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Hospital after laparoscopy ovarian cysts

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Ovarian cysts are a frequent cause of lower abdominal pain and infertility. They are of different origin and structure, but a cyst of any type at a certain stage of its development may require surgical treatment. A modern, sparing surgical method is laparoscopy of an ovarian cyst, which makes it possible to shorten the period of hospitalization and speed up the patient’s postoperative recovery.

What is an ovarian cyst

Cyst is called a rounded hollow formation on the surface of the ovary or in its thickness, resembling a bladder. Its contents and wall structure depend on the origin. Although it belongs to benign tumors, some types of cysts can be reborn with the appearance of cancer cells. This process is called malignancy.

Sometimes a similar formation occurs in ovarian cancer, when, due to central disintegration, an uneven cavity forms inside the tumor. When examining women, paraovarial cysts can also be diagnosed. The fallopian tubes are involved in their formation, and the ovarian tissue remains unchanged.

Possible types of ovarian cysts:

  1. the follicular, which is formed from a follicle that has not been erupted in the ovulatory period, sometimes there are streaks of blood in the fluid inside such a cyst,
  2. luteal, arising at the site of an ovulated follicle (in the corpus luteum), contains serous fluid and sometimes an admixture of blood from destroyed small vessels,
  3. endometrioid, which develops during the reproduction of endometrial cells outside the uterine mucosa, undergoes cyclical changes in accordance with the menstrual cycle and contains a dark thick liquid,
  4. A dermoid cyst (or mature teratoma) may contain germinal tissues or even partially formed formations (teeth, hair), forms in the place of an egg cell that has begun to develop independently and is often congenital,
  5. mucinous - is multi-chamber and contains mucus, can grow up to 40 cm in diameter.

Follicular cysts are multiple, in this case they speak of polycystic ovaries. Moreover, in each cycle, the egg does not ovulate, the follicle continues to grow and turns into a cavity under the outer membrane of the ovary. Cysts of other species are usually single.

When does pathology require treatment?

Follicular and luteal cysts are hormone-dependent and can gradually be absorbed. But if they reach large sizes and are not reversed, they must be removed. When detecting endometrial formations, conservative therapy is prescribed first. With its inefficiency and the presence of large entities, a decision is made about the operation. All other types of cysts require only surgical treatment. For infertility, the doctor may recommend removing even small tumors, after which hormone therapy is most often prescribed.

The purpose of the operation is the complete removal of the pathological formation. In women of reproductive age, they try to preserve the ovarian tissue as much as possible, performing only resection. And in postmenopause, when the sex hormones are practically not produced, the whole organ can be removed without consequences for the woman’s health.

The operation is performed by the classical method (through an incision on the anterior abdominal wall) or laparoscopic removal of an ovarian cyst is performed. In both cases, the woman goes to the hospital, most often such hospitalization is planned.

Benefits of laparoscopy

Removal of an ovarian cyst by laparoscopy is a benign procedure. All manipulations are carried out through 3 puncture of the abdominal wall. At the same time, the abdominal muscles are not dissected, the thin internal serous membrane of the abdominal cavity (peritoneum) is injured minimally, it is not necessary to manually move the internal organs away from the area of ​​operation.

All this causes the main advantages of the laparoscopic method over the classical operation:

  1. lower risk of developing subsequent adhesive disease,
  2. low probability of postoperative hernia, which may occur due to insolvency of dissected muscles of the anterior abdominal wall,
  3. small volume of surgical wounds, their rapid healing,
  4. a sparing effect on neighboring organs during surgery, which reduces the risk of postoperative intestinal hypotension,
  5. fewer limitations in the postoperative period, an earlier discharge from the hospital,
  6. the absence of deforming postoperative scars, traces of punctures can be hidden underwear.

The laparoscopic method of treatment allows a woman to return to a normal life more quickly, without being embarrassed by her appearance and not worrying about the possible development of long-term effects after surgery.

Training

Before laparoscopic surgery to remove an ovarian cyst, a woman needs to be examined, which is usually done on an outpatient basis. It includes general and biochemical blood tests, urinalysis, blood sampling for screening for hepatitis, syphilis and HIV, pelvic ultrasound, pulmonary fluorography, determination of blood group and Rh factor, vaginal smear for purity. In some cases, it is also necessary to make an ECG, examine the state of the blood coagulation system, determine the hormonal status, obtain a therapist's conclusion about the absence of contraindications for surgery. The scope of research is determined by the doctor, based on the overall clinical picture.

Before routine laparoscopy, ovarian cysts use reliable contraceptive methods. If you suspect a pregnancy, you must inform the doctor in advance.

A few days before the operation, cabbage, legumes, carbonated drinks, black bread and other products that increase gas formation in the digestive tract should be excluded from the diet. With a predisposition to flatulence, the doctor may recommend the use of sorbents and carminative drugs, often appointed by the purification of the lower intestinal tract. On the eve of the intervention, the last meal should be no later than 18:00, you can drink until 10 pm. On the day of surgery, it is forbidden to drink and eat, with a strong thirst, you can rinse your mouth and moisten lips with water.

Immediately before laparoscopy, pubic and perineal hair are shaved off, hygienic shower is taken. After that, do not apply lotions, creams or other care products to the skin of the abdomen.

How do laparoscopy

Laparoscopy for removal of an ovarian cyst is performed under general anesthesia (anesthesia). On the day of surgery, a resuscitator consults a woman to identify possible contraindications and make a final decision on the type of anesthesia. Tracheal intubation is most often used, which allows to control breathing and maintain the necessary depth of anesthesia. Before this, premedication is performed when a sedative with a hypnotic effect is administered intravenously, tranquilizers are usually used for this. Instead of such an injection, you can use mask anesthesia.

The operating table is tilted with the head end down 30º so that the intestines move towards the diaphragm and open access to the ovaries. After processing the surgical field in the navel, a puncture is made, through which the abdominal cavity is filled with carbon dioxide. This allows you to increase the distance between organs and creates space for the necessary manipulations. A laparoscope is inserted in the same hole - a special instrument with a camera and a light source. It is advanced to the pelvis, where the ovaries are located. Under the control of the video camera, in the lateral parts of the abdomen, 2 more punctures are made closer to the groin, which are necessary for the introduction of manipulators with instruments.

After a thorough examination of the ovaries and cysts, the decision is made to continue laparoscopy or the need for wide access to the abdominal cavity (which is quite rare). In the latter case, all tools are retrieved and begin the classic operation.

During laparoscopy, the doctor may perform an exfoliation of the cyst, a wedge resection (excision) of a fragment of the ovary with a cyst, or the removal of the entire ovary. The volume of surgical intervention is determined by the type of cyst and the state of the surrounding tissues. At the end of the operation, a check is carried out for the absence of bleeding, the instruments are removed, carbon dioxide is sucked away. External stitches and sterile dressings are applied to the puncture sites.

After removal of the endotracheal tube, the anesthesiologist checks the patient's breathing and its condition, and gives permission to be transferred to the ward. In most cases, the patient is not required to be placed in the intensive care unit, since the disruption of the vital organs and massive blood loss does not occur.

Postoperative period

After laparoscopy, early rising from bed is recommended. After a few hours with a stable blood pressure, it is advisable for a woman to sit, get up, and move gently around the ward. A gentle diet is prescribed, including fermented milk products, steamed vegetables and meat, soups, fish, without products with gas-forming properties.

The treatment of seams is carried out daily, the temperature of the body is controlled. The extract is made 3-5 days after the operation, but sometimes by the evening of the first day. The stitches are removed on an outpatient basis for 7-10 days. Full rehabilitation usually occurs by day 14, but the disability sheet in good condition of a woman can be closed earlier.

Stitches after laparoscopy

Possibility of pregnancy

Until the end of the current menstrual cycle, it is desirable to exclude intimate contacts, if this recommendation is not followed, contraception must be used. Pregnancy after laparoscopy of ovarian cyst may occur in the next cycle. Therefore, it is necessary to clarify with the doctor when you can cancel the protection. In case of functional cysts (luteal and follicular) and polycystic ovary, conception is most often allowed after the first menstruation, if the operation and recovery period have passed without complications. But after the removal of endometrioid cysts often follows a stage of drug treatment.

Possible complications

The most common complication after laparoscopy of an ovarian cyst is pain syndrome. Moreover, the discomfort is noted not in the area of ​​operation or puncture, but in the area of ​​the right side and right shoulder. This is due to the accumulation of carbon dioxide residue near the liver, which irritates the phrenic nerve. There may also be muscle pain, mild swelling of the lower limbs.

In the first days after laparoscopy, subcutaneous emphysema, that is, gas accumulation in the upper layers of adipose tissue, may occur. This is a consequence of a violation of the operation technique and does not pose any health hazard. Emphysema self-resolves.

In the late postoperative period, adhesive disease is occasionally formed, although the risk of its appearance after laparoscopy is significantly lower than after classical surgery.

When laparoscopy is not performed

Despite the desire of the woman, the doctor may refuse to perform laparoscopic surgery in the following cases:

  1. severe obesity (3-4 degrees)
  2. detection of stroke or myocardial infarction, decompensation of existing chronic diseases,
  3. severe disorders of hemostasis in coagulation pathology,
  4. transferred abdominal surgery less than 6 months ago
  5. suspicion of the malignant nature of the ovarian tumor (cysts),
  6. diffuse peritonitis or pronounced hematoperitoneum (accumulation of blood and abdominal cavity),
  7. shock of the woman, increasing severe blood loss,
  8. pronounced changes in the anterior abdominal wall with fistulas or purulent skin lesions.

Laparoscopic removal of an ovarian cyst is a modern and gentle surgical method. But the operation should take place after a preliminary thorough examination of the woman in the absence of contraindications to her. It must be remembered that some cysts may form again, if the predisposing factors are not eliminated. Therefore, when functional cysts necessarily conduct a dynamic study of the hormonal status and the correction of the identified violations.

Rehabilitation after laparoscopy of ovarian cysts

A situation where, during ovulation, the egg could not get out of the ovary, causes the accumulation of fluid, the appearance of a cavity - a cyst. The neoplasm can be inside and outside, provoke suppuration, hemorrhage, rupture. The operation to remove an ovarian cyst is carried out in a gentle laparoscopic manner; small sutures subsequently remain. Under general anesthesia, three small incisions are made in the anterior wall of the abdomen: the camera and instruments are passed through them. For the convenience of access to the site of surgical intervention, a special gas is pumped into the peritoneal cavity.

Recovery after laparoscopy of ovarian cysts occurs much faster than with abdominal interventions. To avoid complications, and the process was carried out actively, it is recommended:

  • maintain diet food,
  • to exercise moderately
  • take vitamins
  • adhere to the recommendations of gynecologists,
  • do physiotherapy.

What can I eat after laparoscopy

It is undesirable to eat on the day of the operation, and on the following day: they drink only water, and that without gas. Next, to restore the intestinal function, you need to eat pureed or steamed food. It is good at this time to eat soups, cereals, bananas. After a month, you can remove all restrictions. Diet after laparoscopy of ovarian cyst suggests to exclude for a while:

  • fresh vegetables, fruits - the first week,
  • flour food,
  • smoked meat
  • salty, spicy.

What kind of discharge after laparoscopy is considered normal

In the recovery stage after laparoscopy, ovarian cysts in patients may appear discharge. The first days they are bloody, a small amount - this is considered normal. For the next two weeks, clear mucus is possible. Sometimes there is scant bloody discharge. It should take care and consult a doctor when:

  • heavy bleeding,
  • discharge whitish, yellowish.

What to do if stomach pains after laparoscopy

Pain is often accompanied by recovery after laparoscopy of ovarian cysts. They are localized in the area of ​​sutures, the middle part of the abdomen, lasting several days - up to a week. To reduce it, it is recommended to take painkillers, not to make sudden movements, to rest. Due to the gas filling the peritoneum during surgery, pressure on the diaphragm occurs. This causes pain after laparoscopy of the ovarian cyst muscles of the body, aching in the back, neck. To cope with them, you need to actively move, walk. Drugs in this situation are useless.

On which day the stitches are removed after laparoscopy

When laparoscopic surgery is performed, the patient can get up after 3 hours. It is recommended to start moving right away, but everything should happen smoothly. The seams should be treated every day during the week with disinfectants, if necessary, to carry out drainage. They fully heal in about eight days. A woman at this time often gets to work, but must come to the hospital to remove the stitches. Scars after laparoscopy very quickly become invisible. So they look at the photo at discharge from the hospital - two below, and the third in the navel.

How much to stay in the hospital after laparoscopy

If laparoscopic surgery was successful, without complications, discharge the patient on the third day. More often it occurs on the fifth, and then prolong the hospital even to ten. During this period, treatment ends and the body begins to recover after laparoscopy of an ovarian cyst. To ensure that recovery takes place more actively upon discharge from the hospital, it is advisable to adhere to the recommendations:

  • you can not take a month bath, bathe in the bath,
  • sex after laparoscopy is allowed only after 4 weeks (early pregnancy is not welcome),
  • limit physical activity for 30 days,
  • not to travel during this period,
  • 3 months can not be lifted
  • water treatments to take in the shower.

When menstruation begins after laparoscopy ovarian cysts

In case of successful removal of the cyst, the menstrual periods begin at the appropriate time, which increases the chances of getting pregnant. This is not always the case, everything is very individual. Patient reviews indicate that two cycles may be missed. With a longer delay, you should visit specialists. There is a possibility of changing the duration and nature of the menstruation - this is normal, do not worry. Danger is represented by plentiful and long periods.

When to plan a pregnancy after laparoscopy

Your plans to get pregnant, it is desirable to carry out six months after laparoscopy, when there is a recovery of the body. It is necessary to hold some activities to guarantee the occurrence of pregnancy:

  • пить три месяца фолиевую кислоту,
  • обоим партнерам отказаться от курения, алкоголя,
  • избегать стрессов,
  • кушать здоровую пищу с витаминами,
  • много двигаться,
  • наблюдаться у гинеколога,
  • сдать анализы,
  • исключить половые инфекции,
  • обследоваться на УЗИ,
  • пройти консультацию генетика,
  • планировать зачатие в дни овуляции.

The period after surgery laparoscopy ovarian cysts

Abdominal surgery to remove an ovarian cyst is performed in extreme cases, when the tumor is of enormous size, a high rate of growth of compaction and when its degeneration into a malignant neoplasm has been confirmed. Preparation for surgery includes a lot of laboratory research, and the postoperative period is fraught with complications and long-term recovery of the body. Today, medicine offers an alternative method of surgical intervention - laparoscopy, which, unlike standard surgery, leaves barely noticeable traces on the body and contributes to the speedy recovery of the patient during the rehabilitation period.

You should carefully consider the recommendations that give doctors after laparoscopy of the appendages.

Contraindications

Despite how many advantages laparoscopy has of an ovarian cyst before abdominal surgery, there are some contraindications for its implementation:

  • Grade 3–4 obesity
  • commissural diseases in the organs of the peritoneum and small pelvis,
  • oncological diagnosis of the reproductive system
  • recent treatment of viral and infectious diseases (from cold to cystitis).

Stages of operation

Laparoscopy of an ovarian cyst is performed under general anesthesia, and the technology for its implementation includes the following steps:

  1. Anesthesia and urinary catheter installation.
  2. Disinfection of the skin surface and making 3 incisions for insertion into the abdominal cavity of the laparoscope and surgical instruments.
  3. After the medical equipment is near the diseased organ, filling of the peritoneum with air begins to clear the viewing space for the optical chamber.
  4. After carefully examining the organ, the surgeon incises the tissue of the ovary and sucks the fluid that fills the cyst.
  5. In order to avoid the occurrence of adhesions, excess epithelium is sutured or removed, depending on how much excess tissue is present.
  6. Next, remove all devices and sucked air.
  7. Put stitches on the 2nd incision, and in the 3rd insert the drainage tube.

In general, ovarian cyst laparoscopy lasts from 20 minutes to 1 hour - it depends on the size of the cyst and the course of the operation itself.

How long does restorative treatment continue after laparoscopy of ovarian cysts?

Usually, the hospital postoperative rehabilitation period in the conditions of a hospital lasts for the 1st working week, sometimes with the seizure of days off. The total period of complete recovery of the body has a monthly duration, during which it is necessary to carry out all medical recommendations, without overloading yourself either physically or psychologically.

On the 1st day after laparoscopy of ovarian cysts residual effects are observed after the anesthesia has been performed. These are drowsiness, weakness, fever, and also discomfort in the organs of the gastrointestinal tract (nausea, vomiting) and nasopharynx (unpleasant sensations left by the anesthesia tube). The 1st hospital postoperative day ends with significant success of young patients in self-care within the limits of possible functions: toilet, food, hygienic procedures. Broth and plain water should be present in the diet.

The next 2-3 days after laparoscopy of the ovarian cyst, the woman feels the effects of air pressure on the diaphragm - pain in the cervical-collar area and shoulders. Possible bloody discharge from the vagina, which is also the norm. General weakness, a slight increase in body temperature and pain in places where sutures are applied - this symptom lasts 4-5 days maximum. Treatment with drugs during this period includes antibiotics, antispasmodic and fortified drugs.

The patient's nutrition in the postoperative period should consist of a variety of foods. Starting from the 2nd day after laparoscopy of ovarian cysts, you can eat white bread and viscous liquid dishes: broth, jelly. The increase in the amount of food consumed must be made with the inclusion of boiled, lean products that are desirable to be steamed.

The stitches and drainage are usually removed at 4-5 days against the background of positive dynamics in the general condition of the patient. After satisfactory results of a control ultrasound, a woman is discharged for outpatient treatment with recommendations for taking hormonal and contraceptive drugs.

Symptoms of complications after laparoscopy of ovarian cysts requiring immediate medical care

Surgery to remove an ovarian cyst is a complex procedure that requires strict adherence to the requirements of a doctor in the postoperative period. Despite the fact that laparoscopy gives a woman more benefits than abdominal surgery to remove an ovarian cyst, complications can still occur after it. These include:

  • severe pain, not disappearing more than 1 week,
  • hyperemia of the skin around the seams,
  • non-menstrual bleeding,
  • increase in body temperature to 38–38.5 C,
  • strong growing weakness
  • manifestations of stomach discomfort: nausea, vomiting, diarrhea.

In the event of these warning signs, you should immediately consult a doctor, since any delay can cost not only health, but also life. Take care of your health!

How to recover quickly after laparoscopy of ovarian cysts

Ovarian cyst is a dangerous disease for the woman's body and reproductive function. If a cyst reaches a large size and there is a risk of rupture, it is promptly removed. Proper recovery after laparoscopy of ovarian cysts is very important, because after any surgery there is a risk of complications.

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Laparoscopy of ovarian cysts in the postoperative period is an important topic which we will discuss in this article. Consider the possible complications and what measures need to be taken in their case.

Is Laparoscopy Dangerous?

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The operation using laparoscopy is performed using an endoscope equipped with an optical system. Among the advantages of this method, one can single out a low degree of trauma (small punctures are made), as a rule, a quick recovery of the patient after surgery, a short hospital stay, a small blood loss.

Scars become almost invisible, usually resolving in a couple of months. Abdominal surgery to remove an ovarian cyst is a much less gentle way to remove a cyst, recovery after it will take longer, but among the advantages it can be noted that with such an operation, the doctor can better examine the diseased organ.

Monthly after laparoscopy ovarian cysts

The onset of menstruation, according to medical practice, occurs in most patients within the prescribed period and there is usually no menstrual disorder. Sometimes, after laparoscopy, ovarian cyst in patients has an irregular menstruation, which can begin with a delay or vice versa ahead of time.

Such violations are associated with many factors, such as the qualifications of the doctor who performed the operation, the characteristics of the woman’s body, age data, weakened immunity, stress experienced during the operation, etc. In this case, it is very important to pay attention to the processes occurring in the body, the symptoms and the nature of the discharge and to consult a doctor. The attending physician prescribes in such cases the intake of drugs that strengthen the immune system and vitamins.

For the treatment of patients who have no menstruation for six months or more, prescribed hormones. After laparoscopy, ovulation reappears and pregnancy is possible, as a rule, in six months or a year. If ovulation does not recover over several cycles, consult a doctor, you will most likely need to resort to media-based treatment.

Treatment after laparoscopy

Treatment after removal of an ovarian cyst is aimed at neutralizing the risk of developing an inflammatory process and therefore, antibiotics must be taken. Despite slight tissue damage after laparoscopy, the likelihood of infection still exists. Also required is the intake of fortified drugs, hormonal drugs for individual indications as well as physical therapy.

After the laparoscopic operation of the ovarian cyst, the patient should be in a supine position for a certain time with a state of rest. In this regard, thrombosis can sometimes be provoked. To eliminate it prescribe chemicals and drugs that inhibit the activity of the blood coagulation system and prevent the formation of blood clots. Also help compression stockings, which are mandatory before the operation and worn in the postoperative period.

What to eat during the recovery period

After laparoscopy due to the inactive mode and as a result of medication, discomfort in the intestine, digestive problems and constipation are possible. Therefore, with proper nutrition, rehabilitation will be faster. On the first day, if the state allows and there is appetite, then it is necessary to use a weak broth. An increase in the amount of food consumed is mandatory with the introduction into the diet of boiled, lean dishes that are recommended to be steamed.

In the first week after laparoscopy, you can eat cereals, soups, beef, low-fat chicken cutlets, steamed. In the first month it is necessary to eat vegetables (baked and stewed), fish, lean meat. Food in the postoperative periods should be correct and consumed in small portions, then digestive problems can be avoided and the body’s working capacity can be restored. Approximately 3 months you need to completely eliminate alcohol, sweets, fried and fatty foods, chocolate, coffee and strong tea.

Consequences after ovarian cyst surgery

In the case when laparoscopy is performed by a qualified specialist, the development of complications is insignificant. But the probability of 100% should not be excluded. Among the probable problems are such as: bleeding after laparoscopy, vascular damage, thrombophlebitis, damage to nearby organs, infectious disease of the abdominal cavity, infertility, recurrence of a cyst.

It should also be noted that complications after laparoscopy of ovarian cysts are individual and depend on certain factors, such as pregnancy, abortion, hormonal failure, overweight, chronic diseases, alcohol or drug abuse, smoking, hypothermia, non-compliance with medical recommendations. The reappearance of ovarian cysts refers to postoperative complications and occurs quite often.

A cyst after laparoscopy may recur due to the hormonal disorders and risk factors described above. After laparoscopy, the doctor may prescribe the necessary course of drugs that stimulate the production of male hormones (very often such methods of treatment are used after the removal of an endometrioid cyst). To prevent recurrence of a cyst, be sure to follow the recommendations of the doctor, do not neglect the prescribed treatment, be sure to periodically visit the gynecologist, eat properly and avoid stress.

Ovarian adhesions - possible risk of infertility

In the context of postoperative complications, the prevention of so-called adhesions is very important. Adhesions are a pathology due to prolonged inflammatory processes, operations, endometriosis. representing the fusion of tissue in places of inflammation. If the incipient postoperative inflammation in a woman is not treated on time, it develops into a chronic one, as a result, the adhesive process of tissue fusion in the female genital organs occurs. Women often suffer from persistent lower abdominal pain that cannot be treated with painkillers, as they are caused by anatomical disorders. Among the consequences of the disease are such as the excesses of the fallopian tube, the difficulty of fertilization and ectopic pregnancies, infertility.

Symptoms of complications requiring immediate medical attention

Recovery after removal of an ovarian cyst lasts an average of one month. The recovery period is much better than open cavity operations. During the entire period of postoperative rehabilitation, carefully monitor your body. Among the symptoms requiring emergency medical care, select the following:

  • severe pain after laparoscopy of ovarian cysts. not disappearing a week after surgery.
  • pronounced redness of the skin around the seams,
  • uterine bleeding,
  • dark color, having an unpleasant smell,
  • increased body temperature to 38–38.5 C,
  • growing weakness
  • stomach discomfort: nausea, vomiting, diarrhea.

The occurrence of at least one or several of the listed symptoms may indicate serious postoperative complications in the body, so consult a doctor immediately.

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The period of rehabilitation after surgery for an ovarian cyst

How many are in the hospital after the removal of ovarian cysts? It should immediately be said that the cases are different and all individually. The post-operative period after removal takes up to one week. It must be understood that an ovarian cyst is a benign growth that is subject to an operation only with a possible transition to a dangerous form or a strong increase. It represents a cavity (capsule) filled with liquid. Surgical intervention is performed only when a negative trend is detected, for example, when pressure is applied to organs or hormonal disruptions in the body.

What ovarian cyst has indications to remove

Depending on the type of cyst and its condition, the doctor decides on the surgical treatment, that is, the removal of the formation. Unconditionally, operative treatment is prescribed when a diagnosis is made of an endometrioma, teratoma, and a true ovarian cyst.

Perhaps a conservative treatment of follicular and luteal cysts. But when a course of hormones and medications does not give a positive dynamic over 3-4 menstrual cycles, the removal of a neoplasm is recommended. Since, if the formation does not stop its growth, there is a risk of a capsule rupture, bleeding, necrosis, and even transformation into a malignant tumor.

Methods and methods for removal of ovarian cyst

In modern conditions, an operation to remove an ovarian cyst can be performed:

  • in the traditional way - laparotomically, with a full intracavitary surgery in the abdominal cavity,
  • modern low-traumatic method - laparoscopically, using endoscopic equipment.

Based on the diagnosis, the stage of development of the cyst, the state of the surrounding tissues of the organ affected by the cyst, the following methods of cyst removal on the ovary are distinguished:

  • Cystectomy - removal, while not affecting the ovary and its tissues,
  • Resection together with the surrounding formation of the affected tissue.
  • Ovariectomy and adnexectomy - complete removal of the organ affected by the formations, often with appendages.

The choice of the removal method is determined by the doctor on the basis of the patient's health indicators, the type and extent of the growth of the education, the possibility of postoperative complications, on which the patient's stay in the hospital will depend.

The duration of stay in the hospital

The most frequent question asked by women about surgical treatment: after cutting out an ovarian cyst, how much should it be in the hospital? To perform an operation to remove an ovarian cyst, a woman enters the hospital one day before the scheduled date. During this period, a preparatory stage is carried out with a restriction in food and drink, with appropriate hygienic procedures and bowel cleansing.

On the day after surgery, the patient observes a strict bed rest: time is given for the body to come out of anesthesia, it is possible to use painkillers. Also prescribed hormone therapy, vitamins and immunostimulants. When a traditional operation with intracavitary dissection and suturing of peritoneal tissue is performed, a catheter may be needed to remove urine.

In most cases, after removal by the laparoscopic method, a long hospital stay is not required. If health allows, and the doctor allows, then you can return home a day after surgery (in the evening) or tomorrow. But, as a rule, it will take from 3 to 7 days to stay in the hospital.

Independently rise out of bed and walk slowly should be the next day after surgery. Это улучшает работу кишечника, быстрее приводит в норму функции яичников и улучшает кровоснабжение других органов малого таза.

При лапароскопии кисты яичника маленькие послеоперационные швы рассасываются сами и очень быстро. После проведения традиционного внутриполостного хирургического вмешательства не рекомендуется принимать водные процедуры, нужно дождаться снятия швов. Обычно их снимают через 7-10 дней.

Обратите внимание: In the first month after the operation (of any kind), active exercise and weight lifting are strictly prohibited. With laparoscopy, the rehabilitation period with the subsequent return to a full life is up to three weeks, with laparotomy - 1-1.5 months. Postoperative complications can prolong the time of full restoration of the vital activity of the organism.

The limitations recommended by doctors in the rehabilitation period are observance of the diet (only semi-liquid food) and sexual behavior.

Possible negative effects and complications of removal

Postoperative negative effects are possible when a secondary infection joins during the operation or healing period. In such cases, additional antibiotic treatment is prescribed. With laparoscopy, it is quite rare, but negative effects from the introduction of gas into the abdominal cavity are possible. When intracavitary surgery there are always fears of adhesions in the fallopian tubes, and this can provoke an ectopic pregnancy, and even infertility.

There is the likelihood of seams and bleeding. Their risk is much higher if the operated patient has overweight, obesity, or a bleeding disorder. There are individual body reactions to anesthesia. After removal of teratoma, its re-development is possible.

Here are some signs of complications that may manifest to some extent after the surgical treatment of an ovarian cyst:

  • chills, fever, as signs of infection and inflammation,
  • prolonged, continuous vaginal bleeding,
  • pain in the area of ​​stitches
  • vomiting, nausea,
  • swelling and redness of the seams, weeping bandage,
  • pain extending to the leg.

Do not ignore such symptoms, even if you do not see all of them. The sooner you go to the doctor with complaints, the sooner the complications and their causes will be eliminated.

When one ovary is removed along with a cyst, proper rehabilitation and full-fledged work of the second ovary, the woman does not lose her reproductive functions. Restoration of the possibility of conception after surgery occurs within a few months. As a rule, if a woman is in childbearing age, the surgeon tries, if possible, to preserve the tissues of the organ, the ovary itself, and especially the uterus. And even with the removal of both ovaries and diagnosis - infertility, the birth of a healthy child is possible through in vitro fertilization. Planning a pregnancy after surgical treatment should be based on the recommendations and prescriptions of specialized specialists, and after four to five months.

Seam Care Recommendations

For the fastest healing and subsequent resorption of sutures, it is recommended:

  • Before removing the suture material, avoid contact of the incision sites with water.
  • On the first day, suture treatment with a five percent solution of potassium permanganate or iodine.
  • After removal of the suture material and tightening of the sutures, treatment with special agents for resorption of keloids is recommended.

Rehabilitation after laparoscopic removal of ovarian cysts

Laparoscopic surgery is very popular because of its small trauma. However, after them, as well as after any other surgical interventions, the body needs time to recover.

Recovery after laparoscopy of an ovarian cyst is quite easy. The day after the operation, the woman leaves the walls of the medical clinic, after 3-5 days the pain stops bothering her. The stitches heal for about two weeks, after which the patient returns to her normal life.

Recovery after surgery may take up to 1 month. The duration of rehabilitation depends on:

  • Age and health status of women.
  • The complexity of the operation.
  • The size and number of cysts removed.

Ovarian cyst - effects after surgery

If the operation is done professionally, then the risk of recurrence of a cyst or the formation of another complication is not great, but exists. May occur:

  • Vaginal hemorrhage.
  • Hemorrhages and hematomas due to vascular damage during cyst removal.
  • Blood clots
  • Infection or inflammation of the tissues of the pelvic organs.
  • Relapse of pathology.
  • Infertility.

Each of the symptoms is individual, its occurrence depends on the process of the operation and on the characteristics of the organism. The most favorable complete absence of complications after removal of ovarian cysts. Provocateurs can make:

  • The use of alcohol and drugs, smoking.
  • Current pregnancy, hormonal disorders, abortions.
  • Excess weight.
  • Various chronic diseases.

Relapse is rare. The doctor prescribes additional medications to help treat and protect against complications after the removal of an ovarian cyst. Diet, visits to the gynecologist will also help to avoid.

Spikes - a chance of infertility

Among other complications after laparoscopy, ovarian cysts, the worst - adhesions - special pathologies arising from the too long process of inflammation. It may become chronic, causing inflamed tissues to grow together. This pathology is considered anatomical and is not treated with drugs. The consequences of the removal of an ovarian cyst, and then a new lesion, may be changes in the pelvic organs, resulting in infertility.

Symptoms for which you need to consult a doctor

The body is rehabilitated one month after surgery. The process is painless, but you need to monitor the body. There are several situations in which you may need to call an ambulance or a hospital visit:

  • Severe pain after laparoscopy of ovarian cysts in the pelvic organs after 7-10 days after removal of the ovarian cyst.
  • Allergic symptoms: redness, itching.
  • Severe hemorrhage or liquid discharge of dark shades with a characteristic odor.
  • Excessive body temperature after laparoscopy of an ovarian cyst (38 degrees or more) over several days.
  • General weakness.
  • Improper functioning of the digestive tract: nausea, loose stools.

The manifestation of one of the symptoms indicates the appearance of a complication that needs to be resolved.

Recovery after removal of an ovarian cyst requires some strength and takes a long time. Being in the hospital, after laparoscopy, and then at the hospital at home, be sure to maintain good health.

What can you eat

It is undesirable to eat on the day of the operation, and on the following day: they drink only water, and that without gas. Next, to restore the intestinal function, you need to eat pureed or steamed food. It is good at this time to eat soups, cereals, bananas. After a month, you can remove all restrictions. Diet after laparoscopy suggests eliminating for a while:

  • fresh vegetables, fruits - the first week,
  • flour food,
  • smoked meat
  • salty, spicy.

What secretions are considered normal

In the recovery stage after laparoscopy, ovarian cysts in patients may appear discharge. The first days they are bloody, a small amount - this is considered normal. For the next two weeks, clear mucus is possible. Sometimes there is scant bloody discharge. It should take care and consult a doctor when:

  • heavy bleeding,
  • discharge whitish, yellowish.

What to do if your stomach hurts

Pains often accompany recovery. They are localized in the area of ​​sutures, the middle part of the abdomen, lasting several days - up to a week. To reduce it, it is recommended to take painkillers, not to make sudden movements, to rest. Due to the gas filling the peritoneum during surgery, pressure on the diaphragm occurs. It causes pains in the muscles of the body, pain in the back, neck. To cope with them, you need to actively move, walk. Drugs in this situation are useless.

How much to stay in the hospital

If laparoscopic surgery was successful, without complications, discharge the patient on the third day. More often it occurs on the fifth, and then prolong the hospital even to ten. During this period, treatment ends and the body begins to recover after laparoscopy of an ovarian cyst. To ensure that recovery takes place more actively upon discharge from the hospital, it is advisable to adhere to the recommendations:

  • you can not take a month bath, bathe in the bath,
  • sex after laparoscopy is allowed only after 4 weeks (early pregnancy is not welcome),
  • limit physical activity for 30 days,
  • not to travel during this period,
  • 3 months can not be lifted
  • water treatments to take in the shower.

When do monthly periods begin?

In case of successful removal of the cyst, the menstrual periods begin at the appropriate time, which increases the chances of getting pregnant. This is not always the case, everything is very individual. Patient reviews indicate that two cycles may be missed. With a longer delay, you should visit specialists. There is a possibility of changing the duration and nature of the menstruation - this is normal, do not worry. Danger is represented by plentiful and long periods.

Recovery period

A cyst is a cavity in the ovary that contains fluid (a secondary fluid that must be excreted in the urine). The cyst itself is not as dangerous as the substances that are inside it. They should be removed, because with a long stay inside the body, they begin to decompose.

Recovery features depends on the age of the woman, the type of surgery and the drugs that were used during the treatment.

Consider the most common complications that occur after laparoscopy.

Laparoscopy - this is a minimally invasive surgery, which the patient is practically not injured. Recovery after cyst removal by this method is extremely short and does not cause discomfort.

Reactions observed after this operation:

  • chills,
  • increased body temperature
  • vomiting and nausea
  • inflammation,
  • tremor,
  • fever.

It should be said that these effects were observed only in 2% of all patients and were easily eliminated with the help of vitamin complexes and physiotherapy.

As a rule, after one and a half weeks you can completely remove the stitches, and after two weeks you can return to your normal life.

After operation

When the anesthetic (anesthetic) ceases to act, there are:

  • dizziness,
  • feeling of "wadded legs",
  • lack of appetite,
  • pain at the surgical site
  • depressed mood
  • thirst,
  • drowsiness.

The main thing at this stage is rest.

Laparoscopy of the ovaries - definition and general characteristics of the operation

The term "ovarian laparoscopy" refers to several operations on the ovaries produced by the laparoscopic method. That is, ovarian laparoscopy is nothing more than surgical operations on this organ, for the production of which the method of laparoscopy is used. To understand the essence of laparoscopy, you need to know what is the usual technique and methods of conducting surgical operations on the organs of the abdominal cavity and small pelvis.

So, the usual operation on the ovaries is performed as follows - the surgeon cuts the skin and muscles, spreads them to the sides and through the hole made by the eye sees the organ. Then, through this incision, the surgeon removes the affected tissues of the ovary in various ways, for example, heals a cyst, burns the foci of endometriosis with an electrode, removes part of the ovary along with the tumor, etc. After the removal of the affected tissues is completed, the doctor sanitizes (treats) the pelvic cavity with special solutions (for example, Dioxidin, Chlorhexidine, etc.) and sutures the wound. All operations performed with this traditional incision in the abdomen are called laparotomy, or laparotomy. The word "laparotomy" is formed from two morphemes - lapar (abdomen) and thomium (incision), respectively, its literal meaning is "cutting the abdomen."

The laparoscopic operation on the ovaries, unlike the laparotomy, is performed not through the abdominal incision, but through three small holes with a diameter of 0.5 to 1 cm, which are made on the anterior abdominal wall. The surgeon inserts three manipulators into these openings, one of which is equipped with a camera and a flashlight, and the other two are designed to hold instruments and remove the cut tissue from the abdominal cavity. Next, focusing on the image obtained from the video camera, the doctor performs two other manipulators to perform the necessary operation, for example, heals a cyst, removes the tumor, cauterizes the foci of endometriosis or polycystic, and so on. After completion of the operation, the doctor removes the manipulators from the abdominal cavity and sews or seals three holes on the surface of the anterior abdominal wall.

Thus, the entire course, the essence and the set of operations on the ovaries are exactly the same as in laparoscopy and in laparotomy. Therefore, the difference between laparoscopy from the usual operation is only in the way of access to the abdominal organs. During laparoscopy, access to the ovaries is performed using three small openings, and during laparoscopy, through an incision on the abdomen 10–15 cm long. However, since laparoscopy is much less traumatic than laparotomy, there are currently a lot of gynecological operations on various organs, including the number of ovaries produced by just this method.

This means that the indications for laparoscopy production (as well as for laparotomy) are any ovarian diseases that cannot be cured conservatively. However, due to low morbidity, laparoscopy is used not only for the surgical treatment of the ovaries, but also for the diagnosis of various diseases that are difficult to recognize using other modern examination methods (ultrasound, hysteroscopy, hysterosalpingography, etc.), because the doctor can examine organ from the inside and, if necessary, take tissue samples for subsequent histological examination (biopsy).

Laparoscopy of a cyst or cystoma (benign neoplasm) of the ovaries

The following laparoscopic operations can be performed to remove a cyst or ovarian cystoma:

  • Ovarian resection (removal of the part of the ovary on which the cyst or cystoma was found)
  • Adnexectomy (removal of the entire ovary with a cyst or cystoma),
  • Cystectomy (husking cysts with preservation of the entire ovary).

For ovarian cysts, cystectomy is most often used, during which only the contents and the capsule of the formation are removed, while the entire ovary remains intact. In ovarian cystomas, all three operations can be applied, depending on how strongly the tissues of the organs are affected. However, all these operations in everyday life are simply called laparoscopy of ovarian cysts, which is quite convenient because it allows you to specify the organ and pathology, for which surgery was performed, as well as the type of surgical access (laparoscopic). In the following, we consider all three variants of operations used for cysts or ovarian cystomas.

The operation of cystectomy is as follows:
1. After inserting the manipulators into the pelvic cavity with a biopsy forceps, the doctor grabs the ovary.
2. Then gently incise the ovarian tissue just below the border on which the capsule of the cyst or cystoma is located. After that, the blunt end of the scissors or forceps separates the tumor capsule from the underlying ovarian tissue, similar to how skin is removed from the chicken.
3. The husked cyst is placed in a container that looks like a plastic bag.
4. Scissors cut the wall of the cyst or cystoma.
5. The edges of the incision are stretched to remove the contents of the cyst or cystoma.
6. Then inside the container, first release the contents of the cyst, and then pull out its capsule out through one of the manipulators.
7. After removing the cyst with electrodes, the vessels on the surface of the ovary are cauterized to stop bleeding.
8. When the blood stops, an antiseptic solution is poured into the pelvic cavity, for example, Dioxidine, Chlorhexidine or another, so that it rinses all organs well, and then sucks it back.
9. Take out the manipulators from the wound and impose 1 - 2 seams on each incision.

In most cases, cystectomy can successfully remove a neoplasm, leaving the woman with a complete and functioning ovary.

Resection of the ovary is performed in cases where the part of the organ is permanently affected and only a pathological neoplasm cannot be removed. In this case, after the introduction of the manipulators, the ovary is captured with forceps and scissors, a needle electrode or a laser, and the affected part is cut off. The removed tissues are pulled out through the hole in the manipulator tube, and the incision of the ovary is cauterized with electrodes to stop the bleeding.

Removal of the ovary during laparoscopy

Ovarian removal during laparoscopy may be performed during ovariectomy or adnexectomy.

Ovariectomy is an operation to remove the ovary, which is resorted to in cases where the entire organ is affected, and its tissues can no longer recover and perform the necessary functions. To perform oophorectomy after the introduction of the manipulators, the ovary is grasped with forceps and the ligaments holding the organ in its position are cut off with scissors. Then the mesentery of the ovary is cut through, in which the blood vessels and nerves of the organ pass. After transection of each ligament and mesentery, cauterization of blood vessels is performed in order to stop the bleeding. Когда яичник окажется освобожден от связи с другими органами, его вынимают наружу через отверстие в манипуляторе.

Аднексэктомия представляет собой удаление яичников вместе с маточными трубами. According to the principles of implementation, it does not differ from oophorectomy, but is used in cases when not only the ovaries are affected, but also the fallopian tubes. As a rule, such situations develop in severe chronic inflammatory diseases of the pelvic organs, when a woman has adnexitis, salpingitis, hydrosalpinx, etc.

Laparoscopy for adhesions, ovarian apoplexy and twist the legs of the cyst

During adhesions, the doctor during their laparoscopy makes their separation, carefully cutting them with scissors and, thus, releasing organs and tissues from adhesions with each other.

Ovarian apoplexy is a profuse hemorrhage in the follicle, from which an egg has recently come out. During apoplexy during laparoscopy, the doctor opens the cavity of the follicle, sucks blood, after which either cauterizes the bleeding blood vessels or removes the damaged part of the ovary.

Torsion of a cyst stem is a severe pathology, in which the long and narrow portion of the cystic formation twists around the ovary or fallopian tubes. If a similar pathology occurs during laparoscopy, it is often necessary to completely remove both the ovary and the fallopian tube together with the cyst, since it is not possible to separate them. Sometimes, when the legs of a cyst are not completely twisted against the background of a healthy and relatively unaffected ovary, organs are unwound, restoration of impaired blood flow and exfoliation of the cystic mass.

General indications and contraindications for laparoscopy of the ovaries

In a planned manner, laparoscopy of the ovaries is shown under the following conditions:

  • Infertility of unclear genesis,
  • Suspected tumors, cysts or endometriosis,
  • Chronic pelvic pain syndrome that is not amenable to conservative treatment.

Urgent laparoscopy of the ovaries is shown in the following situations:
  • Suspected ovarian apoplexy,
  • Suspicion of twisting cyst legs,
  • Suspected rupture of a cyst or cystoma,
  • Acute adnexitis that cannot be treated with antibiotics for 12 to 48 hours.

Contraindications to laparoscopy are basically exactly the same as for any conventional operation, due to the same possible complications associated with anesthesia and being in a forced position.

So, laparoscopy is contraindicated in the following conditions:

  • Decompensated diseases of the respiratory or cardiovascular systems,
  • Hemophilia,
  • Severe hemorrhagic diathesis,
  • Acute renal or hepatic impairment,
  • Severe chronic liver or kidney failure,
  • Endured acute infectious diseases less than 6 weeks ago,
  • Active subacute or chronic inflammation of the fallopian tubes or ovaries (inflammatory process should be cured before performing laparoscopy),
  • III — IV degrees of purity of a vagina.

Indications for surgery

What are the criteria for choosing a type of surgical treatment for an ovarian cyst - laparotomy or laparoscopy?

Laparoscopy of an ovarian cyst has basically the same indications as abdominal surgery, it is distinguished only by the method of access to the affected ovaries. Although there are certain limitations.

The indications for the appointment of planned laparoscopic surgery are:

  • ineffectiveness of therapeutic methods in the treatment of cysts,
  • dermoid, paraovarial cyst, endometrioid and mucinous formation,
  • large sizes of cystic structure and its rapid progression (growth),
  • signs indicating a high probability of suppuration, necrosis, rupture of the capsule, twisting the legs,
  • inflammatory process, ovarian deformity,
  • displacement of the uterus, compression of the fallopian tubes, ureters, intestines, bladder,
  • risk of malignant cell degeneration (malignancy).

Advantages and disadvantages of the method

Laparoscopy of the ovaries has significant advantages over manipulations, which are carried out for access to the sex glands during laparotomy. These advantages include the following features:

  • significantly less injury to the tissues, since the incisions during laparoscopy are 10 times smaller than during laparotomy,
  • multiple optical magnification on the screen of the operation objects, which allows the surgeon to perform more precise and careful manipulations,
  • low probability of postoperative adhesions, because during laparoscopy of ovarian cysts the organs are almost not shifted,
  • slight blood loss
  • low risk of surgical infection, since the glove glands are not covered by gloves, tampons, or even air,
  • rare development of postoperative inflammation,
  • short postoperative period,
  • pain during the rehabilitation period is minimized,
  • the possibility of divergence of seams is excluded,
  • high cosmetic efficiency, since the scars after tightening the incisions are very small and almost imperceptible,
  • short recovery period before a new pregnancy,
  • the possibility of carrying out diagnostic studies simultaneously with excision of a cyst, since the physician is able to study the organ and cyst more thoroughly with a video camera, take a fragment of tissue for histology,
  • the possibility of parallel surgical treatment of polycystic ovaries, giving a woman the opportunity to conceive a child.

Among the disadvantages of laparoscopy note:

  • the need for general anesthesia, which, like in other operations performed under general anesthesia, is fraught with certain complications,
  • the presence of specially trained medical personnel
  • complex and expensive equipment, which is not always available in regional hospitals,
  • the inability to carry out certain surgical procedures for large cysts, simultaneous removal of the ovaries and the uterus during oncology, the need for suturing of large vessels.

Preliminary studies and analyzes

Ovarian laparoscopy is done after preliminary instrumental and laboratory tests, including:

  • traditional gynecological examination,
  • blood tests, general urine, for blood group and rhesus factor,
  • research on blood clotting (coagulogram),
  • blood biochemistry (sugar, protein, bilirubin),
  • blood for infection with hepatitis B, C, syphilis, HIV,
  • gynecological smears,
  • Ultrasound of the uterus with appendages, ovaries, bladder,
  • electrocardiography and fluorography,
  • check for blood levels of markers (protein complexes), indicating a possible development of oncology.

Features of laparoscopy

It is important for many patients to know on which day of the cycle they do laparoscopy, how it goes, how long the operation to remove an ovarian cyst lasts, whether anesthesia is performed.

Doctors believe that the most optimal time for an operation using laparoscopy of an ovarian cyst is the first phase of the menstrual cycle, better on day 6-7 after the end of the bleeding.

If the surgeon does not face complications, oncology, then the average duration of the surgical intervention is from 40 to 90 minutes. The duration is related to the size of the cyst to be removed, the volume of the excised ovarian tissue, and the existing diseases.

Anesthesia is done by general anesthesia.

Laparoscopy of ovarian cysts is performed using 2 micro incisions made to inject very small medical instruments. The third incision is designed for a laparoscope equipped with a tiny camera and a LED. A small amount of carbon dioxide is injected into the abdominal cavity in order to raise the peritoneal wall above the internal organs in the pelvis. In an increased operating space, it is easier for the doctor to track the process and easier to manipulate the toolkit.

The volume of excised tissues depends on the degree of development of the cyst, its germination in the capsule of the ovary, the number of endometrial foci, identified oncology and other features.

In young patients, if no cancerous changes in the cells are found, the sex glands try to affect them to the minimum extent, preserving their functions for further pregnancy. Women older than 47-50 years often with excision of a cyst are recommended to remove the ovary in order to maximally protect the patient from malignancy (cancerous cell transformation) of the reproductive gland, whose risk increases during this period. It also prevents the recurrence of the development of new cystic structures and tumors.

Rehabilitation stage

The postoperative period after laparoscopy of ovarian cysts in the hospital lasts 3 to 7 days. It takes a little time to recover and after 6 hours it is allowed to get up and take thin food.

After how many days do all the unpleasant manifestations go after the removal of an ovarian cyst during laparoscopy? Sometimes, for 2 days, the stomach, neck, and lower legs hurt, which is connected with the gas introduced into the peritoneal cavity, but as soon as carbon dioxide in the peritoneum resolves, unpleasant phenomena disappear.

A hospital patient after laparoscopy is discharged for a period of up to 10 days (for complications, for a longer period) from the day of discharge from the hospital.

After how many days can we assume that the recovery period after laparoscopy to remove a cyst is completed? Depending on the volume and characteristics of laparoscopic surgery, the recovery phase lasts from 2 to 6 weeks. During this time, the body returns to normal functioning.

During this period there are certain limitations:

  • sex (including anal) is allowed only after 30 to 45 days have passed since the patient left the hospital,
  • weight lifting (including bags with products) weighing more than 3 kg is excluded,
  • sports load is possible only after 30 - 60 days with a slow build-up, starting with the minimum,
  • in the diet limit spices, pickles, fatty foods, alcohol,
  • recommended fortification of the body, physiotherapy to accelerate healing (only on doctor's prescription).

Sometimes patients are worried that there is no menstruation after laparoscopy. Such a failure can occur, since ovarian cyst, which is monthly after laparoscopy, often begins with a slight delay in duration. But for 2 - 3 months the menstrual cycle is stabilized. At this time there may be a slight spotting brown discharge, which is considered normal and will pass. With a longer delay, you need to contact a specialist.

Laparoscopy is a mild, sparing option for surgical treatment, and usually a cyst after laparoscopy does not develop again. But in some types of process recurs, and to prevent this, the doctor prescribes an additional course of special hormonal drugs: Buserelin, Goserelin, androgenic hormones, combined birth control pills with a low dosage of hormones. Their selection is the prerogative of the doctor alone.

Conception after laparoscopy

A healthy pregnancy after laparoscopy is normal, even if one gonadal gland is removed. In 85 patients out of a hundred, pregnancy occurs within a year after surgical treatment.

And when can you become pregnant after ovarian cyst laparoscopy?

The term of conception and probable pregnancy after laparoscopy is determined by the diagnosis. Recommendations for different diagnoses are slightly different. For example, with endometrial formation or polycystic disease, it is desirable to become pregnant within a year.

But planning a pregnancy after such an operation is recommended not earlier than after 3 months. This time requires that the stitches are fully tightened, the tissues are restored, the body rests and is saturated with vitamins. So, if pregnancy after laparoscopy occurred after 4 to 8 weeks, the probability of its interruption is much higher due to insufficient hormonal activity of the ovaries, incomplete healing of tissues.

It is best to become pregnant after laparoscopy to exfoliate or excise a cyst, especially if an ovary has been removed, after 6 months. And, of course, before conception, all the examinations and tests recommended by your doctor should be done.

Indications for surgery

Laparoscopy is performed when it is impossible to eliminate the pathology of a drug. Indications for intervention:

  • large education
  • strong symptoms
  • rupture of a cyst or ovary,
  • risk of developing a malignant process
  • the likelihood of rupture or torsion of his legs.

In some cases, before surgery, patients are prescribed a course of drug treatment. If there are clear indications for laparoscopy, the intervention is carried out immediately.

Most often, surgery is necessary in the presence of epithelial ovarian cysts. These types of formations have the ability to degenerate into cancer and are not eliminated by drugs. Functional cysts arising from irregular menstruation are rarely surgically removed. Usually they are on their own or under the influence of hormonal and other drugs.

The period of postoperative rehabilitation

In the process of recovery after laparoscopy of ovarian cyst, a woman goes through several periods. The shortest is considered early rehabilitation, the duration of which is not more than 7 days. In the future, the restoration takes place at home.

The first day after surgery

On the first day after ovarian laparoscopy, the patient must be in a hospital. At this time, she moves away from anesthesia. The doctor monitors her condition, if necessary, changes the treatment regimen or performs additional manipulations. This prevents many complications - uterine bleeding, suture suppuration, deterioration of health.

The most difficult discharge from anesthesia. At this time, the woman feels nauseous, weak, chills, which pass independently on the first day.

Getting out of bed should be 3-5 hours after waking up. This is often problematic due to severe pain.

Such symptoms are normal and result from tissue damage during surgery. Rapid restoration of the motor mode will improve the patient's physical and emotional state. In the postoperative period with laparoscopy to remove an ovarian cyst, activity resumes gradually - on the first day, it is enough just to get out of bed to go to the toilet.

Diet

After surgery, the woman's usual diet changes. On the first day it is allowed to use only mineral water, sometimes - light broths. The next day you can eat mucous soups, boiled vegetables, steam cutlets, kissels and fruit drinks. Such a diet after laparoscopy of ovarian cysts ensures the normal functioning of the intestines and stomach, weakened after the intervention and medication.

Subsequently, the diet becomes more diverse. In the first few weeks after the operation, the following meals and products form the basis of the diet:

  • baked apples,
  • flaxseeds,
  • cereals - rice, buckwheat, oatmeal, barley,
  • sauerkraut,
  • vegetable soups or with the addition of lean meat,
  • hard cheese
  • steamed omelets
  • boiled lean meat and fish,
  • black bread,
  • fruit juices and fruit drinks,
  • herbal infusions
  • green tea,
  • tomatoes,
  • dry biscuits, crackers,
  • vegetable salads with vegetable oil,
  • low-fat kefir.

  • Black tea,
  • coffee,
  • alcohol,
  • sugar,
  • mayonnaise,
  • fresh wheat bread
  • spicy, fried, smoked, salted,
  • spice,
  • fresh cabbage, onions, radishes,
  • pasta,
  • grapes, pears,
  • beans and peas,
  • milk, cream,
  • bakery products,
  • sweet - candy, chocolate,
  • nuts.

Diarrhea, constipation and bloating can aggravate the pain of healing stitches.

General rules for nutrition after laparoscopy of ovarian cysts:

  • meal 5-6 times a day in small portions,
  • drinking water at least one and a half liters per day,
  • the use of any liquids before meals or an hour after it,
  • dinner - no later than 2-3 hours before bedtime,
  • avoiding the use of permitted foods that cause unpleasant symptoms.

With the normal functioning of the digestive system nutritional restrictions are removed faster. What can eat the patient with no disruption of the gastrointestinal tract after ovarian laparoscopy, the doctor decides. The presence of problems prolongs the term of adherence to the diet to 2-3 months. As a prevention or to relieve symptoms, the doctor prescribes drugs that improve the work of the digestive tract, eliminating heartburn, bloating, nausea. With strict adherence to the rules of nutrition, such symptoms rarely occur and do not require medication.

Immediately after surgery to remove an ovarian cyst, the patient is worried about vaginal discharge.

They consist of impurities of blood, clots, mucus. The total duration of their presence is no more than two weeks. The greatest amount of blood is observed in the first week, then its concentration decreases. Selections after laparoscopy of ovarian cysts turn brown 5-7 days after surgery, then more and more transparent.

Abundant uterine bleeding in any period of rehabilitation is not considered normal and requires urgent medical attention.

Pathological secretions have an unpleasant odor, acquire a yellowish, brownish or greenish tint, may have impurities of white curd substance. This indicates the course of infection of the genital tract or the inflammatory process. When they appear, an urgent need to visit a doctor.

Unpleasant feeling in the stomach

Compliance with the rules of nutrition is necessary to prevent the failure of the digestive process. Symptoms requiring the help of a doctor:

Для предотвращения развития неприятных симптомов пациентке перед операцией рекомендуется пройти обследование органов брюшной полости – колоноскопию, ФГС, УЗИ.

Для устранения данных признаков необходимо нормализовать питание. В случае возникновения неприятных ощущений на фоне строгих соблюдений рекомендаций врача нужно увеличить в рационе количество следующих напитков:

  • Herbal tea - chamomile best,
  • still mineral water,
  • decoction of dill,
  • drinks with cinnamon, cardamom, ginger,
  • kefir.

These funds will accelerate the process of digestion, normalize the work of the gastrointestinal tract. To achieve the best effect, kefir for constipation should be consumed at night, 2 hours before bedtime. Herbal teas and other similar drinks are taken before meals or directly during tea drinking.

With prolonged constipation and flatulence, it is recommended to arrange 1 discharge day per week to clean the intestines. At this time, all day you need to use only mineral water, kefir, herbal teas, fruit or porridge on the water.

Postoperative pain

The first 5-7 days after laparoscopy of ovarian cysts in patients with lower abdominal pain. This condition is considered natural and goes away on its own after the stitches heal. To relieve the symptom is allowed to take painkillers.

With severe pain after laparoscopy of the ovarian cyst, the patient is recommended to stay in bed, to rest more, not to make sudden movements. When aching in the muscles of the body and back to walk in the fresh air. With increased pain syndrome activity should be stopped.

When seams are removed

The stitches are removed after one and a half weeks after laparoscopy of the ovaries. During this period, the tissues are almost completely restored and do not need additional support. Before removing the stitches, it is necessary to carry out daily procedures for their treatment. The patient herself or with the help of medical staff should replace sterile dressings and clean the wounds with antiseptic solutions.

After the stitches are removed, the scars heal very quickly. The method of laparoscopy involves the use of only small puncture tissue in the process of intervention. Therefore, the traces of the transferred operation are almost imperceptible, and sometimes heal without a trace.

The day-long drainage after laparoscopy of the ovarian cyst accelerates the healing of the sutures and prevents their suppuration.

Inpatient stay

After laparoscopy of ovarian cysts, there is no need to stay in hospital for a long time. The patient is usually prescribed for 3-5 days depending on her state of health. A longer hospital stay is recommended in the presence of postoperative complications.

Hospital care services after laparoscopy can be waived, which is not recommended by specialists, since a woman will take responsibility for her own health independently.

Sick leave

The list of disability is issued for the operation and the initial period of rehabilitation. Hospital after laparoscopy of ovarian cyst lasts 1.5-3 weeks. With poor health, severe weakness and the presence of complications it can be extended.

Home restoration

For the entire period of stay in the hospital, the woman does not visit the attending physician. His consultation is necessary only if you have any questions about current treatment or when the condition worsens. Therefore, it must follow the previously prescribed rules:

  • daily suturing
  • avoid active physical activity
  • rejection of sex and sports for 1-1.5 months,
  • regular ultrasound examinations to obtain results on the state of the ovary on which the cyst was removed,
  • cessation of activity while increasing pain,
  • ban on weight lifting
  • refusal to treat scars and scars after laparoscopy of ovarian cyst by folk and other means,
  • body wash only in the shower
  • wearing a bandage immediately after ovarian laparoscopy for 1 month,
  • avoidance of visiting saunas, swimming pools,
  • ban on scratching an itchy stitch,
  • rejection of clothes squeezing the lower abdomen,
  • adherence to diet established after the removal of ovarian cysts.

Removal of prohibitions is possible only after the permission of the attending physician. Neglect of the rules of the rehabilitation period after laparoscopy of an ovarian cyst is fraught with the development of complications that adversely affect the health of the female's genital sphere.

The duration of the postoperative period

The total duration of the recovery period is individual for each woman. On average, full ovarian working capacity returns after 3 months. The stitches heal in 1-1.5 months. All rules of rehabilitation should be observed for 1-2 months or until they are changed by a doctor.

The patient feels normal after a few weeks after surgery. At this time, she may feel completely healthy and only occasionally feel pain in the lower abdomen that accompanies the healing of the tissues of the appendages. Weakness after the operation passes quickly enough.

Period to start menstruation

Monthly after laparoscopy usually continue as before. The first menstruation occurs according to the established schedule, individual for each woman. Bleeding can be a little more or less heavy, long or short. This is considered normal and does not require a visit to the doctor.

Abundant and painful bleeding, increasing over time and causing a deterioration of health, is considered pathological and in urgent need of medical care.

Menstruation after surgery may come with a delay. This is also considered normal. During surgery, the tissues of the appendage are damaged, which can lead to a temporary disruption of its functionality and, as a result, hormonal failure. Monthly come after the restoration of their work. In their absence, more than one and a half months should be diagnosed genitals.

The first 2-3 cycles after treatment may be irregular. Subsequently, menstruation is established and come in a certain mode. Typically, their schedule coincides with the previously established, proceeding from a woman before the intervention.

Important recommendations of experts

The main condition for successful recovery is sexual and physical rest. In the first case, sex immediately after the removal of an ovarian cyst can provoke an increase in pain, slow the healing of the epididymis. Unprotected sexual contact can lead to an inflammatory process or the appearance of infections, which is fraught with suppuration of internal sutures. This condition is manifested by acute pain, fever, the appearance of abnormal vaginal discharge. This requires the hospitalization of the patient.

Wearing a bandage after laparoscopy of an ovarian cyst is necessary for prophylactic purposes. Its use is strictly indicated for women with an increased risk of complications that may occur after surgery. A corset is indispensable for the removal of a large-sized mass, bowel disruption.

Physiotherapy after laparoscopy of ovarian cysts will help to speed up the recovery - they improve blood flow in the pelvis and contribute to the rapid healing of tissues.

Physical activity is strictly limited only in the first week of rehabilitation. Subsequently, the woman allowed short walks. Performing light gymnastics is welcome. With its help, muscles are strengthened, stagnant processes in tissues are prevented. Increased pain after exercise with a recent laparoscopy of ovarian cyst indicates a lack of preparedness of the body to practice. In such cases, physical activity should be limited to a few more days.

It is important to take all medicines prescribed by the doctor:

  • antibiotics prevent seams suppuration, the development of infections,
  • painkillers - improve the well-being of women
  • anticoagulants - prevent blood clots,
  • hormonal - necessary to prevent hormonal failure after removal of an ovarian cyst or to adjust the menstrual cycle,
  • immunomodulators - increase immunity,
  • Vitamin complexes - restore the work of appendages, saturate the body with nutrients.

Acceptance of alcoholic beverages after laparoscopy of ovarian cysts during the period of drug treatment can lead to strong side effects from drugs and worsen the patient's condition.

Antibiotics and painkillers are used only 3-10 days after the intervention. Other types of drugs need to take a longer period of time, which is set individually.

Probable complications

Complications after laparoscopy to remove an ovarian cyst can occur both in the first days after surgery, and after a few months. Early development of negative consequences is often associated with the wrong course of surgery. Possible complications:

  • uterine bleeding,
  • injury to neighboring organs and vessels
  • allergic reaction to anesthesia or gas injected into the abdominal cavity,
  • fever,
  • development of infectious diseases.

Symptoms such as nausea, vomiting, and dizziness are considered normal in the first hours of discharge from anesthesia. This condition does not require urgent medical care in the absence of a deterioration of the woman’s well-being. Body temperature is normal can rise to 37-38 degrees in 1-2 days after the intervention.

During the course of late rehabilitation or after the complete restoration of the body, the following effects may be detected:

  • periodic uterine bleeding after laparoscopy of ovarian cysts, manifested in the intermenstrual period,
  • formation of adhesions in the pelvis,
  • absence of menstruation is a sign of appendage dysfunction,
  • pain in the ovary after laparoscopy - often indicate an inflammatory process,
  • re-formation of ovarian cysts,
  • lack of conception for 6-12 months,
  • hormonal failure.

The likelihood of negative consequences increases when a woman has other gynecological or endocrine pathologies.

To reduce the risk of complications, it is necessary to be monitored regularly by the attending physician. This will allow to detect diseases in the early stages, which increases the chance of their complete elimination. A visit to a specialist is recommended monthly in the first three months after surgery. In the future, it is enough to conduct an inspection 3-4 times a year, and after a year and a half after the operation - every 6 months.

Symptoms requiring medical advice

The occurrence of complications is most often accompanied by overt symptoms. Signs requiring a visit to a specialist:

  • persistent postoperative pain lasting more than a week
  • redness of the skin around the seams,
  • vaginal discharge with an unpleasant odor,
  • uterine bleeding,
  • a high body temperature after laparoscopy of an ovarian cyst that lasts more than 2-3 days,
  • strong weakness in the late rehabilitation period,
  • nausea, vomiting and diarrhea,
  • prolonged absence of menstruation.

The ovary after laparoscopy of its cyst may hurt during ovulation or before menstruation during the first 2-3 cycles - with a low symptom intensity, this is considered normal and does not require a visit to the doctor.

These symptoms indicate the course of disruptions in the body. An independent attempt to stop their manifestations can worsen the state of health or lead to the progression of pathology.

Planning for pregnancy after laparoscopy

Conception must be planned only after the full restoration of the functionality of the female reproductive system. When any pathologies or malfunctioning of the genital organs are present, it is better to postpone it until they are eliminated.

Pregnancy is possible with the following state of the body:

  • steady flow of menstrual cycles
  • the absence of pain and other discomfort in the lower abdomen,
  • complete healing of internal and external sutures,
  • no genital tract infections,
  • restoration of hormonal levels.

Conception in the first months after the intervention can adversely affect the health of the mother and carrying the baby - this often entails a spontaneous miscarriage.

Usually, pregnancy can be planned 3-4 months after the removal of an ovarian cyst. At this time, for most women, the body returns to normal and is ready for fertilization. Before the planned pregnancy, it is recommended to re-conduct a full examination - to be tested for hormonal status, genital tract infections, to undergo a pelvic examination, to make an ultrasound of the pelvic organs.

It is important for a woman to follow all the rules of the postoperative period of laparoscopy of the appendage cyst. This will prevent the development of negative consequences and prepare the body for conception. If you do not follow the recommendations of the doctor, there is a risk of serious violations in the functioning of the genitals.

After laparoscopy of ovarian cyst (rehabilitation and rehabilitation treatment)

Full recovery of all organs and tissues occurs 2 to 6 weeks after laparoscopy of an ovarian cyst.

During the rehabilitation period it is very important not only to carry out the necessary manipulations and measures aimed at the fastest restoration of the structure and function of tissues, but also to observe the prescribed restrictions.

So, after laparoscopy should observe the following restrictions:

  • During one month after surgery, you should observe sexual rest. Moreover, women are advised to refrain from vaginal and anal sex, but oral versions of sexual intercourse are completely permitted.
  • Any sports training should begin no earlier than one month after the operation, and the load will have to be given from the minimum, and gradually increase it to the usual level.
  • Within a month after the operation, do not engage in heavy physical labor.
  • Within three months after surgery, do not lift more than 3 kg.
  • For 2–3 weeks after the operation, do not include spicy, salty, spicy dishes and alcoholic beverages in the diet.

Otherwise, rehabilitation after ovarian laparoscopy does not require any special measures. However, to accelerate wound healing and tissue repair, a month after surgery, it is recommended to undergo a course of physiotherapy, which the doctor will recommend. Immediately after surgery, you can take vitamin preparations, such as Vitrum, Centrum, Supradin, Multi-Tabs, etc., for speedy recovery.

The menstrual cycle after ovarian laparoscopy is restored quickly, sometimes without even getting lost. In some cases, menstruation may be somewhat delayed from the planned date, but over the next 2 to 3 months, the normal cycle for a woman will be fully restored.

Since laparoscopy is a sparing operation, after it is performed, women can freely live sex, become pregnant and have children.

However, ovarian cysts can form again, therefore, if there is a tendency to such a disease, women may be recommended to undergo additional anti-relapse treatment with gonadotropin-releasing hormone agonist group drugs (Buserelin, Goserelin, etc.) or androgenic hormones after laparoscopy.

Ovaries after laparoscopy (pain, sensations, etc.)

After laparoscopy, the ovaries immediately begin or continue to function normally. In other words, the operation has practically no effect on the work of the ovaries, which, before its production, functioned relatively normally, that is, the woman had a regular menstrual cycle, ovulation, libido, etc. If, prior to laparoscopy, the ovaries functioned incorrectly (for example, in case of polycystic disease, endometriosis, etc.), then after the operation they start to work relatively correctly, and the probability is high that the treatment will get rid of the disease permanently.

Immediately after laparoscopy, a woman may be disturbed by pains in the ovaries in the middle of the abdomen, which usually go away on their own within 2 to 3 days. In order to reduce pain, it is recommended to fully relax and gently move, trying not to strain the abdominal wall and not to touch the abdomen with various objects, including tight clothing. If the pain increases, and does not subside, then you should consult a doctor, as this may be a symptom of the development of complications.

Monthly after ovarian laparoscopy

Within 1 to 2 weeks after laparoscopy of the ovaries, the woman may have scant mucous or bloody discharge from the genital tract, which is normal. If bleeding after laparoscopy is abundant, then you should consult a doctor, as this may indicate internal bleeding.

The operation day is not considered the first day of the menstrual cycle, therefore, after laparoscopy, a woman does not need to adjust her calendar, because the estimated date of the next monthly period remains the same. Menstruation after laparoscopy can come in its usual time or linger from the calculated day for a short period of time - from several days to 2 - 3 weeks. The nature and duration of menstruation after laparoscopy may change, which should not cause concern, since it is a normal reaction of the body to the treatment.

Pregnancy after ovarian laparoscopy

It is possible to plan pregnancy in 1 - 6 months after laparoscopy of the ovaries, depending on the disease about which the operation was performed. If during a laparoscopy a cyst, cystoma or adhesions were removed, then pregnancy can be planned one month after the operation. Как правило, в таких случаях женщины беременеют в течение 1 – 6 месяцев после лапароскопии.

Если же лапароскопия производилась по поводу эндометриоза или синдрома поликистозных яичников, то планировать беременность можно будет только спустя 3 – 6 месяцев после операции, поскольку в течение данного промежутка времени женщине придется пройти курс дополнительного лечения, направленного на полное восстановление функционирования яичников и способности к зачатию, а также на профилактику рецидивов.

It should be remembered that laparoscopy for ovarian disease increases the chances of pregnancy in all women.

Laparoscopy of the ovaries - photo


Separation of adhesions between the ovary and the loop of the intestine.


Husking of an ovarian cyst (the photo shows the contents of the cystic cavity).

The condition of the woman in the first day

The first day after laparoscopic intervention, the woman remains in the hospital. Doctors observe her health in order to track the occurrence of acute complications.

When the effect of anesthesia stops, the patient can feel a strong chill - this is how the body reacts to anesthesia. This condition is not dangerous, the patient is covered with additional blankets. The negative effects of anesthesia include nausea and vomiting. After 5-6 hours after surgery, the patient can already stand up and walk.

On the first day after the intervention, the pain in the throat can disturb the woman, as during the operation the larynx is irritated by the tube through which the anesthesia is given.

After surgery, abdominal pain is considered common. For their relief, the doctor prescribes pain medication. The pain must go away on its own within a few days after laparoscopy.

If the pain lasts longer than 5 days, this indicates the development of postoperative complications and serves as a basis for seeking medical attention.

The duration of the hospital

How many days will require rehabilitation after removal of a cyst, depends on the situation.

As a rule, the hospital term is calculated on the basis of the clinical norm for the given disease (in our case 10 days) and half of this period, in order to visit the doctor again and, if necessary, extend the hospital one.

Thus, the standard sick leave lasts 15 days.

Maintenance therapy

After a cyst has been removed, vitamin complexes are used, especially those containing iron. The female body loses large amounts of iron every month during menstruation. To restore the balance of trace elements, it is recommended to drink mineral water.

If you suffer pain, you can use painkillers, but only in the form of injections. They will act faster and will not harm the liver, which is already weakened by surgery and medications.

Antipyretic can be used only as a last resort, when other methods do not help. The fact is that the substances that are included in their composition can increase inflammation and speed up blood flow at the site of operation. If internal bleeding opens - you will need to go to the hospital.

Lifestyle and Diet

It is desirable to abandon simple sugars that cause fluid retention, swelling, increase pressure and stimulate inflammatory processes. Also, do not consume large amounts of spicy or salty foods.

Cooked fish or poultry meat, fresh vegetables, unsweetened fruits and citrus fruits (apples, pears, lemon, lime, grapefruit, pomelo, sweatti) are recommended. They contain little sugar and have the property to reduce inflammation and lower the temperature if it is above normal.

The above products in combination with a cool or a contrast shower can speed the healing process several times.

In more detail about a diet after a laparoscopy of an ovary read here.

You need to go to bed at the same time, so the body will get ready for bed in advance and the quality of sleep will improve.

4-5 hours before bedtime, do not eat at all, or make a light snack. Thus, the body will restore damage more quickly, and not loaded organs of the gastrointestinal tract will provide good health in the morning.

Alcohol and tobacco products will slow down tissue regeneration by dissolving protein in the blood.

It is also better to hold off the sport and give the body a rest. So he will recover faster.

Why can the ovary hurt?

Any tissue hurts after surgery, including the ovary. The main thing is not to take a large amount of painkillers at this moment.

It is better to consult a doctor to accurately diagnose whether this pain is an ordinary normal post-operative response of the body or a complication.

Abdominal pain can be observed due to a violation of the secretion of hormones. Still, the operation took place on the ovary, and it is directly related to the release of female hormones.

Features of the postoperative period

The duration of the postoperative period is 3-5 days. During this period, you need to process the seams and try to walk. Walking reduces the risk of adhesions and activates intestinal motility, which affects the regularity of the stool.

The recovery process in the body is often characterized by a rise in temperature to 37 ˚C. Reducing it with medication is not necessary. If the patient is taking painkillers, it is necessary to eliminate the use of alcohol.

Frequent occurrence after laparoscopy of ovarian cysts - vaginal discharge. Normal are bright, odorless mucous discharge. Otherwise, you need to see a doctor.

Stitches heal within 10-14 days. After that, you can start using ointments and gels, resolving the scars.

Leading clinics abroad

South Korea, Seoul

Discharge after laparoscopy

If, after laparoscopy, ovarian cysts have a small discharge with blood, this is a normal situation. Recovery of menstruation after laparoscopy of ovarian cysts occurs in all different ways.

It is possible that they will not be 1-2 cycles, but it is also possible that in a few days after the operation an extraordinary menstruation will begin.

It may be more abundant than usual, but in the absence of severe pain or any sensations unusual for such a state, there is no need to worry. Although this must be reported to the doctor.

End of the recovery period

Usually, complete rehabilitation after laparoscopy of an ovarian cyst lasts about a month. The first few days a woman may feel weak, desire to lie down.

However, this quickly passes. Ten days later, the stitches heal completely. Gradually, they dissolve and smooth out, as a rule, no traces remain.

Some recommendations

After laparoscopy of ovarian cysts:

  • Refrain from sexual activity for two weeks after surgery, it will reduce the likelihood of infections.
  • Sports can be continued in 3-4 weeks. Remember that you need to start with small loads and increase them smoothly.
  • During the rehabilitation period it is better not to make long journeys.
  • Do not lift and carry gravity more than 3 kg.
  • Do not take a bath until the stitches are completely healed (10 days).
  • It is not necessary to visit the pool until the stitches heal.

When do you need to worry?

  • The temperature after laparoscopy of an ovarian cyst is greater than 38 ° C for longer than a day,

  • There is severe pain in the lower abdomen,
  • Pain in the area of ​​the seams, especially accompanied by redness,
  • Great weakness, confusion, although more than 6 hours passed after anesthesia.
  • Whitish or yellowish-reddish discharge.

In all these cases, an urgent need to consult a doctor.

Leading experts of clinics abroad



Prof. Ofer Merimsky



Professor Ulf Landmesser



Professor Sung Khun Noh



Dr. Alice Dong

Pregnancy after laparoscopic removal of ovarian cysts

Laparoscopy of an ovarian cyst is not an obstacle to pregnancy and does not have negative consequences for fertilization. Such an operation is usually carried out in women of childbearing age, so the first question they have is when they can become pregnant.

In principle, this is possible almost immediately after the operation. However, it is desirable to skip two or three cycles of menstruation, that is, you can conceive approximately two to three months after laparoscopy.

An exception is endometrioid cyst, because in this case, you need to undergo a full course of treatment for endometriosis to ensure successful pregnancy.

The probability of pregnancy is 85%. Each woman has this individual opportunity, it depends on the general condition, on the associated problems, so you should not expect a positive result immediately.

Extensive information about the removal of the uterus with appendages. Features of the postoperative period, reviews of former patients.

About non-surgical treatment of uterine prolapse here. Do not miss the opportunity to do without surgery!

The following link can be found on the treatment of breast cancer in Germany https://mdtur.com/lechenie/oncology/borjba-s-rakom-v-germanii.html. Specific treatment of many types of cancer in Germany, prices in the best clinics.

Meals during rehabilitation

Dietary nutrition is an important part of any treatment or recovery period, and laparoscopic removal of an ovarian cyst is no exception. What can I eat after laparoscopy of ovarian cysts? During the first days after the operation is not worth anything to eat. You can drink water, but only non-carbonated.

The next day, you can eat steamed or boiled dishes. There are no restrictions, except for products that cause bloating. In the first two or three days you need to exclude fresh fruits and vegetables, flour products. Within a month, you need to abandon smoked, fried and spicy dishes. A month later, you can fully return to the usual diet.

For more information, see Laparoscopy of ovarian cysts.

98 comments

Very good article. Thank. 4 day after surgery. Unfortunately, one ovary was removed. Girls do not delay the visit to the doctor! It all started very simply twice a month I went monthly! I ran to the doctor and found a 70mm cyst. Watched two cycles did not grow. She took homeopathy plus hormonal therapy. For five days, the belly grew like a pregnant woman, although I am a slim girl of 30 years old. She ran again to the doctor and then gathered a consultation. I immediately realized that what is wrong. Cyst 16 cm. They sent me to an oncologist gynecologist said that only he can handle such cases as it is necessary express diagnosis for cancer. And this is not possible in every clinic. So do not joke in private desk for cheap. I found the oncologist at the cancer institute he immediately told me to cut. I agreed. Has handed over analyzes and in the operating room! Now at home! She spent 3 days in the clinic. Nothing hurt bleed well. Nannies were forced to drink water in liters to the toxins out. The toilet was forced to get up. Enema and all that. Nothing wrong with that. My rhinoplasty was more terrible rehabilitation there))) but this is in the past. All health and good luck when choosing a doctor. I went around a few doctors. Do not go where cheaper or cooler. The doctor should like you like a man. You will find your doctor by talking personally! Then you remember my words. This is intuition.

Thank you for your feedback!

Rita continuation of the story.

Hello Rita. I have had the same operation recently, but only in Charité. I would like to ask you. What did the doctors say to you: what to drink, when you can get pregnant, etc.?

Mila hello. I was issued an extract from the clinic in German. Later, they sent mail to Russian. No pills were prescribed. They just wrote that it was necessary to undergo an ultrasound to monitor the second ovary so that it was healthy. After the operation, I was just stabbed with heparin in the muscle and that's it. Felt great! I smoked ate as not in myself)) there was no temperature. You can get pregnant three months after surgery. Everything will heal there inside the ovary normalizes its work and everything is fine. If you had a tumor, then it is better to observe your pregnancy at the oncologist-gynecologist, since a new doctor without knowing your whole condition will not be able to objectively assess the situation. Budde healthy my dear!

If it's not a secret, could you tell your oncogynecologist? It’s just that those who I had before the operation did not inspire me with confidence in them and their professionalism.

At the Cancer Institute in Kiev, the queue is very large. Since Donetsk and Lugansk patients are distributed to oncologic dispensaries. It is better to come in the morning and arrange a meeting with him. Consultation is free. Take a gynecological examination kit with you and all your analyzes and papers so that he can see not only you but also the tests immediately. I hand over the analyzes all the time in the Synevo laboratory, these are branches throughout Ukraine. The price there is acceptable and the quality of analysis is fast and the reagents are not Soviet for analysis. Plus there is such a feature that if you need to do a series of tests there is a package of tests in the complex which is much cheaper than taking them separately. And they come to the house for blood sampling for analysis, which is very convenient for me when I give on an empty stomach. And how to go to the clinic without smoking or brushing your teeth. And so they wake you up by the doorbell and this is the most natural on an empty stomach), the truth is that you have to pay extra for it. Do ultrasounds on the same machine and do analyzes in the same clinic or laboratory as there is an error. The same goes for MRI and CT, it is advisable to do everything on the same devices. And it’s better to do nothing and be healthy for everyone. And by the way, nobody canceled cosmoenergy and psychosomatics! Read my darling or watch videos in YouTube on psychosomatics, where did we get these sores. Do good no more and forgive everyone and everyone. Do not carry a negative, it destroys us! Louise Hay writes very well about it! Positive everywhere and always!

Thank you very much! But alas, I am in Moscow. Do not ever be ill again.

Hello Mila, I really need your help. My phone 89163448825 Moscow is my website: Elena311047 & yandex.ru

Natalia could not contact with me Viber, vots an 89213870351 spb

And so my story continues! You should read it carefully! Operated me as you read above and removed the ovary! Express diagnostics for cancer showed nothing. Sent to histology! Come histology and horror! G1 is a borderline tumor! Ie and not malignant and not benign. But not a good stage! I did not believe in it took the glass 9 pieces and blocks 4 pieces on receipt and sent to another laboratory. They said the same thing. I'm not a believer Thomas sent to the third. There is the same thing. This was not enough for me! I take tickets to Berlin and take off urgently to the clinic with these glasses and blocks (hidden in a suitcase-kontabanda, so transport without papers can get more)! Brought to Germany, she passed for analysis, said the same thing and said repeated operation! So they removed my cecum, ie appendix. They removed the greater omentum and a part of the tube that remained from the first operation and did a resection of the second ovary since it also began to grow for some reason and punctured all the internal organs for cancer. After the surgery, I did an MRI with and without contrast. I did a PET-CT scan when a radioactive sugar is driven through your veins and they are looking to eat cancer. I was operated on for two hours. The professor operated on an appendix and invited another surgeon as everyone does their own work there. It is very important. They made me laparoscopically. Small holes Primalyuskie their special taped with a plaster. After anesthesia, I had a wild appetite. I ate two chocolates and drank two jars of cold coffee nestle))) although everyone shouted what was wrong. But the body asked, and he knows better what is possible and what is impossible, but he feels he is smart! Could not get up as the catheter was between the legs and uncomfortable. In the evening, when I went to smoke, all the nannies were fucking hungry and cursing)) but I wanted to! And the fun begins here. Attention: the difference operation in Germany! Why it was necessary to do a second operation! Because a tumor larger than 10 cm is a huge tumor! In Germany, there is no borderline tumor; they only identify this as carcinoma. From my tumor in 15 cm I only had 4 paraffin blocks and 9 glasses! And there should have been at least 50. A paraffin block is like a matchbox and a box of thinner meat is placed there and embedded in paraffin and stored for years. Therefore, from the material brought by me it was not clear what was the focus of cancer and this is very important! Therefore, they searched for him all over his stomach and removed nearby organs! This is a global practice. And the cecum was removed because in 80% of cases it was there that the cancer begins in the appendix and goes to the ovary. I have never read this anywhere. The professor told me there. Therefore, the difference is huge. But also in money too!
On the fifth day I was discharged home. They gave an extract in an envelope in German in Russian they promised to throw off the post office soon. My excellent cell tests have nowhere found this great success. The professor said that I am lucky! I am alive and healthy. I don’t have any pain. Plasters have fallen off in the shower. Wounds are tightened; I smear them with Kilofibreys-Germany cream from scars. They bought super cream for 8 €! Even I smear it under eyes from wrinkles!
Sometimes it hurts me to sneeze the press stiffens but it’s not even two weeks later. It will pass all and this too. So, my dear ones, do not pull the rubber if you are worried about something and running to the doctor! Even cancer is treated in the early stages. I believed in my recovery and forbade everyone to say the word Cancer out loud! I am well! I am happy and beautiful!
The address of the clinic to whom it is necessary: ​​Berlin. Clinic Helios Berlin-Buch. It is outside the city in the forest)) beautiful there. Provider Michael Unch-German gray-haired one) likes to joke. He wanted to see me through the anus)) the clinic is not very famous among the Russians, so the prices there are sane! And there are a lot of Russian professors in sharit and prices are there for new Russians. It is very expensive and the amount is not lifting for the average person. If you decide to go there for treatment, immediately rent an apartment there near the clinic so that it is cheaper. Так как проживание в клинике 1 местная палата 230€ в сутки! 2-местная 165€. И трехместная 65€ в сутки. Дороговато. МРТ и ПЭТ-КТ делайте дома это дешевле а туда везите с собой диски! Так как там пэт-кт стоит 1700€. Уже экономия! Найдите себе переводчика толкового и пронырливого так как если попадется мямля какая то то вы встречи с профессором будете ждать пол года.There he is painted everything by the hour! If you think that you will come and pay you out of turn, then you are mistaken there is no such thing. ))) damn, I could already be the organizer of treatment abroad so much I know, sorry I don’t know German))) citizens who have any questions will write comments I receive a letter in the mail and I will try to help you! Be healthy!

I want to ask you. I have had laparascapia surgery to remove appendages. Today, the eighth day of amenia is tormented by temperature. Holds 37.4 and today rose to 37.6. Asked the doctor how much the temperature. He says is normal but. If you know something, please tell us.

Natalia, when I had the first operation to remove an ovarian cyst in Kiev, I had fever and wild pain in my shoulder blades, as the gas was coming out from laparoscopy. I was anesthetized. I walked half-bent and stabbed me with antibiotics for almost four days I did not sleep through my appetite. The condition was lousy. Although the doctor said the next day we will write out. Aha balalaika on the fifth day I just wrote out. Since there was a temperature and there was no strength at all. The temperature is caused by inflammation. This is still a wound there inside and outside the seams on the skin. For the body is stress. My temperature was three days. If your temperature rises above 38 then you should immediately contact the surgeon who operated on you. And temperature 37 is our intelligent body struggling with our ailment. Although after the second operation, but in Germany I had no temperature. There was nothing. In the evening I smoked and after the operation I immediately ate, although the volume of the operation was much larger. Plus, there is a difference in the anesthesia and the technique of the operation. Germany taxis! I thought about moving to a country with good, competent medicine!

Hello, tell me, please, I have cysts in both ovaries, soon surgery. I have 2 questions, I didn’t ask them to the doctor, because there were a lot of questions, a lot of things needed to be discussed, I lost my mind. And at the reception only after passing all tests. I would like to know the answers to them early) Question: why after 3 months of the operation it is necessary to try to get pregnant, why not later? The doctor told me that after 3 months we will try to get pregnant. I am 22 years old, did not give birth, did not plan a pregnancy in the coming year. The second question is: why do you need ultrasound of the abdominal cavity organs, colonoscopy, FGS and kidney ultrasound before the operation? How is it related to the ovaries?

Sophia, can I answer your questions? I did lapar ovarian cysts a month ago. About 3 months, I think you have been told, meaning that you can get pregnant if you are going to get pregnant after 3 months. Until then, do not recommend. And about analyzes, it all depends on the clinic. At first I was going to do one thing, there was a huge list of tests and examinations that I had to pass a cat, including what you wrote. Almost a week before the surgery, I decided to change the clinic and the doctor. They gave the list several times less. Practically only a few tests and ultrasounds of the operated ovary only. I even bought a net for the operation in the first clinic, the cat was not useful to me. Everything went well, and what you want)

H, hello, it turns out you did 2 lapies, one in Moscow, another in Berlin, I wanted to know who helped you in the clinic in Berlin to look for a doctor, you write, you can find someone who will wait for a month to meet with the professor. Elena.

Once again, good afternoon, I want to send you my mobile: 89163448825, Elena, I beg you to answer, I have a difficult situation. Elena. I live in Moscow. Thank you in advance, I need a good mediator upon arrival at the clinic.

Elena, I wrote to you!

Girl, I have the exact same story. There was a huge cystoma of 20 cm, it grew over several months, underwent surgery, an ovary was removed, histology showed that the tumor was borderline, chemistry was done. And that's all. No further treatment, nothing. A biopsy of the second ovary, like other organs, was not taken for analysis. I donate blood for control, but I feel that this is not enough. A year has passed, the place where the ovary was removed hurts me terribly, the right one is also enlarged, the doctors say that it is the norm, but I'm afraid I'm 23 and I want to be sure that I am healthy, to get a decent treatment and qualified advice. Tell us more about how to enroll to a specialist abroad, what tests to pass, what to look for. thank

Yulichka why do you need to go abroad? Find a clinic where there is an MRI machine. Make an MRI with contrast. Look at the result and everything else. The blood donating for analysis is not always the analysis is correct therefore it is just as one of the methods of defining. There are many of them, but the most accurate is for the pathologist when he examines the biopsy. The main thing do not be nervous. After menstruation for 4-8 days, do an ultrasound look with the second ovary. I think everything will be fine with you. Less nervous. And forgive all men! Women's disease is anger at men! Psychosomatic process. Book Radical forgiveness. Read!

Because the attitude of doctors abroad is completely different. And education. Practice new technologies. The study of new methods of treatment. Here, as I have already written, any complaint is said to be the norm. I don’t understand how a gynecologist could tell a tumor in 10 cm that it will resolve after menstruation. A month later, she was already twice as large and another doctor immediately sent me to the operating table. Do not be nervous? After this, how can I trust the doctors who say that everything is normal? About the men, I disagree with you. What are men in 22 years?

Abroad is well treated only if the patient has money. My uncle lives in Germany and the horrors tell me about medicine. Two years ago, I was found and a cyst and myoma, with quite a large size. Fortunately there is a family friend, a doctor. He agreed with the doctor. And I was operated on in Moscow. Everything is fine and the main thing that all reproductive organs have saved. Although everything was in question. Two years later, again a cyst, only another on the same ovary. And the gynecologist seeing this cyst prescribes the drug duphaston (you can read in the internet). One month spent on drink, the cyst increased. She gave me a referral to a hospital for medical treatment. But I again feet in hands and to my surgeon. He said that only cyst removal. Because it can not be cured with medication. Here and trust gynecologists.
I'm all for the fact that we have excellent doctors. Just either need to know, or have friends who can help.
I wish you all health and kids. I tune in to the operation myself.

Hello, please tell me, I was operated on at the age of 12. Removed the ovary. Now I am 20, I started smoking less than a year ago. And very afraid for the remaining ovary. Does smoking have a strong effect on him? All the same, in the future one ovary to give birth. I do not know what to do

Hello, please tell me, I was operated on at the age of 12. Removed the ovary. Now I am 20, I started smoking less than a year ago. And very afraid for the remaining ovary. Does smoking have a strong effect on him? All the same, in the future one ovary to give birth. I do not know what to do, give advice

Delight! I read and I wonder, an easy and positive story about your trip and treatment.
Suddenly it is your calling, to help with advice and travel, all of a sudden people need your warmth and support.
Thank you for your story.
Live long and be well.
Regards, Moe

Thank you for your kind words! )) I wish everyone good health! I send you my warm hugs! Smile more often!

Recommendations after the procedure

Full recovery of the body after the intervention takes about a month. In order for this period to pass without complications, it is necessary to follow simple recommendations:

  • Exclude sexual contact so as not to provoke infection or seam divergence.
  • Avoid physical and sports stress. Within 3 months after laparoscopy, it is impossible to lift weights more than 3 kg.
  • Choose loose clothing that will eliminate squeezing of organs and damage to the seams.
  • Until the seams are completely healed, one should not take a bath. You can wash in the shower, treating after him the stitches with a disinfectant solution.
  • You can not go to the solarium, bath, sunbathe for a long time in the sun.
  • Follow the recommended diet.

The standard duration of sick leave is 7-10 days.

In the case of well-being, the patient can start work earlier. If a woman’s work activity is associated with heavy physical exertion, you should additionally consult with your doctor before going to work.

Peculiarities of nutrition during the rehabilitation period

The first day after surgery is not recommended. You can drink non-carbonated water. On the second day, weak broth, porridge, mashed soups, steamed dishes are allowed.

During the rehabilitation period, special attention must be paid to the intestinal function. This is due to the fact that the intestine is located in close proximity to the ovaries and can put pressure on them. It is necessary to achieve a daily stool, using a sufficient amount of fiber, fermented milk products and pure water.

For 1-1.5 months you need to exclude products that provoke increased gas formation, fatty, spicy and fried foods. Undesirable coffee, chocolate and alcohol. It is recommended to eat small meals 5-6 times a day.

Pregnancy after laparoscopy of ovarian cysts

During laparoscopic surgery, only a cyst is removed, healthy ovarian tissue is not affected. Therefore, laparoscopy is not an obstacle to pregnancy.

After the operation, the menstrual cycle may fail, and the complete restoration of the reproductive system takes about 3 months. When the operated ovary starts to function normally, you can plan a pregnancy.

In 85% of women after laparoscopic removal of ovarian cysts, pregnancy occurs within a year. The possibility of pregnancy depends not only on the operation to remove a cyst. The ability to conceive is influenced by the individual characteristics of the reproductive system, comorbidities and the general condition of the body.

Sparing regimen and adherence to a doctor’s recommendation is a sure way to recover quickly and easily after ovarian cyst laparoscopy.

To exclude the reappearance of cysts, it is necessary to continue to be observed by a gynecologist. Depending on the type of cyst removed, the doctor may prescribe a supportive treatment.

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