When is ovarian removal necessary?
Ovariectomy is an operative intervention,which implies removal of the ovaries. Before deciding on the need for such a procedure, doctors take into account the age of the patient, the degree of complication of the disease and the presence of oncological processes. Particular attention is paid to the desire of women to maintain their reproductive function.
As a rule, conservative treatment is advisable only in the presence of a functional cyst. For other tumors, it is recommended to remove the ovary (one or both).
Before performing an operation, the doctor mustto conduct a histological examination, which should confirm that the tumor is not malignant, and only after that to prescribe an operation. The fact is that laparoscopic removal of the ovaries is possible with a benign tumor. If the development of a malignant process is detected, a laparotomy is prescribed with a histological examination during the operation itself.
When in the ovaries neoplasms are detected,several types of surgical intervention can be prescribed. So, the operation of cystectomy involves the removal of the cyst and the preservation of healthy tissue. In this case, the function of the ovaries is not disturbed, because they can be saved. After a certain time, the scar heals, and all processes are resumed as usual.
The higher the cyst in the ovary, the less it persistshealthy tissues and the more difficult it is to keep the possibility of its full-fledged work in the future. In this case, a wedge resection of the ovary is prescribed, during which the removal of the cyst is carried out through a cut made in the form of a wedge.
Sometimes, when there is a suspicion of developmentmalignant process, the analysis may require a healthy tissue of the second organ. In this case, a biopsy is performed: a small piece of tissue is extracted, which is necessary for examination of the ovary.
If tumors occur in women after the onset of menopause or in late reproductive age, doctors are considering the possibility of ovariectomy in several ways.
So, for today the removal of the ovariesis performed most often with the help of laparoscopy. This is a relatively simple procedure that involves a small incision in the navel area. In the normal course of the operation, the rehabilitation period takes no more than two to three days. However, in the presence of complications, these terms may increase.
After laparoscopy, a histologicalresearch (and also takes part of the tissue of a healthy ovary on a biopsy), which should show the degree of possible development of malignant processes. In the case of detection of ovarian cancer, an operation is next appointed, which will involve the removal of the uterus with appendages.
In the normal course of the operation, the rehabilitation period takes no more than two to three days. However, in the presence of complications, these terms may increase.
Sometimes, when the removal of the ovaries is carried out togetherwith the removal of the uterus, it is much safer to choose a surgical intervention that involves cutting the abdominal cavity. Of course, the recovery period in this case is longer, but when choosing this technique, there is more opportunity to explore the entire pelvic region. If it is a question of health, then there is no sense in taking care of "comfort" and "convenience".
Remember that in women who have been removedeither the uterus or the ovaries, menstruation no longer occurs. Also, after such operations, the production of estrogen decreases, which leads to tidal uptake and increased sweating. It is very hard to tolerate the body, because such failures occur without a preparatory period.