Ovarian Cyst Removal—Laparoscopic Surgery Overview

This is surgery to remove a cyst on an ovary .

Ovarian Cyst © 2009 Nucleus Medical Media, Inc.

Prior to Procedure

Your doctor may do the following:

• Physical exam
• Review of medicines
• Blood tests
• Urine test
• CT scan —a type of x-ray that uses a computer to make pictures of organs
• Ultrasound —a test that uses sound waves to examine the abdomen
• Electrocardiogram (ECG, EKG)—a test that records the heart's activity by measuring electrical currents through the heart muscle

Talk to your doctor about what action should be taken if cancer is found during surgery. One option is to remove the ovary.

Leading up to the surgery:

• Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:

• Aspirin or other anti-inflammatory drugs
• Blood thinners, such as warfarin (Coumadin)
• Clopidogrel (Plavix)
• Arrange for a ride to and from the hospital. Also, arrange for someone to help you at home.
• Do not eat or drink for at least eight hours before the surgery.

Anesthesia

• General anesthesia —blocks pain and keeps you asleep through the surgery; given through an IV in your hand or arm

• Local anesthesia—just the area that is being operated on is numbed; given as an injection and may also be given with a sedative

Description of the Procedure

The doctor will make a small incision just below the navel. Next, the doctor will insert a laparoscope. This is a thin tube with a camera on the end. To allow the doctor to better view the organs, carbon dioxide gas will be pumped into the abdomen. The laparoscope will be used to locate the cyst. Once found, the doctor will make one or two more incisions. Surgical tools will be inserted to remove the cyst. The doctor may remove tissue for testing. If cancer is found, both ovaries may need to be removed. Once the cyst is removed, the doctor will remove the tools. The incision area will be closed with stitches or staples.

In some cases, the doctor may switch to an open surgery . He will make a large incision in the abdomen to do the surgery.

Laparoscopic Ovary Removal © 2009 Nucleus Medical Media, Inc.

Immediately After Procedure

After the procedure, you will be given IV fluids and medicines while recovering.

How Long Will It Take?

1-2 hours

Will It Hurt?

There will be pain after the surgery. Your doctor will give you pain medicine.

Average Hospital Stay

You may stay overnight, or you may be able to leave the hospital the same day as your surgery.

Post-procedure Care

Recovery may take 1-2 weeks. When you return home, do the following to help ensure a smooth recovery:

• Be sure to follow your doctor's instructions .
• Shower normally.
• Gently wash the incision area with mild soap and water.
• Move and elevate your legs while in bed. This will lessen the chance of blood clots .
• Take prescription pain medicine only for as long as needed. Take over-the-counter pain relievers (eg, ibuprofen , naproxen ) if the pain is mild.
• Avoid strenuous exercise for 2-6 weeks.
• Do not drive until your doctor says it is safe.
• Do not resume sexual activity until your doctor says it is okay. You may need to wait two weeks.
• Follow your doctor's guidelines for ultrasound tests. These may need to be done if it is likely that the cysts will return.

RESOURCES:

The American Congress of Obstetricians and Gynecologists
http://www.acog.org/publications/patient_education/

National Uterine Fibroids Foundation
http://www.nuff.org/

Women's Health.gov
http://www.womenshealth.gov/

CANADIAN RESOURCES:

Health Canada
http://www.hc-sc.gc.ca/index_e.html/

Women's Health Matters
http://www.womenshealthmatters.ca/

References:

Ovarian cysts. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/ovarian-cysts/DS00129/DSECTION=7 . Updated July 20, 2007. Accessed June 10, 2008.

Pelvic laparoscopy. National Library of Medicine, Medline Plus website. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/002916.htm . Updated February 2008. Accessed September 11, 2009.