Ovarian Cyst Removal—Open 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

Description of the Procedure

The doctor will make a cut in the abdomen. The abdominal muscles will be separated, and the abdomen will be opened. The doctor will locate, clamp, and tie the blood vessels that supply the ovary. Next, the cyst will be removed. In some case, the doctor will also remove a sample of tissue for testing. If cancer is found, one or both ovaries (if cysts are on both ovaries) may be removed . Lastly, the doctor will use stitches to sew the abdominal muscles. The incision area will be closed with stitches or staples.

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?

You will have abdominal pain and discomfort for 7-10 days. Your doctor will give you pain medicine.

Average Hospital Stay

3-4 days

Post-procedure Care

Recovery may take 3-4 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 states this 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.

Ovarian tumors. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated November 2010. Accessed November 12, 2010.