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Obesity and laparscopic surgery for 6.6 cyst.
I am scheduled to have laparscopic surgery in Sept. to remove a 6.5 cm cysts that contains several different chambers. I was referred by my primary Dr to the OBGYN who will be doing the surgery so have no history with her as I had Kaiser prior to learning of this event. She has told me it will be dangerous, simple and tricky surgery due to my size. I weigh 290 lbs.and have hypertension, asthma and diabetes. I am post menopausal and 52 years old.
At first she told me if no complications 2 wk recovery and now she is saying we should take my ovaries as I dont need them and if no complications 6 wk recovery. I asked if my cyst was attached to the ovary on my left side and she said she could not tell. What complications could I have and how dangerous is the surgery for me and what will I be able to do after surgery as I care for my father who has dementia and recovery from a stroke?
The cyst was discovered as a fluke when I fell off a motorcycle and went to ER for broken ribs and a possible rupture spleen, The spleen was okay but the discover the cyst as well as cracked ribs.
At first she told me if no complications 2 wk recovery and now she is saying we should take my ovaries as I dont need them and if no complications 6 wk recovery. I asked if my cyst was attached to the ovary on my left side and she said she could not tell. What complications could I have and how dangerous is the surgery for me and what will I be able to do after surgery as I care for my father who has dementia and recovery from a stroke?
The cyst was discovered as a fluke when I fell off a motorcycle and went to ER for broken ribs and a possible rupture spleen, The spleen was okay but the discover the cyst as well as cracked ribs.
Sandymac was concerned about you and sent me a message. I had a complete hyst/ooph in early April. I am about 325 right now and I am 5'3". I am 46 years old.
I found out about my cyst when I work up one morning in Agony. I was throwing up and had a very hard time thinking. I went to the ER and they found a dermoid tumor that was pretty large, about the size of a grapefruit, if I remember right. Because I so fat, it was hard to do a good ultrasound and CT Scan, (I had two of each). My OBGYN, my regular GP (who handles my diabetes, Sleep Apnea,HBP and Neuropathy) worked with a Cancer Surgeon Specialist (I can't recall what they're called at the moment).
The OBGYN and Surgeon did the surgery together, along with 4 other doctors & interns to assist. I had a C-section 8 years ago, and the incision (which was stapled) ruptured, causing significant blood loss, and extra surgery to stop the bleeding, and then I had to heal "from the inside out", which meant they couldn't re-stitch me. I had to clean my wound and dress it every day while taking care of my newborn, my 10 year old and my 15 year old, plus a husband who worked nights. I also went back to work when the baby was 8 weeks old, and STILL had to clean the incision. Anyway, the surgery is tricky because of the amount of cutting and moving around they have to do to get at your parts, and because the anesthesia is difficult to get right in such a large person.
Because of my size, and because I am beyond child bearing, we decided to remove everything along with the cyst, because the surgery was risky to begin with, and if I had any future trouble, they would just have to go back in there again, causing more risk.
So I had my ovaries, uterus and cervic removed and really don't have any problem.
The doctor's couldn't do it laproscopically because of the size of the tumor and the size of me. I had a bikini cut that was 28" across my abdomen, and they used 52 staples to help keep it closed. They also covered the wound with some special material used on burn victims to help keep the wound clean and the staples from popping out.
I had the staples in for almost three weeks, again, just to make sure the wound was closed. Thank God they were serious about helping me avoid that rupture because I don't think I could have gone through it again. The wound healed very very nicely. The surgeon who headed up the team had the supporting doctors pull my belly back and away from where they cut (at the bottom of your belly under your overhang). They had to ancor my belly to the top of the bed to keep it protracted, and the clamps they used to do that hurt more than the staples or the incision. They were black and blue for weeks. I would love to talk to you personally about it, and if you are still reading posts, please drop me a line. I'm sure I could ease your worry and speak specifically to "our" unique situation!
Hugs and prayers,
Morrowville
I found out about my cyst when I work up one morning in Agony. I was throwing up and had a very hard time thinking. I went to the ER and they found a dermoid tumor that was pretty large, about the size of a grapefruit, if I remember right. Because I so fat, it was hard to do a good ultrasound and CT Scan, (I had two of each). My OBGYN, my regular GP (who handles my diabetes, Sleep Apnea,HBP and Neuropathy) worked with a Cancer Surgeon Specialist (I can't recall what they're called at the moment).
The OBGYN and Surgeon did the surgery together, along with 4 other doctors & interns to assist. I had a C-section 8 years ago, and the incision (which was stapled) ruptured, causing significant blood loss, and extra surgery to stop the bleeding, and then I had to heal "from the inside out", which meant they couldn't re-stitch me. I had to clean my wound and dress it every day while taking care of my newborn, my 10 year old and my 15 year old, plus a husband who worked nights. I also went back to work when the baby was 8 weeks old, and STILL had to clean the incision. Anyway, the surgery is tricky because of the amount of cutting and moving around they have to do to get at your parts, and because the anesthesia is difficult to get right in such a large person.
Because of my size, and because I am beyond child bearing, we decided to remove everything along with the cyst, because the surgery was risky to begin with, and if I had any future trouble, they would just have to go back in there again, causing more risk.
So I had my ovaries, uterus and cervic removed and really don't have any problem.
The doctor's couldn't do it laproscopically because of the size of the tumor and the size of me. I had a bikini cut that was 28" across my abdomen, and they used 52 staples to help keep it closed. They also covered the wound with some special material used on burn victims to help keep the wound clean and the staples from popping out.
I had the staples in for almost three weeks, again, just to make sure the wound was closed. Thank God they were serious about helping me avoid that rupture because I don't think I could have gone through it again. The wound healed very very nicely. The surgeon who headed up the team had the supporting doctors pull my belly back and away from where they cut (at the bottom of your belly under your overhang). They had to ancor my belly to the top of the bed to keep it protracted, and the clamps they used to do that hurt more than the staples or the incision. They were black and blue for weeks. I would love to talk to you personally about it, and if you are still reading posts, please drop me a line. I'm sure I could ease your worry and speak specifically to "our" unique situation!
Hugs and prayers,
Morrowville
Hi there,
There is a wonderful gal who was on this forum not too long ago that had similar concerns. I will try to contact her and hopefully she will post.. She was worried as well , but all went great for her..(Her name is Donna)
Good luck,
Sandy
There is a wonderful gal who was on this forum not too long ago that had similar concerns. I will try to contact her and hopefully she will post.. She was worried as well , but all went great for her..(Her name is Donna)
Good luck,
Sandy
MMF52 is correct when she says the laparoscopy may be tricky and or a bit dangerous due to her size. It is still the procesure of choice as it carries less complications and a quicker recovery rate than a laparotomy. The reasons are obvious, they do not have to "cut" as much (muscle and adipose tissue or fat which is loose connective tissue) and there is not the larger incision and all the tissues that have to heal vs the small incisions and much less tissues cut in the scope surgery. Larger amounts of adipose tissue can also be more difficult to heal.
A year ago my grown son weighted 319 lbs (had lots of adipose tissue) and required an emergency cholecystectomy, gall bladder removal. His surgeon told us they would attempt to do it as a laparscopic procedure but if they "got in trouble" due to his size they would do a laparotomy. And MMF52 they told him the same things they are telling you, it could be dangerous and tricky due to his size. They were able to do the scopy and he did well. He had a bit more pain post-op than the 170 lb guy might experiece but other than that everything went well. As a side note I am happy to report my son now weights 270 lbs and continues to lose weight slowly.
And Vallieanne is correct. There is assistance, usually through social services (we have Community Action in WI) that will help you with the care of your father while you are recovering. I encourage you to look into that also. Your father is very lucky to have a daughter that cares so much for him
I will be thinking of you. Take care and please keep us posted. Warm Regards, Tuck
A year ago my grown son weighted 319 lbs (had lots of adipose tissue) and required an emergency cholecystectomy, gall bladder removal. His surgeon told us they would attempt to do it as a laparscopic procedure but if they "got in trouble" due to his size they would do a laparotomy. And MMF52 they told him the same things they are telling you, it could be dangerous and tricky due to his size. They were able to do the scopy and he did well. He had a bit more pain post-op than the 170 lb guy might experiece but other than that everything went well. As a side note I am happy to report my son now weights 270 lbs and continues to lose weight slowly.
And Vallieanne is correct. There is assistance, usually through social services (we have Community Action in WI) that will help you with the care of your father while you are recovering. I encourage you to look into that also. Your father is very lucky to have a daughter that cares so much for him
I will be thinking of you. Take care and please keep us posted. Warm Regards, Tuck
Hi,
I'm a little confused with what you said the surgeon told you about the laparoscopy.
She told you she considered it dangerous, simple and tricky due to your size?
Has she done any other tests to make sure your other conditions are under control prior to the surgery?
I'm having a laparoscopy done soon and I was sent for extensive testing by the surgeon to make sure everything else fine. I have some disabilities that will affect the recovery time, chronic pain and a failed spinal surgery, and also asthma. I had cardiology testing as my EKG came back as borderline at my pre-ops, but now have been cleared as the specialist feels it's a very minor issue.
I think you should try to speak to her again to get her to clarify everything and to voice your concerns about what type of complications she may be anticipating.
You can contact a social worker at the hospital where your surgery is being done to see if you can get some home health care for you and your father during your recovery period. If you are his sole caretaker, you will not be able to do any heavy lifting at all after the surgery. I think it's not more than 5 lbs. from what some women on the board have stated. I hope someone with similar issues can add to what I've already told you, I know there was another woman who did and she had a laparotomy because they couldn't do her surgery as laparoscopy.
Good luck
Valerie
I'm a little confused with what you said the surgeon told you about the laparoscopy.
She told you she considered it dangerous, simple and tricky due to your size?
Has she done any other tests to make sure your other conditions are under control prior to the surgery?
I'm having a laparoscopy done soon and I was sent for extensive testing by the surgeon to make sure everything else fine. I have some disabilities that will affect the recovery time, chronic pain and a failed spinal surgery, and also asthma. I had cardiology testing as my EKG came back as borderline at my pre-ops, but now have been cleared as the specialist feels it's a very minor issue.
I think you should try to speak to her again to get her to clarify everything and to voice your concerns about what type of complications she may be anticipating.
You can contact a social worker at the hospital where your surgery is being done to see if you can get some home health care for you and your father during your recovery period. If you are his sole caretaker, you will not be able to do any heavy lifting at all after the surgery. I think it's not more than 5 lbs. from what some women on the board have stated. I hope someone with similar issues can add to what I've already told you, I know there was another woman who did and she had a laparotomy because they couldn't do her surgery as laparoscopy.
Good luck
Valerie
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