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Laparoscopic Excision Of Ovarian Cysts

WHAT YOU SHOULD KNOW:

Laparoscopic excision is surgery to remove a cyst on your ovary.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • During surgery, your caregiver may decide that you need open surgery instead of laparoscopic surgery. Laparoscopic surgery may cause your cyst to burst. Fluid from a burst cyst may cause an infection inside your ovaries and surrounding tissue. You may also get a serious blood infection called sepsis. Your ovaries may get damaged, which may make it hard for you to have children. You may get a blood clot in your leg or arm. The clot may travel to your heart or brain and cause life-threatening problems, such as a heart attack or stroke.

  • Without surgery, your ovarian cyst may grow or burst. Your pain may get worse. You may have new or heavier bleeding. If your cyst is cancer, then it may spread to other parts of your body. You could get serious infections that can be life-threatening.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Pressure stockings: These are long, tight stockings that put pressure on your legs to promote blood flow and prevent clots. You may need to wear pressure stockings before or after surgery or if you have poor circulation (blood flow).

  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.

  • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

  • Nasogastric (NG) tube: An NG tube is put into your nose, and passes down your throat until it reaches your stomach. Food and medicine may be given through an NG tube if you cannot take anything by mouth. The tube may instead be attached to suction if caregivers need to keep your stomach empty.

  • A Foley catheter is a tube put into your bladder to drain urine into a bag. Keep the bag below your waist. This will prevent urine from flowing back into your bladder and causing an infection or other problems. Also, keep the tube free of kinks so the urine will drain properly. Do not pull on the catheter. This can cause pain and bleeding, and may cause the catheter to come out. Caregivers will remove the catheter as soon as possible to help prevent infection.

During your surgery:

  • Your caregiver will make a small incision on or above your belly button. Your caregiver will insert the laparoscope through this incision. He may also put surgical tools in your abdomen through other small incisions. Your caregiver will separate your cyst from your ovary. He may then remove the fluid or blood from your cyst with a needle. If fluid is removed, it is sent to the lab for tests. If the cyst is cancer, you will have an open surgery instead of a laparoscopic surgery.

  • Your caregiver will then use a laparoscope to remove your cyst from your ovary. He will take the cyst out through an incision in your abdomen or through your vagina. He may also remove part or all of your ovary. Using the laparoscope, your caregiver will look at nearby tissue and organs for signs of diseases like cancer. Your caregiver will then close your ovary with stitches or leave it open to heal on its own. He will send your cyst and a sample of any tissues he removed to the lab for testing.

After your surgery:

You will be taken to a room where you can rest until you are fully awake. Caregivers will watch you closely to make sure you are okay. Do not get out of bed until your caregiver says it is okay. When caregivers see that you are okay, you will be taken back to your hospital room.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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