Laparoscopic Ovarian Torsion Surgery

The ovaries are female reproductive organs that produce eggs. Ovarian torsion is when an ovary becomes twisted and cuts off its own blood supply. If the ovary becomes twisted, it cannot get blood and the ovary swells. This swelling can cause extreme pelvic pain that can come and go. Laparoscopic ovarian torsion surgery is needed to untwist the ovary and restore blood flow to the ovary.

LET YOUR CAREGIVER KNOW ABOUT:

  • Allergies to food or medicine.

  • Medicines taken, including vitamins, herbs, eyedrops, over-the-counter medicines, and creams.

  • Use of steroids (by mouth or creams).

  • Previous problems with anesthetics or numbing medicines.

  • History of bleeding problems or blood clots.

  • Previous surgery.

  • Other health problems, including hypertension, diabetes, and kidney problems.

  • Possibility of pregnancy.

RISKS AND COMPLICATIONS

  • Allergies to medicines.

  • Difficulty breathing.

  • Bleeding.

  • Infection.

  • Damage to other structures near the ovaries.

BEFORE THE PROCEDURE

  • If possible, ask your caregiver about changing or stopping your regular medicines.

  • If possible, do not eat or drink anything for at least 8 hours before your surgery.

  • If possible, stop smoking (if you smoke). Stopping will improve your health after surgery.

  • Arrange for a ride home after surgery and for help at home during recovery.

PROCEDURE

  • An intravenous (IV) access tube will be put into one of your vein in order to give you fluids and medicines.

  • You will receive medicines to relax you and medicines that make you sleep (general anesthetic).

  • You may have a flexible tube (catheter) put into your bladder to drain urine.

  • You may have a tube put through your nose or mouth into your stomach (nasogastric tube). The nasogastric tube removes digestive fluids and prevents you from feeling sick to your stomach (nauseous) and throwing up (vomiting).

  • Three to four small incisions (laparoscopically) or an open incision will be made in the abdomen. Your surgeon will decide the appropriate approach.

  • The ovary will be untwisted with small instruments inserted through the laparoscopic incisions.

  • The ovary is then observed to see if blood flow returns. If blood flow cannot be restored to the ovary, it may have to be surgically removed.

AFTER THE PROCEDURE

  • Plan to be in the hospital for 1 day or less.

  • You may have abdominal cramping and a sore throat. Your pain will be controlled with medicine.

  • You may have a liquid diet temporarily. You will most likely return to, and tolerate, your usual diet the day after surgery.

  • You will be passing urine through a catheter. The catheter will be removed after surgery.

  • Your temperature, breathing rate, heart rate, blood pressure, and oxygen level will be monitored regularly.

  • You will still wear compression stockings on your legs until you are able to move around.

  • You will use a device or do breathing exercises to keep your lungs clear.

  • You will be encouraged to walk as soon as possible.

  • Expect a full recovery in 4 to 6 weeks after surgery.