Before preparing for laparoscopy of an ovarian cyst, it is important to have an idea of the upcoming operation. So, it is considered minimally invasive. At the same time, preparing for it is necessary. As a rule, it is required to collect a lot of research results.
How to prepare
Preparation for laparoscopy of the ovaries lasts several months in some cases, when such a long wait is allowed. Not all indications for surgical intervention are delayed. The woman learns information about the causes of the disease, the process of the upcoming operation from her doctor. He always informs patients about the possible consequences.
Often, the patient independently chooses the clinic in which the operation will be performed. If this does not occur in Russia, preparation for removal of the ovarian cyst by laparoscopy will begin with contact with a medical institution. It most often responds with an invitation with data on the cost of the procedure, the timing of its implementation. By receiving such a letter it will be much easier to apply for a visa.
It is recommended that questions about the preparation for surgery for ovarian laparoscopy be asked at the first contact with representatives of the institution. Sometimes a situation occurs when part of the tests must be passed in the Russian Federation, and part - directly in a foreign clinic. If the procedure is carried out in Germany, tests are usually carried out in that country. The thing is that the Germans conduct thorough research, and their methods often differ from the Russian ones. Diagnosis in German clinics is very important. This is probably the reason for the very small number of claims in this country after completing the procedures.
The algorithm of actions will be similar when visiting Israel, a number of other European states, while Chinese medical institutions recognize some Russian research methods.
Normalization of weight
Preparation for surgery for laparoscopy of an ovarian cyst requires normalization of weight. Indeed, in the presence of obesity, such a procedure is not performed - this is considered a contraindication to it. It is often necessary to lose weight several weeks rather than days. It is best to consult a doctor with a diet. He can also recommend a set of exercises necessary for the patient. It is important to pay a lot of attention to this stage, because laparoscopy may become simply impossible due to excess fat in the abdominal region. In addition, being overweight leads to an increased risk of complications.
Admission to the hospital
An important part of preparing for an operation for laparoscopy of an ovarian cyst is admission to a hospital in compliance with all medical recommendations. While in the clinic, you need to perform gymnastic exercises. And 5 days before the procedure, you will need to take activated charcoal. For 3 days before the operation, it is best to eat liquid foods that do not provoke flatulence. This will make the operation safer. The day before it is necessary to take a shower, get rid of vegetation on the stomach and pubis.
In the evening, the day before laparoscopy, you will need to cleanse the intestines using an enema. This is especially important before surgery, as the full intestines will limit the view for doctors, and the space for action will be too small. As a rule, the patient is given sleeping pills on the evening before surgery, and doctors often prescribe antipsychotics.
Required Tests
The tests for laparoscopy of the ovaries require the following: firstly, it is necessary to examine urine, and secondly, blood. Be sure to check whether the patient is suffering from HIV, identify the Rh factor, blood type. As a rule, it is required to undergo consultations with several specialists - an endocrinologist, a therapist. If a woman is taking drugs, she needs to inform the doctors about it. An ECG examination of the heart is considered mandatory.
Gynecological examination
It is important to pre-perform gynecological examinations of the body. For example, an ultrasound of the pelvis is required. It is necessary, as a rule, to conduct colposcopy, to study the flora of the vaginal discharge. Identifying pathologies in these areas, doctors usually postpone laparoscopy of the uterus and ovaries. After this, the mandatory recovery of the body. This ensures the quality of surgical intervention, eliminates the possibility of unpleasant consequences for women, complications.
Last preparations
The last step in preparing for laparoscopy of an ovarian cyst is considered to be a clinic 3-4 days before the procedure. At this time, it is already necessary to be in a medical institution or to take care of housing rental in the immediate vicinity. As a rule, in European hospitals the prices for stays are quite high, and often Russian clients try to find housing near the clinic. Often there are hospital hotels, and also apartments are usually rented here.
Before carrying out this surgical intervention, the written consent of the patient to it is mandatory. The document is signed with a notification to the woman about what will include recovery with laparoscopy of the ovaries, what could be the consequences. It also provides information on emergency measures that will be taken if necessary.
It is necessary to adhere to a special nutrition system in the last four days before surgery. So, you can’t eat foods that lead to increased gas formation. We are talking about legumes, cabbage, eggs, apples. In no case do not drink carbonated drinks. It is worth consuming meat and dairy products in a very limited amount. The last meal before surgery is no later than 19 hours. Drinking is allowed up to 22 hours, and even after this time it is impossible.
Since laparoscopy of the ovaries with anesthesia is performed, the patient must consult with an anesthetist prior to surgery. He provides the woman with all the necessary information about what she will go through.
It must be borne in mind that laparoscopy is considered a much easier operation than abdominal surgery. At the same time, preparation for laparoscopy of the ovarian cyst should be thorough. Instructions must be followed, otherwise there are risks to face painful phenomena, complications.
The procedure is considered a type of radical therapy, and very specific indications are necessary for its implementation. The number of sick days with laparoscopy of an ovarian cyst is determined by the current state of the patient. During the surgery, the size of the cyst and its structure are taken into account.
Surgery or laparoscopy
Choosing between traditional abdominal surgery and laparoscopy, doctors take into account many factors. For example, the most important of them is the size of the neoplasm. If it is not at all large, less than 10 cm, laparoscopy is possible. Thanks to this method, the integrity of tissues is ensured; it is not required to make a large incision. The input of instruments is carried out through a small incision, and video equipment is used. All this can significantly reduce the risk of damage to nearby organs.
But this kind of intervention is never performed if there are inflammatory processes in the abdominal cavity, sepsis, and circulatory disorders. You can not carry out such an operation with myocardial infarction, hemorrhagic shock.
How is
Medical preparation for laparoscopy of an ovarian cyst is to check the equipment. After all, the surgeon will observe what is happening through the video camera. And if there are malfunctions, the risk of causing damage to nearby organs is great. Sometimes, due to technical malfunctions, doctors have to resort to abdominal surgery, and the patient’s recovery after it is much longer and harder.
Preparation for laparoscopy of ovarian cysts also consists in the introduction of anesthesia to the patient. She is common, and the woman does not feel anything in the process. Marking the area on the body, the doctor makes punctures, here he introduces a laparoscope. After supplying carbon dioxide. Thanks to this, the abdominal cavity is straightened, and access to the necessary area is opened for the doctor. Three cuts are required - one for the camera and two for the tools.
Watching the situation on the video, the surgeon removes the formation. After surgery, carbon dioxide is released, the punctures are sutured, covered with dressings. The duration of the operation is sometimes up to three hours. But as a rule, more often it does not exceed one hour.
Recovery
The recovery period after laparoscopy does not take much time. This is the main advantage of such a procedure over traditional abdominal surgery. Already in the evening, on the same day, the patient after laparoscopy can get up. By the fourth day, the pain in the area of the incisions disappears. Stitches are removed by the ninth day. Before that, they are disinfected every day using a special ointment.
For two months, a woman who has gone through this procedure is forbidden to engage in intense physical activity. You can not enter into an intimate relationship for two weeks, visit a bath, sauna, bath. Water treatments are limited to showers.
Diet
It is important to follow a special diet after laparoscopy. It is necessary to carefully draw up your diet. After the operation, after a few hours, the use of a small amount of water is allowed. It must be non-carbonated. After 8 hours, the patient is given liquid broth. During the first 24 hours, it is permissible to eat fermented milk products.
On the second day, vegetable soups with steamed cutlets are added to this menu. After surgery, you can’t eat bread, cereals, fresh fruits. The fact is that the plant fibers contained in these products can lead to flatulence. And this can be dangerous for the seams just laid. Medical recommendations for women include a complete ban on confectionery, fatty foods, spicy foods, and sour drinks.
Menstrual cycle
When preparing for ovarian laparoscopy, the patient's menstrual cycle is always taken into account. The operation is carried out only on its 7-8th day. Thanks to this, the body manages to go through rehabilitation before the next menstruation begins. Surgery in this case does not affect the cycle.
It must be taken into account that bloody events can occur after laparoscopy, but this is considered the norm. As a rule, the volume of blood loss is small, it passes after three days. It is important to monitor the hue of the discharge: if they are brown, green, a doctor’s consultation is necessary. After all, this can become a sign of an infectious lesion of the body.
Complications
And with proper recovery with laparoscopy of the ovaries, complications are sometimes observed. However, these cases are rare - only among 2% of all operations of this kind. As a rule, doctors assess the likelihood of their occurrence even before surgery. This is due to the large volume of requirements for a woman preparing for surgery.
Complications may be such. A woman may suffer from a feeling of nausea, vomiting. High body temperature, pain in the abdominal cavity can be observed.
The most serious consequences arise when surgery is performed by an inexperienced doctor. As a rule, they are manifested in damage to the pelvic organs, their specific reaction to carbon dioxide, allergies to anesthesia.
Pain
In fact, only moving away from anesthesia, the patient notes that she experiences a fairly strong pain in the ovary after the cyst has been removed from there. This is a normal consequence of surgery. As a rule, in this case, doctors give women painkillers. But when the pain does not go away for two days, this suggests that complications arose after laparoscopy. The cause of pain can be injuries to organs located next to the ovary, as well as inflammatory processes.
Reviews
Often there is a situation when it is a cystic formation in the ovaries that leads to infertility of a woman. For this reason, many patients are concerned about whether it is possible to achieve pregnancy after the tumor in the ovaries has been removed. Doctors answer this question that the chances of conception after ovarian laparoscopy increase many times. According to patient reviews, this is indeed so.
Often, women are prescribed hormonal drugs in addition to surgery. They lead to the fact that the activity of the sex glands is restored. The full course of treatment, as a rule, lasts about six months, but can be several months. Reviews about the results of such treatment are mostly positive. Once the therapy is completed, the woman is ready to plan a pregnancy.