SURGICAL TREATMENT AND POSTOPERATIVE CARE
After your initial diagnosis, surgical treatment is usually necessary to remove the cancer. Dr. Tunca will discuss the surgical procedure at length with you, but you can expect the following to occur; our office will schedule the surgery and the hospital will contact you in regard to pre-admission testing, i.e. EKG, chest x-ray, blood work, and urine testing. The day prior to surgery, you will follow a clear liquid diet in preparation for cleansing the bowel. Dr. Tunca will arrange to have you supplied with a bowel evacuation kit,  and you will be given instructions by the nursing staff.

Admission to the hospital usually occurs the morning of your scheduled surgery. The hospital stay usually ranges from 7-10 days, depending upon any complications that may occur. Due to the extensive nature of this surgery, a Foley catheter is inserted into the bladder during surgery, and is usually removed about 5 days postoperatively. Occasionally, however after the Foley is removed, it needs to be replaced if the patient is unable to urinate on her own. Should this occur, don't worry, it is a normal reaction and will improve. When it does occur, the Foley is usually left in place for another 1-2 weeks. Your abdominal incision will be closed with surgical staples which will be removed 10-14 days after surgery. You may experience post-op discomfort for which the doctor will order pain medications as needed.

After your discharge from the hospital, Dr. Tunca will see you in their office and will discuss further treatment if needed. Normal postoperative recovery is usually about 4-6 weeks. At this time, you expect to return to normal daily activities, such as driving a car, and returning to work as tolerated.

Some postoperative complications you should try to prevent are constipation and wound infection. It is important not to become constipated following surgery. A high fiber diet and increase in fluid intake are important in the prevention of constipation. If such natural measures do not relieve the condition, Dr. Tunca may prescribe laxatives, such as Colace, Pericolace or mineral oil. The wound incision should be inspected daily. Any signs of redness, swelling, or drainage should be reported to Dr. Tunca or his nurses promptly. An elevated temperature is another sign of infection. It is important to continue taking all the prescribed antibiotics following hospital discharge. After surgery, the stage of the disease will be determined. Staging, which is done using the pathological information from the surgery, is essential in selecting on appropriate treatment plan.

Depending upon your diagnosis, further treatment may be required consisting of radiation and/or chemotherapy, or hormonal treatment.

Chicago Gynecologic Oncology, S.C.
JOSH C. TUNCA, M.D.
Ovarian Cancer Center, da Vinci Robotic Surgeries, IP Chemotherapy, HPV Treatments

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