When an ovary is too involved with a disease process to salvage, it is almost always possible to remove it using laparoscopic techniques.
In some cases, it is necessary to divide adhesions between the bowel and the ovary in order to remove the ovary.
Under complete general anesthesia, the abdomen is first inflated with carbon dioxide gas to create space for operating.
Four or five incisions (1/4 to ½ inch each) are made in the navel and lower abdomen to allow insertion of both the laparoscope and long, narrow instruments through tubes called “ports.”
Once the Fallopian tube and ovary have been removed the surgery is completed and the patient is normally required to stay in hospital overnight. Recovery time is approximately 2-3 weeks during which time heavy lifting must be avoided. Driving should be avoided for 1-2 weeks, and sexual intercourse should be avoided for 6 weeks.