Laparoscopic adnexectomy (LPSC)
Laparoscopic adnexectomy is also known as the laparoscopic removal of the ovaries and fallopian tubes.
When is the surgical procedure required?
The clinical attitude is that inauspicious ovarian tumors should be operated by the laparoscopic approach, while the operation of a suspicious tumor may be initiated by the laparoscopic approach only in the institutions which provide urgent histological analysis and have gynecologic oncology surgeon available. The surgery is necessary when an ovarian tumor (lesion) is diagnosed.
What does the surgery include?
Laparoscopic adnexectomy is the endoscopic, minimally invasive, surgical method to remove the adnexa (the fallopian tube and ovary) taken under general anaesthesia. If the surface of the ovary showed signs of malignancy, the removal of the adnexa in an endoscopic bag and urgent histological analysis of the specimen would be necessary. If the histological analysis verifies the malignancy, the surgery would continue by the laparotomy approach.
How to get prepared?
Day before surgery a patient should eat light food and stop smoking and drinking alcohol and not take anything orally after a night’s sleep.
Related tests and examinations:
An ultrasound examination should be performed before surgery. The ultrasonography combined with the color velocity imaging and pulsed Doppler may give the key information important to distinguish between benign and malignant ovarian tumors. Tumor markers should be measured before the surgery for potential follow up of malignant ovarian tumor and can help identify a tumor type. Physical examination and tests indicated by the anaesthesiologist (laboratory tests, ECG, heart and lung X-ray scan, physical examination by other specialist) should be performed.