Laparoscopic Management of Ovarian Dermoid Cyst

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Description from the Procedure
A good gynaecologist will make a small incision just below the navel. Next, a doctor will insert a laparoscope. This is a thin tube having a camera about the end. To allow the doctor to better view the organs, carbon dioxide gas will be pumped to the abdomen. The laparoscope will be accustomed to locate the cyst. Once found, the doctor can make one or two more incisions. Surgical tools is going to be inserted to get rid of the cyst. The doctor may remove tissue for testing. If cancer is found, both ovaries should be removed. When the cysts are removed, a doctor will take away the tools. The incision area will be closed with stitches or staples.

In some instances, a doctor may switch to a wide open surgery . He will create a large incision in the abdomen to do the surgery.

Laparoscopic Ovary Removal

Immediately After Procedure
After the procedure, you'll be given IV fluids and medicines while recovering.

Just how long Does it Take?
1-2 hours

Does it Hurt?
You will see pain after the surgery. Your physician will give you pain medicine.

Average Hospital Stay
You might stay overnight, or you might be able to leave a healthcare facility the same day as your surgery.

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

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

Call Your physician
Once you leave the hospital, contact your doctor if any of the following occurs:

Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
Pain that you cannot control with the medicines you have been given
Increased vaginal bleeding or discharge
Cough , difficulty breathing, chest pain
Nausea and/or vomiting that you cannot control using the medicines you were given after surgery, or which persist in excess of two days after discharge in the hospital
Headaches, muscle aches, dizziness, or general ill feeling
Constipation or abdominal swelling
Urinary difficulties
Onset of pain or swelling in one or both legs
New, unexplained symptoms


Click here to see Video Slide of Laparoscopic Surgery

Video Lectures of Prof.Dr.R.K.Mishra

Step-by step-laparoscopic operative procedure

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