Laparoscopic adnexectomy
About
Laparoscopic adnexectomy, often abbreviated as LSC or LAP, is a surgical procedure used to remove one or both of the adnexa, which are the structures adjacent to the uterus in the pelvis. These structures include the fallopian tubes and ovaries.
Candidate
Laparoscopic adnexectomy may be recommended for individuals who have conditions affecting the adnexa, such as ovarian cysts, tumors, endometriosis, or other gynecological issues. Candidates for this procedure typically undergo a thorough evaluation by a gynecologist or a gynecologic surgeon to determine the best course of treatment.
Preparation
Before the procedure, patients may undergo various tests such as blood tests, imaging studies (like ultrasound or MRI), and possibly a preoperative evaluation by an anesthesiologist. Patients are usually instructed to fast for a certain period before the surgery. It's important to follow any specific instructions provided by the healthcare team regarding medications, diet, and activity restrictions before the surgery.
Treatment
Laparoscopic adnexectomy is performed under general anesthesia. Several small incisions (usually around 0.5 to 1 centimeter) are made in the abdomen. A laparoscope, a thin, lighted tube with a camera, is inserted through one of the incisions to visualize the pelvic organs. Surgical instruments are inserted through the other incisions to dissect and remove the adnexa. Once the procedure is completed, the incisions are closed with sutures or surgical glue.
Result
Laparoscopic adnexectomy is generally associated with shorter hospital stays, less postoperative pain, and faster recovery compared to traditional open surgery. The specific outcomes vary depending on the individual's condition and the reason for the surgery. However, many patients experience relief from symptoms such as pelvic pain or discomfort associated with the underlying condition.
Precautions
After the procedure, patients are typically advised to avoid heavy lifting and strenuous activities for a certain period to allow for proper healing. Follow-up appointments with the healthcare provider are essential to monitor recovery and address any concerns or complications that may arise. Patients should adhere to any postoperative instructions provided by their healthcare team, including medications, wound care, and activity restrictions.
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