This forum is for questions and support regarding ovarian cancer issues, such as: Biopsy, Chemotherapy, Clinical Trials, Genetics, Hysterectomy, Immunotherapy, Ovarian Cancer Types, Radiation Therapy, Risk Factors, Screening, Staging, Surgery.
I have a question regarding adhesions following ovarian cystectomy. I am a 33 years old female with 6 to 7 cm right ovarian cyst. Sonogram shows it is a multiple cyst.
4 years ago I had a 3cm right ovarian cyst which ruptured. It damaged one of my blood vessels. I came to OR through emergency and was operated on for 4.5 hours, (not laparoscopic surgery), there was Peritonitis, acute pain and abdominal cavity bleeding. I had blood transfusion. The lab showed cyst being benign. Now the story repeats itself. But the cyst is twice as big. The same surgeon recomends to operate laparotomicaly with small inscision. She does not want to do laparoscopy because she is afraid that due to my previuos surgery I might have adhesions. Plus the mass she feels during pelvic exam seems to be stuck. She says if we start laparoscopy we may do more damage, therefore we should go with laparotomic exploration. She is also afraid the cyst may spill if we do laparoscopy. Another GYN doctor recommended I do not do laparotomy because it may lead to complications and adheasions. Specifically because I had a previous surgery. He says, at least start with laparoscoppy, and then decide further….
Can someone help me in making the descision. What do I choose? please
My CA 125 is elevated to 47, I am a bit aneamic. The rest seems to be normal.
thank you for your complete information. In general, the surgeon who has already seen the inside of your body has the best knowledge with which to base a decision about surgical approach. It may be that looking first with laparoscopy is reasonable. However the complication rate for laparoscopy is twice the complication rate of laparotomy. Complications include injury to the bowel, bladder, ureter(the tube that brings the urine form the kidney to the bladder), and blood vessels.
There is also the risk of an unrecognized injury at laparoscopy. That is - the surgeon puts a trocar ( a narrow tube with a sharp edge) through the abdominal wall and into the abdominal (peritoneal ) cavity. It is possible to poke through bowel going in and not see this because the surgeon is looking through the trocar and cannot see around the trocar.
Adhesions can occur because of the process that causes the cyst (such as peritonitis or endometriosis. Adhesions can also occur from surgery as well.
Ultimately, you should go with the doctor whom you trust and whose approach makes sense to you.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.