Open Salpingo-oophorectomy

What you should know

Open 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

  • You may bleed more than expected or get an infection. Your stomach, intestines, blood vessels, or nerves may get injured. You may feel pain and weakness in your abdominal muscles after the surgery. You could also have trouble breathing. There is 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.

Getting Ready

The week before your surgery:

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

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or 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 or urine tests before your surgery. You may also need an ECG, x-rays, CT scan, MRI, or an ultrasound. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for each test.

The night before your surgery:

  • Ask caregivers about directions for eating and drinking.

  • You may be given medicine to help you sleep.

  • Bowel preparation will help clean out your bowel before surgery. Your caregiver may ask you to do one or more of the following:

    • You may need an enema. An enema uses medicine or warm water that is put into your rectum to help empty your bowel. Ask your caregiver how to do this, and follow the directions on the package.

    • You may be given a bowel prep medicine to drink. Drink 1 eight-ounce cup every 10 minutes until you are passing clear fluid. Ask your caregiver for more information about this medicine.

The day of your surgery:

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.

  • 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.

  • 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.

  • Bowel preparation:

    • Do not eat or drink anything on the morning of your surgery. Your bowel needs to be totally empty during your surgery. If you need to take medicines the morning of your surgery, take them with a few small sips of water.

    • You may need an additional enema the morning of your surgery.

    • You may also be asked to drink 4 to 8 (eight-ounce) cups of bowel prep medicine. This may be needed if you drank the bowel prep medicine the night before.

Treatment

What will happen:

Your surgeon will make an incision on your lower abdomen. He will use tools to pull the abdominal muscles to each side. 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. Thin rubber tubes may be placed to drain blood from your incision. Your incision 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.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You have a fever.

  • You get a cold or the flu.

  • You have questions or concerns about your surgery.

Seek Care Immediately if

  • You have blood, pus, or foul-smelling odor coming out of your vagina.

  • You have sudden severe abdominal or vaginal pain.

  • Your symptoms get worse.

© 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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