Name of the Procedure:

Wedge Resection or Bisection of Ovary, Unilateral or Bilateral

Summary

A wedge resection or bisection of the ovary involves surgically removing part of one or both ovaries. This procedure is often performed to address ovarian cysts or other abnormalities.

Purpose

This procedure addresses ovarian cysts, endometriosis, or ovarian tumors. It aims to relieve pain, restore normal ovarian function, and prevent future complications while preserving as much of the ovary as possible.

Indications

• Persistent or painful ovarian cysts
• Ovarian tumors or masses
• Severe endometriosis affecting the ovaries
• Infertility issues related to ovarian abnormalities
• Failed conservative treatments

Preparation

• Patients may be required to fast for 8 hours before the procedure.
• Medication adjustments may be necessary, particularly blood thinners.
• Preoperative blood tests and imaging studies, such as an ultrasound or MRI, to evaluate the ovaries.

Procedure Description

1. The patient is placed under general anesthesia.
2. A small incision is made in the abdomen (laparotomy) or multiple small incisions for a laparoscopic approach.
3. The surgeon identifies and isolates the affected ovary.
4. A wedge-shaped section of the affected ovary is excised or the ovary is bisected.
5. The remaining ovary tissue is carefully sutured.
6. The surgical site is closed, typically with dissolvable stitches.

Tools and equipment include laparoscopic instruments or traditional surgical tools, along with imaging technology for guidance.

Duration

The procedure typically takes about 1 to 2 hours.

Setting

This procedure is performed in a hospital or outpatient surgical center.

Personnel

• A gynecologic surgeon
• An anesthesiologist
• Surgical nurses and support staff

Risks and Complications

• Infection
• Bleeding
• Damage to surrounding organs
• Adhesions or scar tissue formation
• Infertility or diminished ovarian reserve
• Recurrence of cysts

Benefits

• Relief from pain and discomfort caused by ovarian cysts or tumors
• Preservation of ovarian function and potential fertility
• Prevention of complications associated with untreated ovarian abnormalities

Recovery

• The patient may be required to stay in the hospital for 1-2 days.
• Pain management will be provided with prescribed medications.
• Avoid heavy lifting and strenuous activities for several weeks.
• Follow-up appointments are essential to monitor recovery.

Alternatives

• Conservative management with medication and monitoring
• Cyst aspiration under imaging guidance
• Hormonal therapy The choice of alternative depends on the patient's condition, potential benefits, and risks compared to the surgical procedure.

Patient Experience

• The patient will be asleep during the procedure due to general anesthesia.
• Postoperative pain and discomfort are managed with medications.
• Gradual return to normal activities over several weeks with specific instructions from the healthcare provider on physical restrictions and care.