Laparotomy ovarian cysts: features of the postoperative period, reviews

The work of the female reproductive system often is faltering. The matter is that stress, poor diet, chronic inflammatory processes in the body. Laparotomy ovarian cyst always has serious indications of ectopic pregnancy to suspicion of cancer, and is performed under general anesthesia.

When administered laparotomy

Upon detection of cysts on the ovaries treatment strategy depends on their size, being a woman and ultrasound parameters. Small tumors, fluid-filled, up to 2-3 cm in size require monitoring. But if the cyst in the amount of more than 10 cm high probability of its transformation into a malignant tumor. In this case, prescribed removal surgically.

These two methods:

• laparotomy;
• abdominal surgery.

Open abdominal surgery - excision of cystic education is through an incision in the pubic bone in the lower abdomen. In this case, the doctor can clearly see the diseased organ and surrounding tissue and can visually assess their condition, to identify cancer or metastases to other organs or lymph nodes.

Laparotomy - removal of tumors to the ovary through small punctures in the abdomen. Through them, the doctor inserts a special tools for manipulation. This camera, a laparoscope. Laparotomy is shown in the case of small uncomplicated cysts.

Indications for laparotomy

Any surgery involves a certain life and health risks. Therefore, to open surgery as a last resort, trying to cure the disease or pathology conservatively. Cavernous removal of ovarian cysts is recommended when the tumor of large size, there is evidence or suspicion of cancer. The indication is the atypical location of cysts, or other pathology of the female reproductive system.

Emergency abdominal operation result in the case of:

• suppuration cystic formation;
• twisting of the ovary;
• ectopic pregnancy;
• rupture of cysts and ovarian tissue.

Laparotomy is indicated if there is a simple uncomplicated cyst size of 6-7 cm, or multiple small cysts - polycystic. The doctor should be no doubt in the high quality of education. Both operations are carried out under general anesthesia.

Contraindications

Prior abdominal surgery and laparotomy, a woman is examined to identify any direct or indirect contraindications for their conduct. It is strictly forbidden surgery when:

• strokes, heart attacks and other serious pathologies of the cardiovascular system;
• blood diseases associated with the violation of its coagulation;
• any chronic diseases in the acute stage;
• decompensated diabetes.

In the presence of acute or chronic infectious states abdominal operation is deferred until the recovery or stabilization.

Laparotomy ovarian cyst during pregnancy

During the period of carrying a child in special cases, doctors put the question of the removal of cysts by laparotomy. This is done in the case of threatened miscarriage, the rapid growth of the cyst, its festering, or break. Otherwise, do a laparoscopy.

Laparotomy is usually carried out under general anesthesia, but is sometimes used as an epidural anesthetic caesarean section. Any operation - a threat to the fetus, so it is carried out only in cases where the expected benefit outweighs the potential risk.

Preparation for surgery

At least 2 days before elective abdominal surgery or laparotomy performed examination of the patient condition. A woman needs to be done:

• general and biochemical blood test;
• coagulation;
• general urine analysis;
• ECG;
• MRI;
• to determine blood type.

Immediately before the operation is carried out for several hours purgation, the last day of the woman recommended light food.

On what day of the cycle is performed a laparotomy ovarian cysts

Mid-cycle - the best time to carry out any operations on the pelvic organs of women. During this period, physicians can see the reasons for which no ovulation occurs and the egg output, to evaluate the work of ovarian and endometrial cancer condition.

Important! It is strictly forbidden any manipulation for 3 days prior to the planned monthly and during uterine bleeding.

During this period, a high probability of infection of the inflamed tissue, is not excluded and a large blood loss. To determine the day of the cycle, you can do an ultrasound.

The methodology of the laparotomy

Removing cysts surgically going through a deep incision in the abdomen. The doctor may do both longitudinal and transverse cut length of 10-15 cm. First carried out a skin antiseptic treatment, after which the doctor excised skin, subcutaneous fat and the peritoneum, stretches the edge of the hole and begins to study pathology.

There are options such surgery outcomes:

• cyst removed;
• removed with a portion of ovarian cyst tissues;
• cyst removed and ovary;
• paying a cyst from the ovary and the fallopian tubes, lymph node.

It all depends on the type of cysts and benign. If the doctor is suspected malignant nature of the tumor, it produces its removal with surrounding tissues, lymph nodes. After removal specialist firmware performs incision and bandage on the seam. In the next two days, the patient is in intensive care.

How long does the surgery to remove an ovarian cyst

When ovarian cyst abdominal surgery lasts 2-4 hours. The first surgical time depends on the degree of severity of the neoplasm. Uncomplicated cysts with liquid contents are removed quickly without damaging the ovarian tissue. In other cases the physician grasps the ovary tissue. On average, such manipulations time occupy no more than 2 hours. If the detected suspicious tumor visible metastases in lymph nodes and other organs, the operation is delayed until 4 hours or more. Laparotomy lasts 40-60 minutes.

How many sick days after laparotomy ovarian

Each individual case is different. When simple operation and rapid recovery of the patient, the hospital closed after 2 weeks. This is the average period of time which give the body's recovery.

Of course, for the rehabilitation and full recovery of the woman's health takes about 3 months time. But in fact, begin to perform their professional duties the person after the operation in the state for 15 days.

Postoperative period and rehabilitation

In the first 2 days after abdominal surgery the woman is in intensive care. She is shown with bed rest, a minimum of physical activity, sleep and light meals. The average postoperative period lasts 1-2 weeks. At this time, the medical staff treats seam woman receives medication to avoid complications.

The patient may feel uncomfortable pain in the joint area, hoarseness and dryness in the throat, chills, slight indisposition. These symptoms pass quickly and are echoes of anesthesia.

Over time, it is important to gradually give light load on the abdominal region to normalize the blood flow in the abdomen and accelerate tissue regeneration, and fusion of the joint edges. the rate of recovery after abdominal surgery to remove an ovarian cyst depends on the health of the patient group and compliance with the doctor's recommendations. As for the restoration of the female reproductive system - all purely individually.

Important! Menstruation may occur 1-2 days, or a month after abdominal surgery.

On average, a full recovery will require 10-12 weeks in the absence of complications. During this period the woman is often prescribed hormonal contraceptives to normalize the hormonal cycle and protect against pregnancy. Doctors recommend to protect the first 3 months and plan for the child after the recovery period.

possible complications

Complications after abdominal surgery to remove an ovarian cyst, and laparotomy are rare. They are often related to failure to comply with bed rest and the doctor's recommendations. In this case it is possible:

• divergence or suppuration seam;
• internal bleeding;
• thromboembolism.

If the patient is not actively moving and incorrectly calculates the load may develop postoperative hernia.

Abdominal surgery to remove ovarian cysts - a major surgical procedure that requires careful preparation of the patient. If successful and benign organism recovered in 2-3 months, and a woman can plan the pregnancy.

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