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Laparoscopic Excision of Ovarian Cysts
WHAT YOU NEED TO KNOW:
Laparoscopic excision is surgery to remove a cyst on your ovary.
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.
- You may need to wear pressure stockings. The stockings are tight and put pressure on your legs. This improves blood flow and helps prevent clots.
- 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 healthcare providers 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.
During your surgery:
- Your healthcare provider will make a small incision on or above your belly button. Your healthcare provider will insert the laparoscope through this incision. He may also put surgical tools in your abdomen through other small incisions. Your healthcare provider 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 healthcare provider 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 healthcare provider will look at nearby tissue and organs for signs of diseases like cancer. Your healthcare provider 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. Healthcare providers will watch you closely to make sure you are okay. Do not get out of bed until your healthcare provider says it is okay. When healthcare providers see that you are okay, you will be taken back to your hospital room.
- During surgery, your healthcare provider 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.
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 healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.
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