2nd in the word: Laparoscopic Ovarian Cystectomy with ectopic pregnancy
2 hr : 00 min
A Cyst is a closed sac or bubble like structure, that contains fluid, gas or semi solid substance within. It is usually round and separated from the surrounding region by a thin outer covering. They may be found in any part of the body or within any organ. Such structures found within the ovary is known as an ovarian cyst.
Understanding Ovarian Cystectomy
Ovarian Cysts are of different types. With the help of an ultrasound, the type of cyst is identified. If the cyst is small and contains only fluid in it, only the cyst is carefully removed. The ovary is left behind. This is known as Laparoscopic Ovarian Cystectomy. Maximum efforts are taken to preserve the ovary. Only in severe cases, if a cyst gets twisted or ruptures, the whole ovary needs to be removed.
However, on ultrasound, instead of fluid, if solid material is present inside the cyst, a cancerous growth is suspected. In such cases, a biopsy is done to confirm that the growth is cancerous. A cancerous growth easily spreads to nearby organs and destroys the whole system. So the best option in case of cancerous growth, is to remove the womb, tubes carrying egg and also the two ovaries. This procedure is known as Laparoscopic Hysterectomy.
How is Ovarian Cystectomy Performed
This procedure is done under General anesthesia, through keyhole incisions inserted on the abdomen.
- Ports are created and the Laparoscopic instruments are inserted.
- The ovaries and the surrounding structures are carefully examined.
- The ovary containing the cyst is identified.
- The cyst is carefully separated from the ovary, put inside a bag and removed out of the body through the umbilical incision.
- The incisions are sutured.
- The sutures are removed 7-10 days from the surgery.
Once a cyst is identified, further evaluation to recognize to type of cyst is recommended. This is to avoid missing out on any cancerous growth. Moreover, even if the cyst is non cancerous but its size is large, surgical treatment is necessary before the cyst ruptures or gets twisted around the ovary.
Life After LAPAROSCOPIC OVARIAN CYSTECTOMY
Women can return to normal activities within 2-3 days after surgery. But strenuous physical activity should be avoided for at least 1 week.
Hormone treatment will be advised for 3 – 6 months so as to prevent recurrence.
Ovarian Cystectomy FAQ’s
It is recommended to go and check first before planning any other course of action.
A cyst that is larger than 5 cm would also be a source of worry as would be a recurrent or hemorrhagic (bloody) cyst.
But if the CT scan shows no solid elements in the wall of the cyst, there would be no cause for worry, as it is mostly harmless.
Ovarian cystectomy specialists
Dr. Deepa Ganesh
Advance Laparoscopic Gynecologist, Robotic Surgeon & Cosmetic Gynecologist Surgeon
Obstetrician and gynaecologist, Infertility specialist and Laparoscopic surgeon