Doctor insights on:
Abdominal Hysterectomy Bilateral Salpingo Oophorectomy
For postmenopausal:: I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female i would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely. For a premenopausal patient i would recommend cystectomy. ...Read more
When: If it is immediately post op that is to be expected as post op pain, but, you will need to make sure there is no infection. If it is much later scar tissue is a possibility. Check with your surgeon. ...Read more
Discuss with surgeon: If done through an abdominal incision, salpingo-oophorectomy is major surgery that requires 3-6 weeks for full recovery. If performed laparoscopically, the recovery time can be much shorter. There may be some discomfort around the incision for the first few days, but most women are walking around by the third day. Within a month or so, patients can resume activities such as driving, exercising.. ...Read more
Bowel pelvic adhesio: Bowel pelvic adhesions post supra cervical hysterectomy or total hysterectomy, may cause similar symptoms due to bowel inflammation. The intestine can get stuck in an area such as vaginal cuff, or other respected areas in the pelvis due to inflammation or bleeding. If symptoms persist i would recommend laparoscopy rule out adhesions. Brignonimd.Com. ...Read more
I had a exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo oophorectomy in 2009 been getting yearly paps. Do i need to continue?
Intense rlq pelvic pain months after a total hysterectomy? Ct of appendix ok, have a history of ovarian cysts, endometriosis, & adhesions
Total vag. Hyst& bilat salpinoopherectomy . 2 options, vag.Only or with laparoscopic assist.60yo, thin, complex hyperplasia ?
Skill of surgeon: In general a vaginal hysterectomy is easier to recover from. That being said, when I have to have surgery i always defer to the preference of the surgeon. I want the person holding the knife to feel totally comfortable doing the procedure they feel is best. If i were your surgeon i would do a robotic hysterectomy. That is my preference. ...Read moreSee 1 more doctor answer
37yr old. Hysterectomy with rt ovary removed april this year. Severe bloat, pain. 4 CM complex cyst left ovary.On crutches for si pain. Remove ovary?
Depends.: It is usually reasonable to observe a cyst like this for some period of time because frequently it will resolve without surgical treatment. If the cyst persists or you have a family history of ovarian cancer then you may need the ovary removed. Need to have a discussion with your ob/gyn about treatment options. ...Read more
Possible pelvic mass had total hyst with removal of fallopian tubes, uterus, cervix and ovaries. Should i be worried?
Had hysterectomy and right sided oophorectomy 7 months ago. Recently discovered enlarged left ovary and hemorrhagic cyst . Ovary needs to be removed?
Not usually: Usually that can be followed. It also depends on your medical and gyn history and why you had the previous surgery in the first place. But a cyst like that can usually be followed and as long as it is not causing you bad symptoms it probably does not need to be removed. ...Read more
See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more
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