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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Laparoscopic Oophorectomy To Remove Cyst, Twisted Fallopian Tube, Pain In Abdomen, Headache, Fever. Cure?

Last Monday, I had a right laparoscopic oophorectomy to remove a large cyst and a twisted fallopian tube . They looked at my left ovary (which also has a tiny cyst) but decided that looked healthy enough and left it alone. During surgery, my doctor also removed some adhesions from 2 previous c-sections. I was sent home an hour after I woke up from surgery and was having a LOT of pain. Turns out, I had internal bleeding in my abdomen (abdominal hematoma , I think they called it). I ended up in the ER and my blood pressure went extremely low, tachycardic heart rate, shock, etc... They kept me overnight, and when the bleeding stopped (on its own, thank goodness !!) my heart rate and blood pressure came back up to a more acceptable number. Now, at home I am having a LOT of pain in my abdomen, low grade temps of 99-101 feverish feeling and the worst headaches I have ever had in my life, and some serious black and blue bruises around my belly area (from the hematoma, maybe ?). I called my Dr and she said the temps were nothing to worry about unless they were over 101 and scheduled me an appt to see her in a few days. I don t know what is normal at this point due to the complications. I still feel weak and sore and not sure what I should be doing or not doing. Plus, we have an anniversary vacation planned for next week and I am not even sure if I should go 2 weeks after surgery. Will it even be ok to fly ? Please help :(
Thu, 14 Nov 2013
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

A mild bleeding inside the abdominal cavity is not uncommon. Further, it is possible that a little amount of the contents of the ovarian cyst too might have leaked into the abdominal cavity, thereby causing chemical inflammation/infection, which was the apparent cause of fever, abdominal pain and discomfort. These are inevitable complications of laparoscopic surgery in a small group of patients.

A course of effective and appropriate antibiotics (for 7-10 days), along with anti-inflammatory pain-killers cure the infection and inflammation in almost all cases.

I am therefore highly optimistic that you would be fit and fine to go on a vacation and will be perfectly OK during the flight.

Hope you find my response helpful, informative and reassuring.

Dr. Rakesh Karanwal
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Had Laparoscopic Oophorectomy To Remove Cyst, Twisted Fallopian Tube, Pain In Abdomen, Headache, Fever. Cure?

Hi there, Thanks for your query. A mild bleeding inside the abdominal cavity is not uncommon. Further, it is possible that a little amount of the contents of the ovarian cyst too might have leaked into the abdominal cavity, thereby causing chemical inflammation/infection, which was the apparent cause of fever, abdominal pain and discomfort. These are inevitable complications of laparoscopic surgery in a small group of patients. A course of effective and appropriate antibiotics (for 7-10 days), along with anti-inflammatory pain-killers cure the infection and inflammation in almost all cases. I am therefore highly optimistic that you would be fit and fine to go on a vacation and will be perfectly OK during the flight. Hope you find my response helpful, informative and reassuring. Dr. Rakesh Karanwal