Preventive surgery for ovarian cancer

Preventive surgery for ovarian cancer

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Women who carry mutations in the BRCA1 or BRCA2 genes have a significantly increased risk of breast and ovarian cancer compared to the general population.

In these cases, many women choose to undergo a preventive bilateral laparoscopic salpingo-oophorectomy, a surgery that can decrease he risk occurrence of ovarian cancer in almost a 95%.

What is a bilateral laparoscopic salpingo-oophorectomy?

A bilateral laparoscopic salpingo-oophorectomy is the surgical removal of both fallopian tubes and both ovaries.

This surgery is done to treat:

  • ovarian cancer or other gynecological cancers.
  • infection caused by pelvic inflammatory disease.
  • Removal of one or both ovaries can be used to treat endometriosis.
  • ectopic pregnancy.

How is a bilateral laparoscopic salpingo-oophorectomy performed?

This type of surgery is performed under general or regional anesthesia depending on the type of procedure.

In a salpingo-oophorectomy throughlaparoscopy, the surgeon:

  • Makes small incisions in the abdominal wall just below the belly button.
  • Through these incisions he introduces the laparoscope, a thin tube that contains a small lens attached to a camera and a light source.

Using the camera, the surgeon can view the abdominal cavity and separate the ovaries and fallopian tubes to remove them. With the laparoscope, regional anesthesia is usually used, and recovery is usually faster. If there are no complications, the patient can leave the hospital in a day or two.

In a salpingo-oophorectomy open, the surgeon:

  • makes an incision about 10-15 cm long in the abdomen. Usually horizontal, so that the scar is less visible, although some surgeons prefer the vertical incision, as it provides greater visibility.

The main disadvantage of abdominal salpingo-oophorectomy is that more bleeding may occur, the procedure is more painful than a laparoscopic operation, and the recovery period is longer. A woman will need to stay in the hospital for 2 to 5 days, and it will take 3 to 6 weeks to return to normal activities.

What side effects does this type of surgery have?

Salpingo-oophorectomyno usually has associatedserious complications. Although unlikely, small bowel obstructions or ureter injuries may appear at the level of the suspensory ligament of the ovary.

Video: Preventing Ovarian Cancer through early Excision of Tubes and late Ovarian Removal PROTECTOR Study (July 2022).


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