Consequences of ovarian resection
author: gynecologist Gurshtynovich VM
Resection ( from Latin resectio - cut ) of the ovary is an operation that consists in partial excision of the affected organ.
Indications for surgical treatment
In practical gynecology, this intervention is often resorted to. Gynecologists, objectively assessing the importance of the body for a normal life of a woman, try to approach surgery with the utmost disregard. Direct indications for resection are:
ovarian cysts (endometrioid, dermoid, simple, multi-chambered );
- Polycystic ovary syndrome;
- benign tumors;
- rupture of ovarian tissue (trauma, cyst rupture).
Resection is an extreme measure. For example, large functional, simple cysts and endometriosis are removed in the absence of the effect of conservative treatment (antibacterial, anti-inflammatory treatment, course hormones).
The essence of the operation
Another 5-10 years ago, the main type of surgery was a laparotomy - a wide incision of the anterior abdominal wall along the middle line. The method is traumatic, the recovery period is great, after healing there is a large scar, and in the abdominal cavity spikes are formed. At the moment, this method is rarely resorted to only if urgent access to the organ is necessary in case of extensive blood loss.
It should be remembered that malignant ovarian formations are not treated with resection. With such conditions, not only the removal of the gonad is complete, but also the regional lymph nodes are removed, a large omentum is removed, a close audit of the "neighboring organs" is performed to exclude metastases. Operative access - only laparotomy.
Preference is now given to laparoscopic intervention - through small incisions in the abdominal cavity special instruments are introduced, and optical instruments with which the event is enlarged to the screen of the monitor.
Damaged tissue of the ovary is removed by an electrocoagulator or an electron knife, with simultaneous stopping of bleeding (tissue proteins are folded under the action of electricity and clog vessels).
Extra stitches are rarely applied. In addition, the operation is less traumatic, the cosmetic defect is insignificant, the recovery period is much easier.
With minor damage, a wedge resection is performed, as the most gentle method.
The side effects of surgical treatment are related both to the operation itself (complications) and to the functional state of the organ (consequences).
Complications associated with the operation itself can be as follows: trauma of internal organs and blood vessels, formation of hematomas, postoperative hernias and adhesions in the pelvic region, infectious processes, as well as the harmful effects of injected gas and anesthetics.
The consequences after removal of the ovarian tissue are associated with a decrease in the number of follicles and produced hormones and are manifested by the following:
- complete cessation of ovarian function, as a manifestation of postoperative stress;
- fertility decline - according to the latest data, the probability of conception decreases in proportion to the volume of the removed tissue.
When removing a large amount of tissue, especially if the pathological process is bilateral, conditions develop that are provoked by insufficient production of estrogens - a violation of menstrual function, endocrine imbalance (expressed in apathy, loss of interest in sexual activity, tearfulness, nervousness), cardiovascular disease, leaching calcium from bone tissue and its softening (osteoporosis), early menopause.
Patients who underwent surgical intervention on the ovaries should understand that the reserve of their ovaries is artificially lowered and they should try to become pregnant in the near future.
Dr Marcus: I got married to my lovely husband for the past 15years without conceiving and fibroid was the issue, i took different prescribed medication but could not cure it but my husband was so confident in me and kept encouraging me that one day someone would call me mother, we did not rest searching for solution from different Doctors all they could say was surgery and i was afraid of that then a friend in my office introduced me to Dr Marcus who sent his product to me which i took and it really worked perfectly, and my Doc. confirmed me pregnant after 2 weeks of taken his product. You can contact him on whats-app: +2349035530865 or call. +2349035530865
Megha Aggarwal: Hello I have pcod since 16 years I m married n have 2 kids n now I m 37 years old I m suffering from thick wall in uterus and heavy bleeding after some days spotting Pls help I m 5 2" and 71 kg weight
Mardin Uzeri: So at first, we said there is high insulin that stimulates theca cells to produce androgens. Then, we said there is elevated LH that stimulates theca cells. So which one is it?
Talk to Doctor: Sir make a video on benign cysts/tumor /lumps of breast....and explain how they differ from malignant tumor...it's very common condition nowadays
SimonaLyne Enderz: Thank you for your presentation! My concern is after a full hysterectomy with fibroids and cystic filled ovaries. Does PCOD still stand as a diagnosis?
author: gynecologist Kuznetsov MA
Often women hear from a doctor who made an ultrasound study that there is a yellow body in the ovary. But what does it mean?
author: gynecologist Ambrosova IA
The yellow body is a temporary gland of internal secretion, which is formed in the female body and functions there for a short time. As a rule, the yellow body in the ovary begins its development at the end of ovulation. The main function of this gland is the production of progesterone and estrogen (female sex hormones).
author: doctor Patwakanyan Nana
One of the most effective ways to treat the polycystic ovary syndrome (PCOS) is wedge resection of the ovaries. PKJ syndrome is a hereditary disease, during which the hormonal balance is broken, and the number of male hormones increases in the female body.
author: doctor Krivega M.S.
The appearance of the yellow body is associated with the sexual maturation of each girl. It appears at the place where the follicle with the maturing egg was. When the egg completely ripens, the follicle bursts, and it leaves the uterine cavity. This is called ovulation. And at this point, there are many granular cells that begin to produce a yellow substance - lutein, which contains the hormone progesterone.
author: pulmonologist Maleva O.V.
Surgical operations on the lungs are performed to remove lung tissue, altered by irreversible painful processes. Some lung diseases can not be cured otherwise than by physically removing the focus of inflammation or tumor degeneration of the parenchyma and surrounding structures. This work is performed by highly qualified specialists - thoracic surgeons, and the thoracic surgery section is called "thoracic surgery".
author: doctor, Ph.D. Gintovt O.I.
Resection of the stomach is a rather complicated operation, in which a considerable part of the stomach is removed, and the correlations of the organs of the digestive system change radically. After the operation, the stomach volume decreases sharply, and the food at the intake falls immediately not only in the stomach, but also into the small intestine. Therefore, in the diet of patients who have undergone this operation, there are several important features.
author: doctor-otorhinolaryngologist Bogodjazh TS
Submucosal resection of the nasal septum (syn. Septoplasty) is a surgical intervention aimed at correcting the shape of the deformed septum of the nose with preservation of its cartilaginous and bone base.
author: doctor Serova G.A.
Kidneys - the most important pair organ in the human body, performing several functions. The main of them is the excretory (excretion of urine) and homeostatic (ensuring the normal blood composition, its ion balance).