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.

Getting Ready

The week before your surgery:

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • You may need blood tests. You may also need imaging tests, such as an ultrasound, CT scan, or MRI. Imaging tests help your caregiver see your ovaries and the organs around them. They may also help your caregiver see if your ovaries or nearby organs have health problems like cancer. Ask your caregiver for more information about these and other tests that you may need. Write down the date, time, and location of each test.

  • Write down the correct date, time, and location of your surgery.

The night before your surgery:

  • Ask caregivers about directions for eating and drinking.

  • Your caregiver may ask you to drink a special liquid or a powder that is mixed with liquid. This drink is called a bowel preparation and will cause you to empty your bowels. Ask your caregiver if you need a bowel preparation.

The day of your surgery:

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

  • 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 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 the incision in your abdomen or through your vagina. He may also remove part or all of your ovary. 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 monitor you closely. Once your caregivers say it is okay, you will be moved to a hospital room. Do not get out of bed until your caregiver says it is okay.

Contact a caregiver if

  • You cannot make it to your surgery on time.

  • You get sick with a cold or the flu.

  • You have stomach cramps.

  • You have a fever.

  • You have questions or concerns about your surgery.

Seek Care Immediately if

  • You have trouble breathing.

  • You have bleeding that does not stop.

  • You have severe abdominal pain that does not go away, even with medicine.

© 2013 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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