Laparoscopic Ovarian Cystectomy (Scarless)

Laparoscopic Ovarian Cystectomy is the procedure done to remove Ovarian Cyst, a condition which involves presence of multiple cystic structures within the ovary.

2nd in the word: Laparoscopic Ovarian Cystectomy with ectopic pregnancy

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Ovarian cyst

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.
Ovarian cystectomy

Treatment window

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.


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

No, please do not attempt to do anything on your own. One doesn’t just treat ovarian cyst. We need information, like the patient’s age, what type of cyst this is, whether it is a complete cyst or also has solid elements inside it. Similarly, we also need to know its tumor marker value.

It is recommended to go and check first before planning any other course of action.

If you have an ovarian cyst, and it has a tumor marker (CA 125) of a thousand, then there is a chance of it being Malignant.

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.

If all tests come back negative, it is advised to wait and watch. If you wish, you may proceed with a key hole surgical evaluation of the cyst, and either a laparoscopic ovarian cystectomy (removal of the whole cyst) or removal of only a portion of the whole cyst, known as marsupialization of the cyst.
No, only if cancer is present in the ovary would we proceed with the removal of the uterus and both the ovaries. Otherwise, we would just stop with an ovarian cystectomy or, indeed even a marsupialization.
There is no reason to even loose your ovary because of a cyst. We will only remove the cyst and leave the ovary alone.
Yes. The Dermoid cysts of the ovary contains teeth, hair, nails, etc. The cyst actually has elements of various layers of the body like teeth, muscle, blood vessel, etc.
The treatment involves removal of the entire cyst. Unless it is a malignant dermoid cyst, we would not touch the ovary, uterus or the tubes.
Yes. At LIMA we have a large experience of removing such cysts through a keyhole, wherein we put the cyst into a plastic bag and then remove it out of the belly.

Ovarian cystectomy specialists

Dr. Deepa Ganesh

Advance Laparoscopic Gynecologist, Robotic Surgeon & Cosmetic Gynecologist Surgeon

Dr. Jayalakshmi

Obstetrician and gynaecologist, Infertility specialist and Laparoscopic surgeon