What Is a Bilateral Oophorectomy?
Ovariectomy is the main method for treating ovarian tumors. An ovarian tumor must be diagnosed before surgery, and the initial judgment is benign or malignant.
Basic Information
- Chinese name
- Ovariectomy
- Foreign name
- ovariectomy
- Visiting department
- Gynecology
Ovariectomy Anesthesia
- Spinal and epidural anesthesia.
Ovariectomy indications
- 1. Ovarian neoplasm.
- 2. Non-neoplastic cysts of the ovary are twisted or ruptured, and those who cannot retain the ovaries on that side.
Ovariectomy surgery steps
- The general steps of the surgery:
- 1. Cut the abdominal cavity one by one.
- 2. Explore the tumor.
- 3. Pull out the tumor.
- 4. Cut off the ligament of the pelvic funnel.
- 5. Cut off and suture the fallopian tubes and ovarian ligaments.
- 6. Embedding of stump.
- 7. Suture the abdominal wall.
Postoperative Ovariectomy Complications
- 1. Cardiovascular complications: bleeding and shock, myocardial ischemic disease, arrhythmia, cardiac arrest, thrombophlebitis, and pulmonary embolism.
- 2. Pulmonary complications: pneumonia, aspiration pneumonia, atelectasis, pulmonary edema, adult respiratory distress syndrome, pulmonary thrombosis.
- 3. Urinary tract complications: oliguria and anuria, urinary retention, urinary tract infections.
- 4. Gastrointestinal complications: paralytic intestinal obstruction, postoperative adhesive intestinal obstruction, acute gastric distension, constipation, fecal impaction and diarrhea.
- 5. Other infectious complications: pelvic infection, infection of abdominal wall incision, dehiscence of incision, necrosis of incision tissue.
Post-Ovariectomy Nursing
- 1. Monitor body temperature, blood pressure, pulse and breathing.
- 2. Connect the continuous catheter.
- 3. Intravenous rehydration can be performed on the 1st and 2nd days after the operation.
- 4. Pain relief in time.
- 5. Pay attention to bloating.
- 6. Early getting out of bed activities.
- 7. Observe the wound.
- 8. If it goes well, you can be discharged from the hospital 1 to 5 days after surgery.
Ovariectomy considerations
- The tumor is best pulled out of the abdominal cavity intact. Liquid discharge should be prohibited for malignant tumors.
Diet After Ovariectomy
- A liquid diet can be entered 6 hours after surgery, but milk and sugar are forbidden, and the diet should not be excessive. After the peristalsis of the intestine is restored, it can exhaust itself and gradually transition to general food. In order to promote early healing of the incision and body recovery, it is advisable to enter a high-protein, high-vitamin, nutritious diet.