Ovarian Cystectomy/
Salpingo-Oophorectomy

Indication

   Ovarian cyst

The Procedure

   General anaesthesia

   Peritoneal cavity entered

   Removal of ovarian cyst (Cystectomy) or removal of Fallopian tube and ovary (Salpingo-oophorectomy) done

   Frozen section to examine the specimen immediately can be done if necessary

   Abdominal wound closed

   Tissues removed will be sent for pathological examination or disposed of as appropriate unless otherwise specified

   Other associated procedures which may be necessary, such as:

   Blood transfusion

   Removal of the other Fallopian tube and ovary, and the uterus

   Removal of the other ovary, Fallopian tube, uterus, omentum and pelvic / para-aortic lymph nodes in case of cancer

Photographic and / or video images may be recorded during the operation for education / research / documentation purpose. Please inform the staff if you have any objection.

Risk and Complication

   Anaesthetic complications

   Bleeding, may require blood transfusion

   Injury to neighbouring organs especially the bladder, ureters and bowels, may require repair

   Pelvic infection

   Wound complications including infection and hernia

   Deep vein thrombosis

Risk of Not Having the Procedure

   May develop cyst complications such as torsion, haemorrhage, rupture

   Exact diagnosis cannot be ascertained and potential undiagnosed cancer

After the Procedure

   No effect on hormonal status in the presence of normal ovarian tissue

   Possible adverse effect on future fertility

   Risk of recurrence of the ovarian cyst, especially for endometriotic cyst

Alternative Treatment

   Cystectomy versus salpingo-oophorectomy

   Bilateral salpingo-oophorectomy

   Total abdominal hysterectomy bilateral salpingo-oophorectomy

   Laparoscopic approach

Follow Up

   Consider hormonal therapy if both ovaries are removed

   Side effects include increased risk of breast cancer, deep vein thrombosis and gallstones

   Further treatment may be necessary in case of cancer

Remarks

The information contained is very general. The list of complications is not exhaustive and other unforeseen complications may occasionally occur. In special patient groups, the actual risk may be different. For further information, please contact your doctor.