A laparoscopic oophorectomy (pronounced “oh-uff-uh-RECK-tomy”) is the removal of one or both ovaries via a minimally invasive surgical technique using a few small incisions.
Your ovaries are a pair of walnut-sized organs that lie at the end of your Fallopian tubes on either side of your uterus.
Ovaries not only contain your eggs but also produce estrogen and progesterone: two hormones essential for menstruation and pregnancy.
Why are Oophorectomies done?
Oophorectomies are necessary when your ovaries (and frequently, nearby organs and surrounding tissues) become diseased. One or both ovaries might need to be removed, although it is not uncommon for women to undergo additional procedures at the same time as the removal of the ovary, such as a hysterectomy (uterus removal) or salpingectomy (fallopian tube removal).
There are several gynecologic conditions that might warrant an oophorectomy, including:
Ovarian cancer
Non-cancerous ovarian tumors
Ovarian cysts
Ovarian torsion (when an ovary twists on its stalk)
Tubo-ovarian abscesses (when pus pockets form on the ovaries and fallopian tubes)
If you have a unilateral oophorectomy, where only one ovary is removed, you could continue to menstruate after surgery and conceive naturally.
If you undergo bilateral oophorectomy, in which both of your ovaries are removed, you will no longer produce estrogen and your periods will stop, putting you into early, or premature, menopause.
Premature menopause can result in the following symptoms and complications:
Hot flashes
Night sweats
Vaginal dryness and pain with intercourse
Decreased libido
Memory problems
Depression and/or anxiety
A decline in bone density
Luckily, these symptoms may be treated. You can discuss your concerns with us and we will, of course, review post-op treatment options with you.
Having a bilateral oophorectomy means that you will no longer be able to get pregnant naturally, although you still may be able to carry a child using assisted reproductive techniques, such as in-vitro fertilization or egg donation. If you would still like to have children after a bilateral oophorectomy, we can refer you to a fertility specialist.
Preparing for a Laparoscopic Oophorectomy
The decision to remove your ovaries is not one that is taken lightly. We recommend the removal of an ovary only after diagnostic testing has confirmed that the ovary is diseased and must be removed for the sake of your health.
We may use one or more of the following tests in order to diagnose your condition:
Ultrasound: An ultrasound is a painless non-invasive test that involves passing a wand over your abdomen which has been coated with a gel to facilitate gliding. By tracking sound waves, we can determine the shape, size, and composition of your ovaries and surrounding organs, such as your uterus and fallopian tubes.
MRI/CT Scan: Both of these imaging studies provide us with a more detailed view of your pelvic cavity using either magnetic fields or radiation.
Blood Tests: We may order a number of blood tests to help guide our diagnosis and surgical decisions. These can include apregnancy test (if there’s any possibility that you might be pregnant), check your hormone levels (as that may play a role in tumor growth), and measure your CA-125 protein levels (which can be high in the presence of ovarian cancer).
What happens during a Laparoscopic Oophorectomy?
A laparoscopic oophorectomy is a minimally invasive surgery that is performed under general anesthesia. Your surgeon makes two or three tiny 5mm incisions in your lower abdomen (one near each hip bone and a third incision just below your navel) through which slim surgical instruments are introduced to perform the surgery.
First, a thin flexible tube with a lighted camera at the tip is inserted through the incision near your belly button and the images taken by the camera are projected onto a video monitor in the operating room in order to guide your surgeon throughout the surgery.
After your surgeon surveys the ovaries and surrounding pelvic structures, specialized tools are introduced through the small incisions (called portals) on either side of your abdomen. These tools are used to trim and remove any unwanted tissue which is taken out through the portals.
Once the ovaries are removed, the instruments are withdrawn and each portal is closed with a single absorbable stitch before being dressed with a bandage. You are then transferred to the recovery room where you will remain until your anesthesia wears off before being allowed to go home.
Laparoscopic Oophorectomy recovery
After our out-patient oophorectomy, our patients always go home the same day. This is very different than patients who have a traditional non-laparoscopic procedure as they will require a two or three-day hospital stay. Though an overnight stay is required for many laparoscopic surgeries.
In the days following our procedure, you’ll transition from resting to light exercising, being careful to avoid any strenuous activities, and lifting. Nearly all of our patients are 100% back to their normal routine within a couple of weeks after surgery.
We will see you for your first post-op follow up one week after your procedure to check your progress. At that time, we will discuss when you can go back fully to your and resuming sexual intercourse.
What are the advantages of having a laparoscopic oophorectomy?
Laparoscopic surgery offers many advantages over a traditional open abdominal surgical approach that uses a large bikini line incision for ovary removal.
The advantages of our laparoscopic oophorectomy over open surgery include:
Requiring just two or three tiny incisions that are usually undetectable after six months.
Having a shorter surgery with less anesthesia exposure (because working through tiny incisions means less time is spent getting in and out of your pelvic region)
Minimal blood loss (due to much smaller incisions and less manipulation of your pelvic organs)
Less pain after surgery (due to smaller incisions that leave the abdominal muscles mostly intact)
Giving your surgeon a better view within your pelvic area as compared to with a single abdominal incision (because the laparoscope can be positioned in several different locations within your pelvis, offering a 360-degree view of some structures)
A quicker recovery time (most patients are up and about the day after surgery and 100% back to their regular routine within two weeks.
The Expertise You Need for Gynecologic SurgeryWhen it comes to gynecologic surgery, there is no substitute for experience
Dr. Thais Aliabadi and Dr. Ramon Yera are recognized experts with an international reputation in minimally invasive OB/GYN surgery, having performed thousands of laparoscopic procedures over twenty years.
The recipients of dozens of awards for medical excellence and patient satisfaction, Drs. Aliabadi and Yera have joined forces to create the Outpatient Hysterectomy Center, a world-class surgical practice dedicated exclusively to women’s health.
Doctors Aliabadi and Yera specialize in leading-edge minimally invasive surgeries that offer patients shorter recovery times, less pain, and the least interruption to their daily lives.
If you are considering gynecologic surgery, you owe it to yourself to learn about the minimally invasive surgical treatment options available today.
If you wish to schedule a consultation to learn how we can help you or to establish care with us, please request a consultation online or call us at 844-541-7900.
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What is the average recovery time for patients following laparoscopic removal of ovaries?
Patients typically recover quickly after laparoscopic ovary removal due to minimal incisions and less anesthesia exposure, allowing for light activity within days, with most patients fully back to their routine within two weeks.
What are the potential complications that can arise from minimally invasive surgery for ovary removal?
Complications from minimally invasive surgery for ovary removal may include infection, bleeding, damage to nearby organs, blood clots, reaction to anesthesia, and potential need for open surgery if complications arise. Close monitoring and prompt medical attention are crucial for managing any post-operative issues effectively.
How long is the typical hospital stay for patients after undergoing a minimally invasive procedure for ovary removal?
After undergoing a minimally invasive procedure for ovary removal, patients typically have a hospital stay of less than 24 hours. The quick recovery time allows most patients to return to their regular routine within two weeks.
Can I expect changes in hormone levels following the minimally invasive removal of my ovaries?
Following minimally invasive oophorectomy, hormone levels will decrease if both ovaries are removed, causing menopausal symptoms. Discuss hormone replacement therapy options with your doctor post-surgery.
What is the follow-up care recommended after undergoing minimally invasive surgery for the removal of ovaries?
After undergoing minimally invasive surgery for the removal of ovaries, follow-up care involves transitioning from resting to light exercising. Avoiding strenuous activities is crucial, as well as lifting heavy objects to ensure proper healing. It's important to consult with your doctor for specific post-operative care instructions.
What are the signs of infection to watch for after having a minimally invasive ovary removal procedure?
Signs of infection to watch for after minimally invasive ovary removal: fever, increasing pain, redness/swelling at incision sites, foul-smelling discharge, worsening abdominal tenderness. Contact your doctor immediately if any of these symptoms occur.
What speeds up oophorectomy recovery?
Speedy oophorectomy recovery occurs due to minimal blood loss, less pain from smaller incisions, shorter surgeries, and quicker return to regular activities. Advanced laparoscopic procedures enhance recovery with minimal disruption and faster healing times.
What hinders laparoscopic recovery?
Inhibition of laparoscopic recovery can be caused by complications like bleeding, infection, or damage to organs. Adherence to post-op instructions and monitoring for signs of infection are crucial for a successful recuperation. Promptly report any unusual symptoms to your healthcare provider.
Can you suggest post-oophorectomy exercises?
Engage in light exercises post-oophorectomy to aid recovery. Start gradual activities, avoid strenuous movement, keep lifting minimal. Return to regular routine within two weeks post-surgery for a speedier recovery.
Which foods aid ovary removal healing?
After undergoing ovary removal surgery, focus on a diet rich in lean proteins, whole grains, fruits, and vegetables to aid healing. Stay hydrated, incorporate healthy fats, and include sources of anti-inflammatory nutrients like omega-3 fatty acids to support recovery.
What's the best oophorectomy post-op diet?
Following an oophorectomy, a balanced diet rich in lean proteins, whole grains, fruits, and vegetables is advisable. Focus on hydration, small, frequent meals, and fiber to aid digestion. Avoid processed foods, excessive sugar, and fatty foods. Gradually reintroduce regular foods as tolerated.
Are stitches removed after laparoscopic surgery?
In most cases, absorbable stitches are used in laparoscopic surgery and do not need to be removed, as they dissolve on their own over time. However, in some situations, non-absorbable stitches may be used and would need removal post-surgery as per the surgeon's instructions.
What are laparoscopic scar care tips?
Taking care of your laparoscopic scars is important for proper healing. Keep the incision sites clean, dry, and covered until they are fully healed to minimize scarring. Avoid exposing scars to direct sunlight and follow your surgeon's instructions for scar care.
How long until oophorectomy incisions heal?
Oophorectomy incisions typically heal within 2-3 weeks. It's important to follow post-op care instructions, avoid strenuous activities, and monitor for signs of infection or complications. Contact your healthcare provider if you have concerns about the healing process.
Can hormone therapy help recovery?
Hormone therapy can assist in managing symptoms after an oophorectomy by addressing issues like hot flashes, vaginal dryness, and bone density decline. Discussing hormone therapy options with your healthcare provider is crucial for post-surgery recovery.
What pre-op tests are required?
Several pre-op tests are required before a laparoscopic oophorectomy, such as a pregnancy test (if applicable), hormone level check, and CA-125 protein test. These tests help assess the patient's condition and determine the surgical approach.
How is post-surgery pain managed?
Post-surgery pain is managed through a combination of medications, such as over-the-counter pain relievers and prescription drugs as needed. In addition, rest, ice packs, and following post-op instructions from your surgeon help control discomfort and promote healing.
What's normal post-surgery ovary removal?
After surgery, you may experience immediate relief from preexisting symptoms. Post-surgery, light exercising is allowed, while strenuous activities should be avoided. Recovery typically takes two weeks, with minimal blood loss, less pain due to smaller incisions, and a quicker return to normal activities.
Are follow-up scans post-oophorectomy necessary?
Regular follow-up scans post-oophorectomy are crucial for monitoring any potential complications, like tumor growth or recurrence. Consult with your medical provider for personalized guidance on the frequency and necessity of these scans based on your specific health condition and history.
What's the laparoscopic wound care protocol?
Laparoscopic wound care protocol typically involves keeping the incision sites dry and clean. Avoiding soaking in water and following the surgeon's specific instructions on dressing changes are important. Watching for signs of infection, such as increased pain, redness, or discharge, is crucial for proper healing.
Can oophorectomy trigger menopausal symptoms?
Oophorectomy can trigger menopausal symptoms. Bilateral oophorectomy leads to immediate menopause with symptoms such as hot flashes, night sweats, and mood changes. However, hormone therapy can help manage these effects post-surgery.
How to identify oophorectomy complications?
Some potential complications of oophorectomy include bleeding, infection, damage to surrounding structures, or onset of menopausal symptoms. Notify your doctor immediately if you experience severe abdominal pain, fever, heavy bleeding, or signs of infection post-surgery. Regular follow-ups are essential to monitor and address any complications that may arise.
What activities should I avoid?
After undergoing an outpatient laparoscopic oophorectomy, it is advisable to avoid strenuous activities, heavy lifting, and intense exercising during the recovery period. Emphasize light activities and gradually increase to normal routine.
What's the typical oophorectomy follow-up?
Following an oophorectomy, typical follow-up may include monitoring hormone levels, post-op check-ups for healing, and discussing any potential symptoms or concerns. Consult your healthcare provider for personalized post-surgery care instructions.
When to call the doctor post-op?
Call your doctor post-op if you experience severe pain, fever over 100.4°F, heavy bleeding, foul-smelling discharge, persistent nausea or vomiting, difficulty breathing, chest pain, or swelling and redness at the incision site.
Can you outline the recovery timeline?
After a laparoscopic oophorectomy, patients typically transition from resting to light exercises post-surgery, avoiding strenuous activities. Most are back to normal routines within two weeks. Benefits include less pain, minimal blood loss, and shorter recovery.
Is outpatient oophorectomy recovery common?
Recovery from outpatient oophorectomy is common and involves transitioning from rest to light exercise, avoiding strenuous activities, and limited lifting. The procedure's minimally invasive nature allows for shorter surgery, minimal blood loss, quick pain recovery, and faster overall recuperation.
Are emotional changes after oophorectomy common?
After an oophorectomy, emotional changes are common due to hormonal shifts. Symptoms may include mood swings, depression, and anxiety. Discuss concerns with your doctor for treatment options.
How to manage hormone imbalance post-op?
After an oophorectomy, managing hormone imbalance post-op involves discussing hormone replacement therapy options with your doctor. Monitoring symptoms like hot flashes, vaginal dryness, and mood changes is important for adjusting treatment as needed for a smooth recovery.
What's the success rate for oophorectomy?
The success rate for oophorectomy varies depending on the underlying condition being treated. For conditions like ovarian cancer, the success is measured by complete tumor removal. For other non-cancerous conditions like ovarian cysts, success may be judged by symptom relief and prevention of complications. Success rates are typically high, but outcomes can vary.
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