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A laparoscopic oophorectomy
is surgery to remove one or both of your ovaries. Your healthcare provider will use a laparoscope (a thin tube with a light and tiny video camera on the end) and small tools to remove your ovaries. He may use a robot (machine) that has mechanical arms to operate the tools. This is called a robotic-assisted laparoscopic oophorectomy.
How to prepare for a laparoscopic oophorectomy:
- Your healthcare provider will talk to you about how to prepare for surgery. He may tell you not to eat or drink anything after midnight on the day of your surgery. He will tell you what medicines to take or not take on the day of your surgery. You may need to stop taking blood thinners, aspirin, or NSAIDs several days before surgery. This may prevent bleeding during or after surgery. You may need blood tests, an x-ray, CT scan, or ultrasound before surgery. These tests will help your healthcare provider plan your surgery.
- You may be given an antibiotic through your IV to help prevent a bacterial infection. You may need to empty your bladder before surgery. This may help your surgeon see your ovaries more clearly during surgery. It may also prevent injury to your bladder during surgery. Arrange for someone to drive you home and stay with you after surgery.
What will happen during a laparoscopic oophorectomy:
- You will be given general anesthesia to keep you asleep and free from pain during surgery. Your healthcare provider will make an incision in your belly button and insert a laparoscope. A laparoscope is a long metal tube with a light and camera on the end. Your healthcare provider 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 gives your healthcare provider more space to work.
- Your healthcare provider may make more incisions if he uses robot assistance. Your healthcare provider will use small tools to cut and remove one or both of your ovaries. The incisions will be closed with strips of surgical tape, stitches, or surgical glue and covered with bandages. A vaginal pack or sanitary pad may be used to absorb the bleeding. A vaginal pack is a special gauze that is inserted into the vagina and removed before you go home or to a hospital room.
What will happen after a laparoscopic oophorectomy:
Healthcare providers will monitor you until you are awake. You may be able to go home when your pain is controlled, or you may need to spend the night in the hospital. You may have bleeding or discharge from your vagina for several days. You may also feel pain in your shoulder or back. This is caused by the air that is put into your abdomen during surgery. Walk around as soon as you are awake after surgery. This may prevent blood clots.
Risks of a laparoscopic oophorectomy:
If both of your ovaries are removed, you may need to take hormone replacement medicine. This will prevent osteoporosis (brittle bones) and symptoms of menopause. Your uterus, bladder, or intestines may be injured during surgery. Problems may happen during your laparoscopic surgery and you may need an open surgery. You may bleed more than expected or get an infection. You may get a blood clot in your leg or arm. This may become life-threatening.
Call 911 for any of the following:
- You feel lightheaded, short of breath, and have chest pain.
- You cough up blood.
Seek care immediately if:
- Your arm or leg feels warm, tender, and painful. It may look swollen and red.
- Blood soaks through your bandage.
- Your stitches come apart.
Contact your healthcare provider if:
- You have a fever or chills.
- Your wound is red, swollen, or draining pus.
- You have pus or a foul-smelling odor coming from your vagina.
- You have nausea or are vomiting.
- Your skin is itchy, swollen, or you have a rash.
- You have trouble urinating or having a bowel movement.
- You have questions or concerns about your condition or care.
You may need any of the following:
- Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely.
- Hormone medicine may be given if both ovaries are removed. This medicine will replace hormones in your body that your ovaries produced. You may not be started on this medicine for until 2 to 3 months after surgery.
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
- Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.
Care for your wound as directed:
Ask your healthcare provider when your incision can get wet. Carefully wash around the wound with soap and water. Let soap and water run over your incision. Do not scrub your incision. Dry the area and put on new, clean bandages as directed. Change your bandages when they get wet or dirty. If you have strips of medical tape, let them fall off on their own.
Ask your healthcare provider when you can return to your normal activities. Do not have sex, douche, or use tampons until your healthcare provider says it is okay. These actions may cause an infection. Do not exercise or lift anything heavy until your healthcare provider says it is okay. This may put too much stress on your incision.
This surgery may be life-changing for you and your family. You will no longer be able to get pregnant if both of your ovaries are removed. Sudden changes in the levels of your hormones may occur and cause mood swings and depression. You may feel angry, sad, or frightened, or cry frequently and unexpectedly. These feelings are normal. Talk to your healthcare provider about where you can get support.
Follow up with your healthcare provider as directed:
Write down your questions so you remember to ask them during your visits.
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