|Discussion in 'All Categories' started by Tosin Asoro - Jun 21st, 2011 11:58 am.|
|I am in my early second trimester and I have been scheduled for surgery to remove two ovarian cycts in two weeks, one is 8cm and the other is 9cm. I am really scared about the whole process because I dont want to lose my baby. Do you think I should go on with the procedure? what is the success rate of laproscopic procedures for pregnant women? My doctor told me I need to remove both cycts because my baby wont have enough space to grow.
Please kindly give me your expert advice.
re: Endometriosis during Pregnancy by Dr Sadhana - Jun 22nd, 2011 12:44 pm
|Dear Tosin Asoro
Growths of ovarian cysts aren't that unusual during pregnancy, affecting about One in 1,000 women that are pregnant. Most ovarian masses discovered during pregnancy are harmless. Ultrasound examination is a good idea in identifying if a bulk is actually harmless or cancerous, however it cannot do therefore along with 100 percent guarantee. In the event that ultrasound examination implies that the actual bulk is purely fluid-filled, with out septation or even thick walls, it is usually benign. The issue with large, even harmless, growths of ovarian cyst is that while pregnant if they may rupture or even torse. Either of these occasions results in substantial pain with regard to mother and also the possibility of miscarriage or preterm labor and shipping for that baby. Large more than 6-8cm cystic ovarian growths are usually removed operatively if they don't decrease in dimension automatically over the course of a few weeks. In pregnancy, the best time to use is in the second trimester, ideally around 14-16 weeks. From time to time, the cysts may be dealt with via laparoscopy, however large cysts often require a large, open up incision.
You can go for laparoscopic removal of this cyst. Laparoscopy will offer you faster recovery. Laparoscopy is safe also during pregnancy. We are specialized in these types of surgery and we can remove youyr ovarian cyst without opening your abdomen by entering inside with palmer's point.
There are many advantages of laparoscopy in the pregnant patient including: decreased fetal respiratory depression due to diminished postoperative narcotic requirements, lower risk of wound complications, diminished postoperative maternal hypoventilation, shorter hospital stays, and decreased risk of thromboembolic events. The improved visualization in laparoscopy may reduce the risk of uterine irritability by decreasing the need for uterine manipulation. Decreased uterine irritability results in lower rates of spontaneous abortion and preterm delivery
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