Ovarian cysts can be simple cysts that are only fluid collections or complicated ones that require removal. Simple cysts may not require removal unless the size is big or unless it is indicated by your doctor. Complicated cysts on the other hand will require removal.
Depending on the age of the patient and relevant investigations, only the cyst will be removed. However, in some cases, the entire ovary may be removed. This can be done laparoscopically through a small incision above the belly button and two other small incisions of 5mm each, on either side of the abdomen. A telescope is inserted to visualize the cyst, and depending on the size and appearance, the cyst can be removed
An ovarian cystectomy is surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgery technique that only uses a few small incisions in your lower abdomen.
Many women will have an ovarian cyst at some point during their lives. Commonly, cysts will cause little to no symptoms. However, if a cyst is causing painful or discomforting systems, surgical removal of the cysts may be the best treatment option. Some symptoms of an ovarian cyst include pelvic pain, especially during your period or sexual intercourse.
Before surgery begins, you will be given anesthesia to sleep. A laparoscope – a thin tube with a camera on the end – is inserted into the abdomen, usually through a 10mm incision. Additional small 5mm incisions will be made on your abdomen. Air will be used in the abdomen to create more space between your abdominal wall and internal organs. Fine Surgical instruments will be used to remove the cyst.
After the procedure, it is normal for your abdomen to be sore . Your shoulders and back may hurt from the gas placed in your abdomen during the procedure. You may have some vaginal discharge or spotting after surgery.
The incisions in your abdomen will be closed with skin adhesive or stitches and may be covered with Band-Aids. The adhesive or stitches will dissolve on their own. You may shower after the surgery.
The first week after surgery, you may feel more tired than usual. Take it easy this first week, and then gradually increase your activity level with short walks and light activity. You can resume your normal activities in 1-2 weeks.
Usually, ovarian cyst removal surgery takes around 1-2 hours. However, the duration may be shorter or longer depending on several factors such as type ,Size and number of ovarian cysts.
You can get admitted in the morning of surgery and get discharged on the the same day, once you pass urine and tolerate liquids well and comfortable. However, you might have to stay overnight depending on the extensive nature of surgery.
You will need a vaginal ultrasound to assess the nature of the cyst , If you are unmarried TransAbdominal pelvic ultrasound will be done, In some instances you might Require a CT scan /MRI scan if ultrasound shows suspicious findings and a blood test for tumour markers to rule out cancer.