An oophorectomy, or ovary removal, can be performed either through traditional open abdominal surgery or laparoscopically. A laparoscopic oophorectomy involves making three to four small incisions in the abdomen and using a special camera and tools to remove the ovaries. In some cases, a laparoscopic oophorectomy may be robotically assisted. During a robotically assisted laparoscopic oophorectomy, the surgeon uses a special three-dimensional monitor and hand controls to control the surgical equipment, explains Mayo Clinic.
During laparoscopic ovary removal, patients are anesthetized to induce a sleep-like state. Once the surgeon has made the three to four required incisions in the abdomen, a tube containing a small camera is inserted through one of the incisions. The camera transmits the feed to a monitor in the operating room that helps the surgeon guide the surgical tools. The ovary is then disconnected from the surrounding tissues and blood supply. It is placed in a pouch and removed through one of the abdominal incisions, notes Mayo Clinic.
Though a laparoscopic oophorectomy is less invasive and requires less healing time than a traditional open abdominal oophorectomy, everyone is not a candidate. The surgeon and patient consult and review the case beforehand to decide if ovary removal via laparoscopic surgery is a viable option. In some cases, a laparoscopic surgery becomes an open abdominal surgery due to complications, reports Mayo Clinic.