Laparoscopic Surgery for Ovarian torsion
Ovarian torsion treatment in Bangalore
Ovarian torsion is a acute surgical emergency condition where the ovary twists around its own ligament, causing partial or complete obstruction of blood flow to the ovary. Presentation can be from mild to severe excruciating pain and vomiting. Over time it can lead to permanent damage to the ovary if not treated promptly. Dr sunil Eashwar is the best doctor for Ovarian torsion treatment in Bangalore. Contact us today.
Diagnosis
Clinical history pertaining to symptoms of abdominal pain , severity and associated vomiting and a high degree of suspiscion can lead to the diagnosis.
Physical examination include checking the vital parameters which can detect a increase in pulse rate due to pain and vomiting and a fever due to infection.
Local examination will reveal signs of acute abdomen with tenderness and guarding and rigidity. In severe cases ascitic fluid can be present depending on the cause.
1.Diagnostic tests: Imaging tests such as pelvic ultrasound, CT scan or MRI may be used to compliment the clinical diagnosis. These tests can detect the presence of a twisted ovary, the location of the torsion, and the degree of blood flow
2. Blood tests: A complete blood count (CBC) , CRP and a pregnancy test is done in some cases to help rule out other causes of pelvic pain.
Indication
Laparoscopic surgery is the gold standard definitive treatment for this condition. The keyhole surgery involves untwisting of the twisted ovary so that the blood flow is restored. In some cases, the ovary may need to be removed if it is severely damaged. Early diagnosis and prompt treatment are essential for the preservation and saving of ovarian function and fertility.
- Torsion is suspected when ovaries are stimulated in an induced cycle for IUI or IVF.
- In ceratin cases of huge ovarain cysts >5 to 7 cm torsion is a likely sequelae .
- Certain cysts of ovary like dermoid and endomerioma are also prone for torsion.
Preparation: After a anesthetic clearance , the patient is given general anesthesia, and the abdomen is cleaned and draped. A small 1cm keyhole incision is made near the navel, and a video laparoscope (a thin, lighted instrument with a camera) is inserted through it.
This laparoscope allows the surgeon to see the ovaries and surrounding tissues on a high-definition monitor. Additional small incisions may be made for other specialized instruments.
Surgical removal: Using the instruments, the surgeon carefully examines and then detorsion is done to salvage the ovary. If other cysts like dermoid was the cause of torsion then such cysts are removed laparaoscopically.
Closure: Once the procedure is complete, the small incisions are closed with sutures or surgical glue.The patient is taken to the recovery room to wake up from anesthesia.
Overall, laparoscopic ovarian surgery is a safe and effective option with less scarring and faster recovery than traditional open surgery. It is important to follow postoperative instructions carefully to ensure optimal healing and recovery.
Laparoscopic ovarian surgery, also known as minimally invasive surgery, is considered advantageous over traditional open surgery due to the following reasons:
Small incisions are used, resulting in less trauma to the body and less scarring.
Reduced blood loss during the surgery.
Faster recovery time and shorter hospital stay.
Reduced risk of infection due to smaller incisions.
Minimal pain after surgery, which may require less pain medication.
Reduced risk of adhesions (scar tissue).
Anesthesia complications- surgery under general anesthesia can have its own complications
Bleeding – injury to vessels in vicinity. It is rare.
Infection - a small incision does not make you immune to infection.
Technical difficulty: Laparoscopic ovarian surgery requires considerable technical skill and expertise, which can induce complications if not carried out by a professional.
Limited Device Availability
Increased Operative Time
Incomplete visualisation
Limited Accessibility
Laparoscopicovarain or uterine or tubal surgery is usually done by a gynecologist with specialized training and experience in laparoscopic surgery. It becomes prudent to choose a qualified and experienced surgeon who can ensure a successful outcome with minimal complications.