Adnexa removal surgery is performed to remove the adnexal mass which occurs near the organs of the uterus, fallopian tubes, connecting tissues, etc. Removal is important as it can result in cancer.
The CPT code for Adnexa Removal is 743.
There are multiple reasons to opt for adnexa removal.
1. Remove fallopian tubes, ovaries, ovarian cysts, cancerous tumors.
2.Unblocking of fallopian tubes
Treatment options:
If the adnexal mass is tiny and does not show any symptoms then no treatment is required. The surgeon will identify the ultrasounds and pelvic exams. Surgery will be essential if you develop symptoms/cysts or if the adnexal mass begins to increase.
After identifying the presence of adnexal mass, the cells present in it are tested to be cancerous or not. If they are cancerous, the mass has to be removed by performing a surgery called laparoscopy.
Symptoms:
Generally, there are no particular symptoms. But they are spotted during the pelvic exam.
- Irregular periods
- Pain in the pelvic area
- Bleeding in the location of the mass
- Painful/frequent urination
- Constipation
- Gastrointestinal disorder
Symptoms generally depend on the size of the mass and various other conditions. Visit the doctor and seek help if you experience any of the symptoms.
Adnexa Removal Procedure
Adnexal surgery is done laparoscopically. The time of the surgery depends on the location of the adnexal mass. It is performed under general anesthetic conditions.
The surgeon will make many tiny incisions in the abdomen. They will insert a laparoscope in one of the incisions. Surgical instruments are inserted in other incisions to remove or repair the areas subjected to treatment. The tissue specimens might be taken to the lab for analysis. The wounds are closed and dressings are applied.
You will be discharged from the hospital after a day after the surgery. You shall receive pain relief medicines to overcome the pain. Sometimes, you may have to stay all night or it may take longer to discharge.
After the surgery:
Once you are at home, you will have to rest and limit the physical activity. Paracetamol can be taken if there is any pain. Make sure to move your body to prevent blood clotting. Do not lift any heavyweights in the first week. Contact your surgeon if there is an issue with your health condition after the surgery.
After the recovery, you can get back to normal physical activities.
Complications in the Adnexa Removal surgery:
General complications that arise after the adnexa removal surgery are bleeding, pain, infection, unsightly scarring, infection near the surgery area, blood clot, difficulty while passing urine, etc.
Other complications include damage to the bowel, ureter, bladder, and adhesions(scarring).
Adnexa Removal Cost
Adnexal removal can cost from XXX to XXX depending on the patient’s condition. Adnexal removal surgery is a highly effective test.
Most of the adnexal mass removal surgeries are not harmful. They also do not require surgeries unless there is a major issue. Most of the time the adnexal masses will resolve by themselves without any intercession.
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References:
https://www.newchoicehealth.com/procedures/adnexa-removal-laparoscopic
https://www.nuffieldhealth.com/treatments/adnexal-surgery