills;
• Persistent vaginal bleeding;
• Inability to relieve pain using painkillers;
• Nausea and / or vomiting, that persist for more than two days after discharge from the hospital or do not pass after taking appropriate drugs;
• Redness, edema, increase in pain, bleeding or discharge from the incision;
• Difficulty urinating;
• Edema, redness or pain in the leg;
• Cough, shortness of breath or chest pain;
• Feeling depressed.