The Operation

Rob drove me to East Surrey hospital and we arrived at 7am. Just as we were checking me in to reception, I was called by a nurse to register me. She went through various questions like allergies, got me to sign a consent form, measured me for my lovely anti-DVT stockings, took my blood pressure and got me to wee into a cup.

Then I met with the two surgeons (I had met one of them at the gynae appointment just 11 days ago) who explained the whole procedure to me. I found out the official name for my op is a bilateral salpingo-oophorectomy which is where they remove both your Fallopian tubes and ovaries. My surgery was scheduled to be laparoscopic (aka keyhole) but they did warn me that if anything went awry (bowel damage or anything unforeseen) it would need to become open surgery. The surgeons explained that they would make two cuts in my abdomen and one in my belly button. They would then put a tiny camera in one of the incisions and do the surgery through the other holes. The camera would transmit an image onto a big screen in the theatre for them to work from. They take the ovaries by almost putting them in a fishing net and then pulling them out through each incision. Then they would stitch up the holes using dissolvable stitches and that would be that. Christ.

Next stop I met the anaesthetist who explained to me how that would work, I've had two GAs before so I'm used to the procedure, but I told her I had shite veins and also I was sick both times before when I came round from the GA so she noted that and said she would make sure that I would be given an anti-emetic.

Then I was sent back to the waiting room and was told I was due in third so could expect to be waiting until about 11am. Rob and I waited for about forty minutes and then at 09:10 I was called for the op. Rob and a nurse walked me to the pre-op waiting room, Rob had to leave me here. Through tears I kissed him and he left.

I went into the pre-op ward, gave my details and I then had to change into a gown, take out my contact lenses and put my lovely stockings on. It was then that I fully burst into tears as the realisation of the imminent op hit me. The nurse there was lovely and chatted to me for a bit and then an anaesthetist came and wheeled my bed through to the anaesthetic room. There the anaesthetist that I'd met earlier put a cannula in my hand, asked me what job Rob did, what I did, about Denbies (!) and the next thing I knew I was waking up on the immediate recovery ward.

My throat hurt like anything from the tube being down there and my right arm was incredibly sore. I felt nauseous so they gave me the anti-sickness drug straight away and then little sips of water. I vaguely remember people speaking to me and one of the surgeons telling me everything had gone well. After some time passed, I have no idea how much because I was in and out of being with it, I was taken to the main recovery ward. I asked them for my glasses because not being able to see was just compounding my confusion.

On the recovery ward I felt very groggy and my stomach was rock hard. In order to access everything during the op, they fill your abdomen with air, the only way to get over this is to apparently fart as much as I can over the next few days! My arm was feeling more and more painful and then the anaesthetist came to see me. Apparently during surgery my veins weren't playing ball so they moved the cannula to my wrist, which subsequently leaked into my veins! So my poor veins are bruised inside.

The ward sister then offered me tea and a sandwich, but where my throat hurt so much, I just wanted something really soft, so they brought me a jelly. I managed the jelly and then Rob appeared! I was so happy to see him. I hadn't realised but I had actually been in surgery longer than expected, it's supposed to take about an hour but mine was more like 2. Rob had been waiting at home for the phone call to come and get me and as almost 4 hours had passed (including my time on the ward) and he'd still not had a call he just turned up. Then my Mum appeared too and I cried. I wasn't allowed to leave until I'd been to the toilet so once I'd passed urine I could go. Mum and Rob helped me get dressed, Mum brushed my hair and then I hobbled to the car.

Rob drove home very carefully, dropping Mum at CH station to get her car. He helped me up the stairs and I got in to bed. I had mashed potato and baked beans for dinner and don't really remember much more of the evening other than my arm being unbelievably sore and my stomach being rock hard.

Another step done, goodbye cancer fuel.

WLE #2

Today I had my second WLE which I needed because they didn't quite get clear margins on the first op. Mum, Rob and I checked in at 07h00 and this time (because of the massive wait last time!) had prepared ourselves for sitting in the waiting room for a long time.

I was taken to register with the nurses at about 07h45 and as last time, she ran through various questions with me & measured me for some sexy anti DVT stockings and got me to wee in a little cup.

About 08h30 I met with my surgeon who explained exactly how the operation would work. Then I met with the anaesthetist who explained to me how the GA would work. He said they would put a cannula in my hand & then I would have the GA injected. He explained my arm would ache a bit & then I would fall asleep. As before, I told him that I was nervous because my veins aren't very compliant now after having had chemo, & he assured me they would be gentle! I also told him that last time I came round from the operation I was sick and he said they would give me extra antiemetics this time.

I then sat down for about another 45 minutes and then was called in to have my operation. It was a bit of a surprise as last time I didn't go through until about 14h00. I was taken through to a room to get changed. I had to leave my knickers on but take everything else off, put on my sexy stockings, hospital gown and then also my slippers and dressing gown which you are told to bring to hospital with you.

I went upstairs (in the lift) to surgery and then lay down on the hospital bed. The anaesthetist talked to me for a little bit and tried to put two cannulas in my hand (where the veins were not playing ball) and then on the third attempt my veins obeyed. The GA felt a little cold going in and then the next thing I knew I was waking up (it was 10h50 so the operation lasted just over an hour) on the recovery ward.

It felt like I was waking up from a massive dream and the first thing I asked was if I had a drain in, and I didn't - woo! I had an oxygen mask on for about half an hour and was also given some painkillers by drip because my wound felt a little sore. After my mask came off I was given some water, and then about 40 minutes later I was taken to the day surgery ward.

At the day surgery ward I was given a sandwich and a cup of tea and told to rest for a while, and that Mum and Rob could come and collect me about 14h00. One tip I'd give anyone reading this, is to take something to read, because just lying there waiting is very boring! Last time, because of the norovirus outbreak and lack of beds I had to just wait on the recovery ward (rather than go to the day surgery ward) and therefore I thought the same would happen again this time so brought nothing to read with me, mistake!

The lady from Medi-Home came to see me and said they would visit me at home for the next few days until they officially discharged me.

Once I had got my strength back up, I got dressed and sat in the chair in the day ward so that my bed could be made up for the next patient. Mum and Rob turned up about 14h00 and we waited for my BCN Carole who had a brief chat to me and gave me my follow-up appointment letter for 01/02/13. Fingers crossed for clear margins this time!

By 15h30 I was home, much better than the 21h00 last time :)

The Op

Mum, Rob & I checked into the hospital at 07h00. We were there for about 15 minutes when a nurse came through & explained how the day would work. Then about 07h30 I was taken through to register with a nurse who ran through various questions with me & measured me for some sexy anti-DVT socks. Then I met with my surgeon's registrar who explained exactly how the operation would work.

About 09h30 I went down to the x-ray department. I had 2 mammogram photos taken & then 2 local anaesthetics (ouchy!) in lefty. They then inserted 2 wires, one in the area of the marker coil, the other in the area of microcalcifications. Feeling pretty tender I walked back to the waiting room and about an hour later I met with the Home Care nurses. The HCNs will be coming out to the flat for as long as I need them to check the wound, keep an eye on the drain, dressings etc & once they are happy I can officially be discharged.

About an hour later I met with the anaesthetist who explained to me how the GA would work. He said they would put a cannula in my hand & then I would have the GA injected. He explained my arm would ache a bit & then I would fall asleep. Having never had one before, I explained how nervous I was & he told me I would be very well looked after.

Then I met with my BCN Carole who gave me a pressie (shower gel, tissues, Polos, a pen, notepad, chocolates & a Get Well Soon card) & explained next steps (exercises to strengthen the shoulder & arm & that I was to relax lots) & that I might be a bit smurfy (blue face for a day or two, smurf wee for a day & blue boob for between 2 weeks & a few months) after the op due to the blue dye used in the SLNB.

About 13h30 I was feeling pretty hungry & thirsty having been nil by mouth since 20h30 last night. Then I was called to go for my operation. Eeeek! I kissed mum and Rob & walked down the corridor to get changed into my hospital gown, dressing gown, sexy anti-DVT socks & slippers.

I then walked down the next corridor & into the operating theatre. I lay on the operating table & they tried twice to put a cannula in my hand before finding a good vein. Once they had it in the anaesthetist chatted to me about my job & the next thing I knew I was coming round from the operation.

I don't remember falling asleep from the GA so it felt bizarre when I came round to be told it was all done. I vaguely remember Rob calling the recovery ward about 16h25 but was so foggy I couldn't be sure (later found out he did call & I wasn't dreaming). I was surprised to see I had a drain in as with WLEs you often don't need them but they told me I had a fair bit of oozing (yuck!) during the op. not sure how long it'll be in for but I can ask the HCNs tomorrow. After about 5 minutes I was sick a few times but this is a fairly common SE of having a GA.

The recovery team bought me water, a cup of tea, a sandwich & some jelly & ice-cream. I had a pretty sore throat from having had a tube in my mouth so couldn't really eat the sarnie but the ice-cream was great! Then after dozing a bit more I was taken downstairs (about 18h30) to see mum & Rob.

After waiting in the discharge lounge (sounds gross!) for about 15 minutes & having a smurf wee I was free to go home :) Michelle & Leanne kindly did Fagin duties so there were no stresses there whilst we were away.

I have a follow-up appointment on the 4th January to ensure they got 2mm clear margins otherwise I'll need another op. Fingers crossed!