Name of the Procedure:

Excision or Destruction of Intra-abdominal Tumors (Open Surgery); Removal of Tumors, Cysts, or Endometriomas from Peritoneal, Mesenteric, or Retroperitoneal Regions

Summary

This surgical procedure involves the removal or destruction of one or more tumors, cysts, or endometriomas located within the abdominal cavity. It is specifically targeted at larger tumors that measure between 5.1 and 10.0 cm in diameter, and can address not only primary but also secondary growths.

Purpose

This procedure is performed to remove abnormal growths within the abdomen that could be causing symptoms or complications. It aims to relieve pain, mitigate symptoms, and improve the patient's quality of life while preventing further health issues caused by the tumors.

Indications

• Presence of abdominal pain or discomfort.
• Detected growths via imaging studies such as CT scans or MRIs.
• Symptoms of bowel obstruction or other organ compression.
• Conditions such as endometriosis with significant cysts or endometriomas.
• Tumors/thickenings suspected of being malignant.

Preparation

• Fasting for at least 8 hours before the procedure.
• Adjustments in current medication as advised by the physician.
• Pre-operative imaging studies and blood tests.
• Pre-surgery consultation including discussion of medical history and potential risks.

Procedure Description

1. The patient is placed under general anesthesia to ensure they are unconscious and pain-free.
2. A surgical incision is made in the abdomen to access the affected area.
3. The surgeon identifies and either excises (cuts away) or destroys the targeted tumors, cysts, or endometriomas.
4. Careful examination is conducted to ensure all abnormal tissue is removed, especially focusing on tumors measuring between 5.1 to 10.0 cm.
5. The incision is closed with sutures or staples, and a sterile dressing is applied.

Tools: Surgical scalpels, forceps, electrocautery devices for destruction, and imaging tools for precise location and removal.

Duration

The procedure typically takes between 2 to 4 hours, depending on the number and complexity of the tumors.

Setting

The procedure is performed in a hospital's operating room equipped for major surgeries.

Personnel

• Surgeon (usually a specialist in general surgery or gynecology)
• Anesthesiologist
• Surgical nurses
• Surgical technician

Risks and Complications

• Bleeding and infection at the surgical site.
• Injury to surrounding organs or blood vessels.
• Post-operative adhesions (scar tissue).
• Risk of anesthesia-related complications.
• Possible incomplete removal requiring further treatment.

Benefits

• Relief from pain and discomfort caused by tumors.
• Prevention of potential complications such as bowel obstruction.
• Improved quality of life and general well-being.
• Ability to analyze the removed tissue for further diagnosis and treatment planning.

Recovery

• Hospital stay ranging from 1 to 5 days, depending on the complexity.
• Pain management with prescribed medications.
• Instructions for wound care and signs of infection to watch for.
• Avoiding strenuous activities for several weeks.
• Follow-up appointments for monitoring recovery and potential further treatment.

Alternatives

• Laparoscopic surgery for less invasive removal in smaller tumors.
• Chemotherapy or radiation for cancerous growths.
• Hormonal treatment for endometriosis-related cysts.
• Monitoring and periodic imaging for small, asymptomatic growths.

Patient Experience

During the procedure, the patient will be under general anesthesia and not feel any pain. Post-surgery, they may experience pain and discomfort at the incision site, managed with medication. Recovery involves hospital observation followed by home care, focusing on gradual return to daily activities with attention to wound healing and avoiding heavy lifting.