Adnexal Surgery
Adnexal surgery is surgery on the ovaries, fallopian tubes, or ovarian cysts. It is a common procedure performed by gynecologists, and it can be used to treat a variety of conditions, including:
- Ovarian cysts
- Endometriosis
- Ectopic pregnancy
- Ovarian torsion
- Pelvic inflammatory disease (PID)
- Cancer of the ovaries or fallopian tubes
Adnexal surgery can be performed either laparoscopically (through small incisions in the abdomen) or laparotomously (through a larger incision in the abdomen). Laparoscopic surgery is the preferred approach whenever possible, as it is associated with less pain, shorter recovery time, and fewer complications.
Laparoscopic adnexal surgery
During laparoscopic adnexal surgery, the surgeon will insert a thin, telescope-like instrument called a laparoscope through a small incision in the navel. The laparoscope will transmit images of the pelvic cavity to a video monitor, allowing the surgeon to see the ovaries and fallopian tubes in detail.
The surgeon will then make two or three additional small incisions in the lower abdomen, through which surgical instruments can be inserted. The surgeon will use these instruments to perform the necessary surgery, such as removing an ovarian cyst, repairing a damaged fallopian tube, or staging ovarian cancer.
Laparotomic adnexal surgery
Laparotomic adnexal surgery is typically performed only when laparoscopic surgery is not possible or safe. This may be the case if the patient has a large ovarian cyst, extensive adhesions, or ovarian cancer.
During laparotomic adnexal surgery, the surgeon will make a larger incision in the lower abdomen. This will give the surgeon direct access to the ovaries and fallopian tubes. The surgeon will then perform the necessary surgery, such as removing an ovarian cyst, repairing a damaged fallopian tube, or staging ovarian cancer.
Recovery from adnexal surgery
The recovery time from adnexal surgery will vary depending on the type of surgery performed and the patient's overall health. Most patients who undergo laparoscopic adnexal surgery are able to go home the same day or the next day. Patients who undergo laparotomic adnexal surgery may need to stay in the hospital for a few days.
After surgery, patients will experience some pain and discomfort. This can be managed with over-the-counter pain relievers or prescription medication. Patients may also experience some bleeding and discharge from the vagina. This is normal and should subside within a few weeks.
Most patients are able to return to their normal activities within a few weeks of surgery. However, it is important to follow your doctor's instructions carefully to avoid complications.
