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Ovary Removal via Laparotomy Anyone? Ovary Removal via Laparotomy Anyone?

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Unread 04-05-2004, 06:43 AM
Ovary Removal via Laparotomy Anyone?

Ok, I myself would think I know enough by now from all the research I have done over the years trying to get answers about endo and what is going on in my body.

As some of you know, I found out last week that I have a 6cm endometrioma cyst on my remaining left ovary (TAH July 2, 2003). My doctor has already told me she is taking it via LAPAROTOMY so now I am searching about that. I have had 3 laprascopic surgeries in the past and know all about those. She will also excise any endo that is there and I might also be having some bladder repairs, not quite sure yet as the doc is still trying to get me in to see a URO before surgery.

My main question is - is this done on an outpatient basis. I go on Friday for pre-op blood work and Saturday I got a letter in the mail from my doctor's office with all the info but am not sure they have it right. I am waiting for their office to open at 9am so I can get it clarified. I would think having another abdominal incision (she told me she will cut me in the same place) that they would want to keep me at least for 24-28 hours to monitor me postop. She also said that my recovery period will be the same as the hyst -- 6-8 weeks, with a lap it has always just been 7-10 days and then take it easy for a while. I am so confused.

On the 14th I go for another ultrsound to see if it is still growing and then for my preop appt with my gyn. I will make a list of questions as I really want to know too how long does it usually take to get over surgically induced menopause? I haven't been able to find any info on how long that process takes. I know its not the same as going through it naturally. And, knowing I can not take HRT I will start looking for natural means of relieving menopause symptoms. I do know already women with endo should not take black cohosh or soy as it mimicks the affects of estrogen.

Anyone out there have this same procedure that could give me some advice?

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Unread 04-05-2004, 07:10 AM
Ovary Removal via Laparotomy Anyone?

Jody --

A laparotomy is a regular old abdominal incision. Laprascopic is the small incision through which a laprascope is inserted.

You need to clarify with your doc which is being proposed.

If the surgery is laprascopic (tiny incision), you may well leave the hospital that night, especially if the "extra" work is simple and quick, and your pain is under control.

If the surgery is done through a laparotomy (regular old abdominal incision), it would be less usual for you to go home the same day.

Unread 04-05-2004, 08:10 AM
Ovary Removal via Laparotomy Anyone?


I had my remaining ovary removed on 03/09 via laproscopic surgery. I had an 8 cm endometrioma and LOTS of adhesions. The surgery took over 3 hours and the Dr. kept me overnight in the hospital. My SAH and RSO was on 9/10/03 and I can honestly say I felt much better 4 weeks after that surgery than I do now. It seems to me there is less bruising and trauma inside and out with an abdominal incisionbut they did a LOT of adhesion removal. I've only had 3 surgeries but that is my opinion. (The other was a laproscopic gallbladder removal in 2001 and I ended up back in intensive care for a week because they nicked my liver.)

As far as how long the surgical menopause symptoms lasts....I'll let you know when I find out. (frown) I also can't take any HRT so am on a roller coaster ride!

There is a thread on the Post-Op forum about what you wish your Dr. had told you. I wish my Dr. KNEW enough to tell me anything. If I ever have another Hyst (ha-ha) I'm going to have a Dr. that has already had one herself!
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Unread 04-05-2004, 08:16 AM
Ovary Removal via Laparotomy Anyone?

thanks to both of you for your replies. I have had 3 laps before and know what to expect there and they are sometimes just as painful I think as having an abdominal surgery.

I did call my docs office and the Surgery Scheduler is not there today but I left her a voicemail and she will call me tomorrow. I am also going to be in their office on Friday as my 13 yr old dd has an appt with my gyn then and I go for my preop blood work that afternoon. I will know though by tomorrow. I think it was just a mistake though on the letter and just want if fixed. There is no way I am going home the same day.

I will cruise on over the the hormone jungle as well as check out the thread you referenced. I just want to know how long will I be in there and my gyn did tell me it is going to be very difficult for a while and she feels bad that I can't have any meds to help. We just don't want any endo coming back and I guess I will tough it out but am not looking forward to it at all.

I will keep you all posted on what I find out!!!

thanks Ladies!!!!

Unread 04-05-2004, 09:08 AM
Ovary Removal via Laparotomy Anyone?


I know my doctor said that if my last laparoscopy had gone to a laparotomy I could count on staying in the castle for a couple of nights. Glad you are asking your doctor, as I am sure, too, you are not going home the same day.

Send a for me to your DD. 13 is so young to be seeing a gyn, but if she is already having female trouble, she is lucky to have you to help her through it and recognize that she needs to see a specialist. I did not see a gyn until I was 19 and had already been through years of pain.
Unread 04-05-2004, 09:16 AM
Ovary Removal via Laparotomy Anyone?

Michelle, thank you for the kind words for DD.

She is already showing tale tell signs of endo. My birthmom had it, had the same type of Hyst as me but was lucky not to lose both ovaries and went through menopause naturally and gradually.

DD does not have a lot of cramps or pain yet. She started when she was 10 and has never been regular. She is usually like olive complected and her summer tan never really fades. The past 3-4 months though she has been so pale and stays tired and just bleeds endlessly. In Nov. she had whooping cough and when the nurse asked when her last period was she said, well I started the last time the middle of Oct and it hasn't ended. The nurse looked at me like I was some type of monster for letting this happen. I have already taken her to the doc about it before and wanted to wait to she if she would ever get regular and didn't want to put her on bc before she turned 13. So now we are going to do it. She knows all about what I have gone through and am still going through and I don't want this for her. She has a right to a life and less bleeding, it is not normal. I have been talking to my gyn about her problems for the last year and we have decided we are going to start her out on a low dose patch as I know she will not remember to take a pill everyday and we all know how that can make matters worse. I have talked to her about it and she knows that this is the only reason she is being put on it, it does not give her permission later down the road to have sex. She knows all about STD's and stuff from school and me talking to her and I have told her she will hear it from the doc too on Friday. I just hope this helps her some, we have our own pool and it is terrible that some months she can only swim for a few days because of all the bleeding. Not this summer!!!!

Thanks again, how are you doing these days yourself, are you any better?????

Unread 04-05-2004, 10:22 AM
Ovary Removal via Laparotomy Anyone?


If it is any consolation, I started on birth control pills at 19 and waited until I got married at 22 to have intercourse. Just keep communicating like you are with your DD and I am sure she will be good to herself. My parents told me that waiting was all about self respect and I think they were right!

I am doing well. Its one of my GOOD weeks. Thanks for asking!

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