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Type of delivery after open surgery for ovarian cysts removal

In September 07, I had a miscarriage and while at the hospital the doctor discover the first of many ovarian cysts. They prepped me for emergency surgery and the next thing I knew I was in a hospital room post surgery with a huge cut across my whole stomach.

Now I'm pregnant, just a few weeks & my doctor will not see me until after 8 weeks. The question I have is what type of delivery should I expect if I am able to carry this baby? I read that normally if you have a C-section & become pregnant they want to do it to deliver any other pregnancies. However, I'm confused if the open surgery would be considered a C-Section. I'm just really confused & can't talk to my doctor for a few more weeks. Can you help explain this to me?
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Avatar universal
It sounds like you may have polycystic ovarian syndrome (PCOS), which is a more complicated medical problem than the type many of us faced on the ovarian cyst forum.  Did any of your doctors mention that as a possibility?  Either way, you should also join the PCOS forum and ask the ladies there how their pregnancies went after multiple prior surgeries for cysts since this is such a reoccurring problem for them.

http://www.medhelp.org/forums/Polycystic-Ovarian-Syndrome-PCOS/show/203

I hope your current pregnancy goes well for you and I'm so sorry for your loss of the first pregnancy.  Pregnancy could quiet down the ovary problem if no cysts were around when you conceived, but it could be a problem again afterwards.  You'll want to complete your family sooner rather than later because at some point you are going to be so tired of the ovary problem you'll want them removed.  The family history of ovarian cancer is an important consideration, too, but it doesn't mean you are certain to get it.  What you need is an excellent doctor that you like and trust who is there for you and has a full understanding of your history.  Best wishes!
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Avatar universal
The doctor was a GYN at the hospital. He said he was going to do a laparoscopy so I did not have any family or friends there because I didn't think it was a big deal. However, when I woke up I realized he did open surgery. The doctor was such a jerk that he thought he didn't have to answer any of my questions. All I know is it weighted almost 12lbs which explains why I gained weight and couldn't lose it. After the surgery I instantly lost 20lbs. It was like delivering a baby. I do remember them freaking out when I had the ultrasound. However, I was in so much shock because of the miscarriage that nothing about that visit to the hospital makes much sense to me.

Last year I had 3 more surgeries to remove more cysts but did it via laparoscopy.  I had a different doctor because I refused to go back to the first doctor. The final surgery in September, resulted from me bleeding internally and passing out on my livingroom floor. My daughter had to call 911. The reason the last doctor felt the surgeries were needed was because my stomach was hurting so much I couldn't do day to day activities. Driving, turning at my waist or bending gave me sharp pains like someone was stabbing me with a knife. They seemed to be growing back into place and multiplying within months. I went from the one massive one to over 30 more within a years time. He advised me to get a hysterectomy since ovarian cancer does run in my family but I wanted more kids and would not do it. Now I'm pregnant and hoping everything is alright. I haven't had many pains like I did before and I've been off my meds since November.
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Avatar universal
It also sounds like they didn't cut into your uterus if they only removed cysts (is that correct?), so that makes this different than having a prior C-Section.  You had abdominal surgery.  

What was the emergency?  Were cysts twisting ovaries or posing other dangers?  Were you losing a lot of blood?  Cysts often can be removed without a huge incision via laparoscopy or without it being an immediate emergency when done by a doctor that specializes in removal of them  (gyn surgeon, gyn/oncologist surgeon).  If you got sent quickly to OR and got a general surgeon, there's no telling what they did.  

We don't have much information to go on, but it sounds like they were in a big hurry and gave you more surgery than you might have needed if things were planned with cooler heads.  But waiting might not have been an option.  Even so, you could stll have a normal delivery if they didn't cause damage that would say otherwise.

Only your doctor can answer this question accurately.  Didn't you ask anyone about this after your miscarriage and surgery?

Other circumstances even the doctor does not know yet could alter the outcome such as the size of the baby at birth, whether it is in normal position or breech position, etc.  

I hope all goes well for you!  I'm sure you don't want more abdominal surgery after that prior experience.  I'm not a doctor but we don't hear of too many emergency cyst surgeries here.  Many of us carry them around for a long time and then have them removed on a planned schedule when it is clear removal is the only solution.
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Avatar universal
Hi, a friend of mine had a c-section for her first baby then had a normal delivery for her second.  I think it depends on your individual circumstances.  Good luck hope it all works out for you :)
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