A Case Study on

Ovarian New
Growth
Introduction

The development of ovarian cysts is a

common condition in which one or more cysts
form on the ovary or ovaries of a woman's
reproductive system. An ovarian cyst consists
of a sac filled with fluid, blood, or tissue.
Ovarian cysts are generally not dangerous and
often go away by themselves within weeks to a
few months. However, some ovarian cysts can
remain and cause serious problems to health
or fertility.
Etiology

During ovulation (the process during

which the egg ripens and is released from the
ovary) the ovary produces a hormone to make
the follicles (sacs containing immature eggs
and fluid) grow and the eggs within it mature.
Once the egg is ready, the follicle ruptures and
the egg is released. Once the egg is released,
the follicle changes into a smaller sac called
the corpus luteum. Ovarian cysts occur as a
result of the follicle not rupturing, the follicle not
changing into its smaller size, or doing the
 Ovarian cysts can develop due to a
woman's changing hormones that normally
occur during the monthly menstrual cycle.
There are many types of ovarian cysts,
including endometriomas, dermoid cysts, and
functional cysts. Cysts vary in size, from the
size of a pea to the size of a softball. When a
woman develops multiple ovarian cysts during
each menstrual cycle that do not go away, it is
called polycystic ovarian syndrome or PCOS.
 There are often no symptoms of ovarian
cysts, but sometimes they can result in
abdominal pain, infertility and other health
problems. Ovarian cysts are found on
transvaginal sonograms in nearly all
premenopausal women and in up to 18% of
postmenopausal women. Most of these cysts
are functional in nature and benign.
Manifestations:

•
Pelvic pain
•
Nausea and vomiting
•
Pain shortly before or after the start of your
period
•
Pressure, swelling or pain in the abdomen
•
A dull ache in the lower back and thighs
•
Difficulty emptying your bladder
•
Pain during sex
•
Pathophysiology
Medical Management
1. Intravenous Fluid
•.
D5LR
•
PNSS/0.9NaCl
•
Foley Catheter
•
Blood Transfusion
2. Medications/Drugs

Narcotic analgesics and nonsteroidal anti-

inflammatory drugs (NSAIDs) can be used for
pain relief in patients with ovarian cysts.
NSAIDs, including ibuprofen and ketorolac, can
be used to treat mild to moderate pain, while
narcotic medications, such as morphine sulfate
and oxycodone, are useful against moderate to
severe pain.
Oral contraceptive pills (OCPs) protect
against the development of functional ovarian
cysts but cannot be used to resolve existing
Surgical Management

TotalAbdominal Hysterectomy Bilateral

Saphingo-Oophorectomy (TAHBSO) is a
surgical procedure in which the health care
provider removes the uterus including the cervix
and the ovaries including the fallopian tubes.

To break the term down:

•
A hysterectomy is the surgical removal of the
uterus. It may be total, as removing the body
and cervix of the uterus or partial.
•
Salphingo refers specifically to the fallopian
tubes which connect the ovaries to the uterus.
•
Oophorectomy is the surgical removal of an
ovary or ovaries.
 Clearly a woman cannot bear children
herself after this procedure, so it is not
performed on women of childbearing age
unless there is a serious condition, such as
cancer. TAHBSO allows the whole abdomen
and pelvis to be examined, which is an
advantage in women with cancer or
investigating growths of unclear cause.
Before any type of hysterectomy, women should
have the following tests in order to select the
optimal procedure:
•
Complete pelvic exam including manually
examining the ovaries and uterus.
•
Up–to–date Pap smear.
•
Pelvic ultrasound may be appropriate,
depending on what the physician finds on the
above.
•
A decision regarding whether or not to remove
the ovaries at the time of hysterectomy.
•
A complete blood count and an attempt to
Nursing Management
(based on possible nursing diagnosis)

•
Risk for infection r/t presence of incision site
secondary to surgical procedure

1. Instruct the patient to give time to rest on bed

2. Encourage the patient to eat foods rich in Vitamin
C, protein and carbohydrates
3. Encourage the patient to increase fluid intake
4. Instruct the SO to give patient a good personal
•
Acute Pain

1. Establish Rapport
2. Monitor and Record VS.
3. Assess pain characteristics such as quality, severity
location, onset, duration and used pain scale 0/10.
4. Encourage adequate rest periods
5. Encourage to eat nutritious foods and rich in protein.
6. Provide clients safety.
7. Provide quiet environment
•
Impaired Physical Mobility related to pain.

1. Monitor and record vital signs

2. Teach method to increase activity level
3. Plan care with rest periods between activities
4. Provide positive atmosphere
5. Assist with activities
6. Promote comfort measures
7. Encourage participation and diversion of activities
•
Impaired Skin Integrity related to Skin
Trauma Secondary to TAHBSO

1. Establish rapport with the patient.

2. Monitor and record vital signs
3. Inspect the incision site every shift using REEDA
(redness, edema, ecchymosis, discharge and
approximation method)
4. Assist the patient in understanding and following
medical regimen and developing program of
preventive case and daily maintenance
5. Performed the prescribed treatment regimen
•
Constipation related to Decrease In Physical
Movement

1. Establish rapport
2. Assess patient’s condition
3. Monitor and record vital signs
4. Instruct patient to increase fluid intake
5. Instruct patient to eat foods rich in fiber such
as bread, whole grains. Fruits and vegetables
6. Encourage ambulation within individual’s ability
7. Administer medication as ordered
Conclusion

Learning is a
continuous
 Furthermore, our role as future nurses as
health teachers we should make sure we provide
the public with information that is applicable for
them and encourage them to apply it in their day
to day activities.
For a student nurse, we should be equipped
with proper and adequate knowledge or
information about the disease so the proper care
could be given to the patient and family with
ovarian cancer.