Removal of the ovaries (oophorectomy) - a surgical procedure carried out on uterine appendages.
Indications for oophorectomy:
- Ovarian cancer.
- Hormone-dependent cancer is breast cancer.
- Complicated by tubo-ovarian abscess adnexitis.
- Cysts of the ovary.
- Ectopic pregnancy.
- Ovarian apoplexy.
- sterilization necessity.
Method and technique of operation depends on the clinical picture of the disease, the patient's condition and purity of the process.
In benign processes in the ovary in Israel clinics conducted unilateral oophorectomy. Simultaneously salpinx ovaries removed. In some cases, in nulliparous women the fallopian tube is not resected.
Pro malignant tumors of the ovaries, uterus, mammary gland bilateral ovariectomy is performed.
Before surgical treatment in the clinic Assuta patients underwent ultrasound examination of the pelvic organs, laboratory diagnostics, computed tomography, and other indications of the survey.
- Operation oophorectomy may be performed using a laparoscope - a laparoscopic ovariectomy;
- Cavitary ovariectomy - the operation is performed through an incision in the abdominal wall (laparotomy).
Appliances abdominal ovariectomy in clinic Assuta .
The operation is performed through an incision in the abdominal wall. The ovaries are removed from the abdominal cavity of each ovary ligaments clamped terminals. After cutting off the ovaries, the terminals are replaced ligatures. The defect is closed peritoneum of the broad ligament of the uterus. At the end of washing operation is carried out of the abdominal cavity. Anterior abdominal wall is sutured by layers. During the operation the patient is under general anesthesia.
Surgical intervention lasts about 3 hours.
Hospitalization and medical supervision - 4-6 days.
After bilateral oophorectomy in women develop menopausal syndrome, so it is necessary the appointment of hormone replacement therapy.
Women with malignant tumors abdominal oophorectomy is a stage of complex treatment of cancer. After surgical treatment in Israeli hospitals carried out radiotherapy and chemotherapy.