Let Us Help You
- Search
A Comprehensive Overview
Introduction
The omentum is a double layer of fatty tissue that supports and covers the organs in the lower abdomen, serving as a key storage organ for fat. An omentectomy is a surgical procedure performed to remove the omentum, often recommended for ovarian cancer patients when cancerous cells have spread to the omentum. The procedure helps prevent the further spread of malignant cells. It is typically carried out by a trained surgeon, often a gynecologic oncologist.
Total Omentectomy
Omental Biopsy
Omentectomy is commonly performed in combination with other surgeries, such as hysterectomy (removal of the uterus and cervix) or salpingo-oophorectomy (removal of ovaries and fallopian tubes).
Before undergoing omentectomy, it is crucial to assess physical fitness and ensure readiness for the procedure and recovery after anesthesia. The following pre-surgery tests and steps are typically recommended:
Patients should refrain from smoking and drinking alcohol for a few weeks before the surgery. Additionally, any previous history related to anesthesia should be considered. On the day of the surgery, the following preparations are made:
Omentectomy aims to remove cancerous tissue from the omentum and prevent the spread of the tumor to other organs. The surgery can be performed in two ways:
Open-Abdominal Surgery
Laparoscopic Surgery
Recovery from omentectomy usually takes 2-8 weeks, depending on the complexity of the surgery and any additional procedures performed. During the recovery period, patients are advised to follow guidelines for:
Certain medications may be paused before or after the surgery, while others, such as fertility preservation medicines, may be recommended post-surgery for cancer patients. Taking proper care and following health provider instructions can significantly aid recovery.
Patients who undergo omentectomy for ovarian cancer are often advised to undergo chemotherapy to target any remaining cancer cells. Post-surgery, healthcare providers will monitor:
During recovery, patients are typically placed on a liquid diet for 3-4 days, progressing to a soft diet once they tolerate it. Hospital discharge is usually considered once the pain subsides, and the patient is able to tolerate a soft diet, typically 4-5 days post-surgery.
While omentectomy can help remove cancerous tissue and prevent its spread, as with any surgical procedure, it carries certain risks and potential side effects, including:
These risks are generally manageable, and any complications should be promptly addressed by the healthcare team.
Omentectomy is a critical procedure for patients with ovarian cancer or other abdominal cancers. While it comes with risks, the benefits of removing cancerous tissue and preventing its spread outweigh these challenges. Proper preparation, recovery, and follow-up care are essential to ensure the best possible outcomes.