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Understanding Laparoscopic Surgery for Ovarian Torsion

Understanding Laparoscopic Surgery for Ovarian Torsion

The ovary and fallopian tube are located in the pelvic region and almost every nonmalignant issue of both these organs can be best treated with the laparoscopic procedure also known as adnexal surgery. This includes following procedures:

  • Ovarian Cystectomy – It involves removal of ovarian cysts to protect the ovary.
  • Oophorectomy – Ovary is removed surgically.
  • Salpingotomy – Fallopian tube is opened to remove an abnormality like in ectopic pregnancy.
  • Salpingectomy – Fallopian tube is removed.
  • Adhesiolysis– It is performed to allow ovary or tube free from adhesions to minimize pain and improve fertility.

Most of above procedures can be performed as day surgery. So, patients should discuss with their doctor about their recovery needs to make the best planning.
A Tubal factor causes about 20-25% of all cases of infertility which typically blocks successful transfer of the egg to the sperm or the fertilized egg to the uterus. This can be usually repaired or treated with tubal surgery. The specific surgical procedure depends on the extent and location of the fallopian tube blockage. Usually, microsurgery techniques and/or laparoscopy surgery are used to perform some tubal procedures.
Laparoscopic Tubal Ligation is a reliable and most frequently performed procedure for contraception in women over 30 years of age. In this procedure, a surgical laparoscope is used to create one or two port holes, each for the umbilical and suprapubic region. All general rules of Gynecological Laparoscopic surgery also apply here.
Plenty of tubal surgeries are performed Laparoscopically through ‘belly-button’ or ‘Band-Aid’ surgery’. This leaves only small scars on the patient’s abdomen that allows them to go home on the same day and also back to work within 3-4 days.

Benefits of Laparoscopic OVARIAN & TUBAL Surgery

  • Less scarring due to small incisions
  • Better visibility of the ovaries and tubes
  • The body tissues and organs are treated more gently during surgery.
  • Lesser bleeding during surgery
  • Minimum postoperative pain
  • Less use of narcotic drugs for postoperative pain relief
  • Shorter Hospital Stay
  • Faster recovery and return to normal activity

Steps involved in Laparascopic Ovarian & Tubal Surgery

  • Preoperative preparation includes a shave, enema, and fasting for 6 hours.
  • A general anesthesia is given.
  • A small cut or incision is made to introduce the laparoscope and other instruments.
  • The blood supply to the ovary or tube is blocked to get it freed from its supports for removal.
  • If the tube or ovary is to be saved the cyst or abnormality is removed and the tube or ovary repaired.
  • Finally, the specimen is removed and repair of the wounds is done.

laparoscopic tubal
Post-operative Recovery
A complete recovery takes at least a week or so. Assessment of recovery rate for every patient should be done individually by themselves. Although they are welcomed to stay in the hospital as much time as possible. Patients are prescribed to take analgesics for pain relief as per their request to make sure they are comfortable especially at night. Also, patients are advised to take plenty of rest and fluids along with regular exercise of calf muscles to avoid blood clots.

Risks Factors
Laparoscopies may cause a major risk of infection or bleeding in at least 3 patients per 1000. But mostly ongoing problems from any complication can minimize by early diagnosis and quick treatment.
For more information and any query related to Laparoscopic ovarian and tubal procedures visit us at Shah Hospital to consult with our specialist Gynecologists and Laparoscopic Surgeons.

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