Laparoscopic Salpingo-oophorectomy

WHAT YOU SHOULD KNOW:

Laparoscopic salpingo-oophorectomy is surgery to remove one or both fallopian tubes together with the ovaries.

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:

  • Problems may happen during this surgery that may lead to an open surgery. Your stomach, intestines, blood vessels, or nerves may get injured. You may bleed more than expected or get an infection. You could also have trouble breathing during or after surgery. The gas used during your surgery may cause shoulder or chest pain for 1 to 2 days after your surgery. There is also a chance that your health problems may return. If you have cancer, there is a chance that you may still have it. You may get a blood clot in your leg or arm. This may become life-threatening.

  • Without treatment, your health condition may worsen and cause further damage to your reproductive system. If you are at risk for cancer, your risk may increase. Once you have cancer, it may spread and other serious problems may develop. You may need more treatment, such as medicines and surgeries.

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.

  • An enema may be needed before surgery. This is liquid put into your rectum to help empty your bowel.

  • 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.

  • Anesthesia is medicine to make you comfortable during the surgery. Caregivers will work with you to decide which anesthesia is best for you.

    • 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.

    • Local anesthesia is a shot of medicine put into the area where you will have surgery. It is used to numb the area and dull the pain. You may still feel pressure or pushing during surgery.

During your surgery:

  • Your surgeon will make a small incision near your belly button. He will insert the laparoscope into the incision. A laparoscope is a long metal tube with a light and camera on the end. He will also insert other tools through 2 to 3 smaller incisions made at different places on your abdomen. The abdomen will then be inflated with a gas (carbon dioxide). This lifts your abdomen away from your organs and allows your surgeon more space to work.

  • He will make an incision near the uterus where your fallopian tubes and ovaries are attached. He will detach and remove the ovaries and fallopian tubes. Your incisions will be closed with stitches or surgical tape and covered with bandages. A vaginal pack or sanitary pad may be used to absorb the bleeding.

After your surgery:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room. The bandages used to cover your stitches keep the area clean and dry to prevent infection. A caregiver may remove the bandages soon after your surgery to check your wound or drains.

  • You will be able to drink liquids and eat certain foods once your stomach function returns. You may be given ice chips at first. Then you will get liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then be given soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.

  • You may need to wear pressure stockings or inflatable boots after surgery. The stockings are tight and put pressure on your legs. The boots have an air pump that tightens and loosens different areas of the boots. Both of these improve blood flow and help prevent clots.

  • Medicines:

    • Antibiotics help treat or prevent a bacterial infection.

    • Antinausea medicine helps calm your stomach and prevents vomiting.

    • Hormone medicines may be given to replace one or more female hormones in your body. Hormone medicines help decrease symptoms of early menopause. They also help decrease your risk of brittle or weak bones and certain cancers.

    • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

© 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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