Adnexectomy (removal of ovary with fallopian tube)

In gynecological practice, there are situations when the inflammatory process in the uterine appendages of a woman ends in severe suppuration. The best solution in this case is surgical intervention - adnexectomy. Due to their high professionalism, the specialists of the Dobrobut clinics perform it qualitatively and safely.

Adnexectomy: indications and contraindications

Surgery to remove the ovaries along with the fallopian tubes is performed only when conservative treatment has not brought the desired results, or the process of inflammation in the uterine appendages is extremely dangerous for a woman.

The main indications for the operation are

• purulent lesions of the uterine appendages;
• pyosalpinx without violating the integrity of the tube;
• chronic inflammatory processes at the stage of relapse in the appendages in the absence of the effect of drug and physiotherapy therapy;
• long-lasting cysts that are tightly adherent to the ovarian tissue or fill the entire ovarian volume;
• Tubal torsion and ovarian cysts;
• endometriosis;
• ectopic pregnancy;
• serous/mucinous cystadenoma.

In the presence of tuberculous lesions of the uterine appendages or malignant neoplasms, removal of the appendages on both sides by bilateral adnexectomy is indicated.

Contraindications to the intervention may include:

• blood coagulation disorders;
• acute infectious and inflammatory processes;
• kidney or liver disease
• arterial hypertension
• hyperthermia.

How to prepare for surgery

Before the surgical procedure, the patient must undergo a gynecological examination by a doctor and a comprehensive diagnostic examination. It may include smears for microflora, cytology, blood and urine tests, coagulogram, ECG and pelvic ultrasound, as well as CT scan if necessary. An anesthesiologist's consultation is required to exclude contraindications to anesthesia.

You should stop eating 8 hours before adnexectomy, and 2 hours before drinking. Immediately before the procedure, a woman should have a cleansing enema.

Adnexectomy: stages of the operation

Adnexectomy is performed laparoscopically or laparotomically under general anesthesia. Usually, laparoscopy is preferred as a gentle option with minimal tissue trauma.

Stages of laparoscopic adnexectomy:

1. The surgeon makes several small incisions to insert endoscopic instruments.
2. For better visualization, carbon dioxide is injected into the abdominal cavity.
3. The doctor removes the inflamed appendages, followed by coagulation of the vessels.
4. The pelvis is inspected, the instruments are removed and the punctures are sutured.
5. The removed material is sent for histological examination.

The operation lasts about 15 minutes. All actions are performed under the control of a video camera, which ensures high accuracy of the surgical intervention.

Rehabilitation period

The patient is discharged from the clinic on the 3-4th day if there are no complications. Usually, there are no consequences of adnexectomy, and bleeding and purulent-septic processes rarely occur. Preoperative examination is important to avoid them.

The recovery period takes 2-3 weeks. The doctor prescribes antibiotics, anti-inflammatory and analgesic medications. The patient should refrain from intense physical and sexual activity. Proper nutrition is also important. It is not recommended to take a hot bath until the sutures are removed. In particular, it is forbidden to visit the sauna and swimming pool.

Features of adnexectomy at MM Dobrobut:

• speed and safety of the intervention with minimal risk of complications;
• extensive experience and high competence of specialists;
• expert-level equipment;
• affordable price of adnexectomy;
• comfortable hospital with round-the-clock patient monitoring.

You can make an appointment with a qualified surgeon at Dobrobut by phone or on the website, and the administrator will answer all your questions, including the price of ovarian removal.