What is Trauma?
 Trauma is a serious injury or shock to the body. It is caused by a physical force such as violence or an accident. The injury may be complicated by psychiatric, behavioral, and social factors.
It is critical to have an entire team immediately available to provide care to an injured patient 24-hours a day. This teamwork starts at the scene of the injury where a coordinated, statewide pre-hospital medical system rapidly transports the injured patient from the scene to the hospital providing the appropriate level of care according to criteria established in the statewide trauma regulations. Once at the hospital, a complete team of surgeons, emergency physicians and nurses continue the life-saving treatment.
This team approach to care of the injured patient has had a dramatic impact on saving lives.
Minimally Invasive Procedures for Massive Bleeding
Injuries take many forms. The most advanced hospitals can treat injuries with a variety of approaches that involve well-known ones, like surgery, and newer ones where minimally invasive procedures can replace some surgeries.
As a Level 1 Trauma Center, Hartford Hospital has Interventional Radiologists as part of the Trauma Team. They perform procedures such as "embolization" which is a recognized interventional radiology technique that is used to treat trauma patients with massive bleeding.
Click here to see some of the advanced interventional techniques available at Hartford Hospital.
Learn more about trauma, or search below to learn about other health conditions. |
Definition | Reasons for Procedure | Possible Complications | What to Expect | Call Your Doctor
Reasons for Procedure
An ovarian cyst may need to be removed if it is:
-
Suspected of being
cancer
(the chances are lower if you are young)
- Large (more than 2.5 inches in diameter)
- Solid (rather than containing just fluid)
- Causing pain
Possible Complications
Complications are rare, but no procedure is completely free of risk. If you are planning to have an ovarian cyst removed, your doctor will review a list of possible complications, which may include:
- Infection
- Bleeding
- Cyst returns after it is removed
- Need for removal of one or both ovaries
- Infertility
- Blood clots
- Damage to other organs
Factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the procedure. What to Expect
Your doctor may do the following:
- Physical exam
- Review of medicines
- Blood tests
- Urine test
- CT scan—a type of x-ray that uses a computer to make pictures of organs
- Ultrasound—a test that uses sound waves to examine the abdomen
- Electrocardiogram
(ECG, EKG)—a test that records the heart's activity by measuring electrical currents through the heart muscle
Talk to your doctor about what action should be taken if cancer is found during surgery. One option is to remove the ovary.
Leading up to the surgery:
-
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, such as:
- Aspirin
or other anti-inflammatory drugs
-
Blood thinners such as
warfarin
(Coumadin)
- Clopidogrel
(Plavix)
- Arrange for a ride to and from the hospital. Also, arrange for someone to help you at home.
- Do not eat or drink for at least eight hours before the surgery.
- General anesthesia—blocks pain and keeps you asleep through the surgery; given through an IV in your hand or arm
The doctor will make a cut in the abdomen. The abdominal muscles will be separated, and the abdomen will be opened. The doctor will locate, clamp, and tie the blood vessels that supply the ovary. (Note: This step is not always needed.)
Next, the cyst will be removed. In some cases, the doctor will also remove a sample of tissue for testing. If cancer is found, one or both ovaries (if cysts are on both ovaries) may be
removed. Lastly, the doctor will use stitches to sew the abdominal muscles. The incision area will be closed with stitches or staples.
After the procedure, you will be given IV fluids and medicines while recovering. You will have abdominal pain and discomfort for 7-10 days. Your doctor will give you pain medicine.
Recovery may take 3-4 weeks. When you return home, do the following to help ensure a smooth recovery:
-
Be sure to follow your doctor's
instructions.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Gently wash the incision area with mild soap and water.
-
Move and elevate your legs while in bed. This will lessen the chance of
blood clots.
-
Take prescription pain medicine only for as long as needed.
Take over-the-counter pain relievers (such as
ibuprofen,
naproxen) if the pain is mild.
- Avoid strenuous exercise for 2-6 weeks.
- Do not drive until your doctor states this is safe.
- Do not resume sexual activity until your doctor says it is okay. You may need to wait two weeks.
- Follow your doctor's guidelines for ultrasound tests. These may need to be done if it is likely that the cysts will return.
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occur:
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Pain that you cannot control with the medicines you have been given
- Unexpected amount of vaginal bleeding or discharge
- Cough, shortness of breath, or chest pain
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Headaches, muscle aches, dizziness, or general ill feeling
- Constipation
or abdominal swelling
- Vomiting
- Urinary difficulties
- Onset of pain or swelling in one or both legs
- New, unexplained symptoms
In case of an emergency, call for medical help right away.
Ovarian cysts. Mayo Clinic website. Available at:
http://www.mayoclinic.com/health/ovarian-cysts/DS00129/DSECTION=7. Updated July 20, 2007. Accessed June 10, 2008.
Ovarian tumors. EBSCO DynaMed website. Available at:
https://dynamed.ebscohost.com/about/about-us. Updated November 2010. Accessed November 12, 2010.
Last reviewed September 2012 by Andrea Chisholm Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © EBSCO Publishing. All rights reserved. |
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