As the name suggests it is Removal of cyst(s) on an ovary and is primarily carried out for

• Cancer or suspected cancer in the ovaries.
• Rupture or twisting of an ovarian cyst.

DIAGNOSTIC TESTS

• Preoperative investigations with, dilatation and curettage of the uterus (D & C).
• CT scan of pelvic organs, laparoscopy or culdoscopy, ultrasound, X-rays of chest, lower abdomen and lower intestinal tract, culdocentesis.
• During surgery: Laboratory examination of removed tissue by frozen section.

ANESTHESIA

Usually done through an incision in the lower abdomen, under General anesthesia

DESCRIPTION OF OPERATION

• An incision is made in the abdomen. The abdominal muscles are separated and the peritoneum is opened.
• Blood vessels supplying the ovaries are located, clamped and tied.
• The tumor or cyst in the ovary is located, cut free and removed. If examination reveals signs of cancer, the ovary is removed.
• The peritoneum is closed, and the abdominal muscles are sewn together with heavy sutures.
• The skin is closed with sutures or clips, which usually can be removed about 10 days after surgery.

POSSIBLE COMPLICATIONS

• Excessive bleeding.
• Surgical-wound infection.

AVERAGE HOSPITAL STAY

5 to 7 days.

PROBABLE OUTCOME

Expect complete healing of surgical wound. If cancer is detected, you will be prescribed treatment with either radiation or anticancer drugs or both. Allow about 4 weeks for recovery from surgery.

TREATMENT

SELF CARE

• Bathe and shower as usual. You may wash the incision gently with mild unscented soap.
• Move legs often while resting in bed to decrease the likelihood of deep-vein blood clots.

MEDICATION

Your doctor may prescribe:

• Usual antibiotics and pain relievers.
• Stool softeners to prevent constipation.
• Hormone supplements, if both ovaries are removed.

ACTIVITY

• Resume normal activity as soon as possible to reduce postoperative depression, which is common.
• Resume sexual relations when able.
• Avoid vigorous exercise for 6 weeks after surgery.

DIET

Clear liquid diet until the gastrointestinal tract functions again. Then eat a well-balanced, high-protein diet to promote healing.

BE ON ALERT FOR

• Signs of infection: headache, muscle aches, dizziness or a general ill feeling and fever.
• Excessive vaginal discharge persists beyond 1 month after surgery.
• Abdominal pain or swelling, nausea, vomiting, constipation or hot flushes.