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WHAT YOU SHOULD KNOW:
- Laparoscopic (lap-ah-ROS-ko-pik) salpingo-oophorectomy (sal-ping-go-of-o-REK-tah-me) is surgery to remove one or both fallopian tubes together with the ovaries. The fallopian tubes are attached on one end to your uterus (womb) and to the ovaries on the other. The ovaries are a pair of organs in the lower abdomen (stomach) that make eggs and female hormones. When one of your ovaries releases an egg, the egg passes through the tube to your uterus. The female hormones, such as estrogen and progesterone, are special chemicals which help the body work correctly. This surgery is done to remove cysts, tumors, adhesions, or blockages, and treat infections in the tubes and ovaries. It is also done in pregnancies where the fertilized egg grows outside the womb. It may be needed to stop the ovaries from making hormones that increase your risk for having breast and ovarian cancer.
- With this surgery, your caregiver will insert a laparoscope in a small incision (cut) made in your abdomen. A laparoscope is a long metal tube with a light and tiny video camera on the end. This gives your caregiver a clear view of the abdominal area while watching the images on a monitor. Your caregiver may only remove a tube and an ovary on one side. You may still be able to get pregnant after this type of surgery. In some cases, both sets of tubes and ovaries are removed. This will make you infertile and unable to become pregnant. With a salpingo-oophorectomy, problems in your reproductive system may be treated and the symptoms they cause relieved.
- Keep a current list of your medicines: Include the amounts, and when, how, and why you take them. Take the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Throw away old medicine lists. Use vitamins, herbs, or food supplements only as directed.
- Take your medicine as directed: Call your primary healthcare provider if you think your medicine is not working as expected. Tell him about any medicine allergies, and if you want to quit taking or change your medicine.
Ask for information about where and when to go for follow-up visits:
For continuing care, treatments, or home services, ask for more information.
Bathing and wound care:
When you are allowed to bathe or shower, carefully wash the incisions with soap and water. Afterwards, put on clean, new bandages. Change your bandages any time they get wet or dirty. Ask your caregivers for more information about wound and drain care.
Having your fallopian tubes and ovaries removed is life-changing for you and your family. Accepting your present condition may be hard. Sudden changes in hormones may occur and cause you to have mood swings and depression. You may feel angry, sad, or frightened, or cry frequently and unexpectedly. These feelings are normal. Talk to your caregivers, family, or friends about your feelings. You may need to attend meetings or talks together with your caregiver and family members. Your friends or other people who are close to you may also be asked to attend these meetings. These meetings can help everyone understand your condition, surgery, or care better.
- Diet and drinking liquids:
- Eat a variety of healthy foods from all the food groups. The food groups include breads, vegetables, fruits, milk and milk products, and protein (beans, eggs, poultry, meat and fish). These foods may help you feel better and have more energy. You may be told to limit the amount of salt you eat. Ask your caregiver how many servings of fats, oils, and sweets you may have each day, and if you need to be on a special diet.
- Follow your caregiver's advice if you must change the amount of liquid you drink. For most people, good liquids to drink are water, juices, and milk. Try to drink enough liquid each day, and not just when you feel thirsty.
- Keep a healthy weight: Weighing too much can make your heart work harder and can cause serious health problems. Talk to your caregiver about a weight loss plan if you are overweight.
- Sports and exercise: Talk to your caregiver before you start exercising. Together you can plan the best exercise program for you. It is best to start slowly and do more as you get stronger. Exercising makes the heart stronger, lowers blood pressure, and keeps your bones healthy.
CONTACT A CAREGIVER IF:
- You have a fever.
- You have chills, a cough, or feel weak and achy.
- You have nausea (upset stomach) or vomiting (throwing up).
- Your skin is itchy, swollen, or has a rash.
- You have chest pain or trouble breathing that is getting worse over time.
- You have questions or concerns about your surgery, condition, or care.
SEEK CARE IMMEDIATELY IF:
- You feel something is bulging out into your vagina or you have vaginal bleeding.
- You have lower abdominal or back pain that does not go away even after taking your medicines.
- You have pus or a foul-smelling odor coming from your vagina.
- You have trouble passing urine or moving your bowel.
- Your bandage becomes soaked with blood.
- Your symptoms come back.
- You suddenly feel lightheaded and have trouble breathing.
- You have new and sudden chest pain. You may have more pain when you take deep breaths or cough. You may cough up blood.
- Your arm or leg feels warm, tender, and painful. It may look swollen and red.
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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.