Ovarian cystectomy Lap/ Open

Ovarian cystectomy is a surgical procedure performed to remove ovarian cysts. It can be done using laparoscopic (minimally invasive) or open (traditional) techniques. The goal of the procedure is to remove the cyst while preserving the healthy ovarian tissue.

Causes

The most common causes of ovarian cysts are:

• Hormonal disorders like polycystic ovary syndrome (PCOS).

• Ovulation or using drugs to induce ovulation.

• Endometriosis.

• Pelvic inflammatory disease.

• Cancer.

Symptoms

If you’ve had an ovarian cystectomy, contact your provider if:

• The area around your incisions becomes red, painful, or pus-filled.

• It hurts to pee or you aren’t able to pee.

• You have severe pelvic pain.

• Your legs begin to throb, swell or ache.

• You have flu-like symptoms or a fever.

• You have severe vaginal bleeding.

Who Needs Ovarian Cystectomy Lap/Open

Ovarian cystectomy Lap/Open may be recommended for individuals who have:

• Large or complex ovarian cysts: If the cysts are large, causing symptoms, or suspected to be cancerous, a cystectomy may be performed to remove them.

• Fertility preservation: In cases where the cysts are affecting fertility or causing difficulties in conceiving, a cystectomy can be performed to preserve the ovaries and enhance the chances of pregnancy.

When to See a Specialist

If you experience symptoms related to ovarian cysts, such as pelvic pain, bloating, changes in menstrual cycles, or difficulty conceiving, it is advisable to consult with a specialist. They will evaluate your condition, perform a thorough examination, and recommend the most appropriate treatment, which may include ovarian cystectomy.

Procedure

The specific steps involved in ovarian cystectomy depend on the technique used (laparoscopic or open) and the characteristics of the cyst. Here is a general overview:

Laparoscopic Ovarian Cystectomy

• Anesthesia: You will be administered general anesthesia to ensure you are comfortable and asleep during the procedure.

• Incisions: Several small incisions will be made in the abdomen to insert a laparoscope (a thin, lighted instrument) and other surgical tools.

• Cyst identification and removal: The surgeon will use the laparoscope to visualize the cyst and surrounding structures. The cyst will be carefully dissected and removed while preserving the healthy ovarian tissue.

• Closure: The incisions will be closed with sutures or adhesive strips.

   

Open Ovarian Cystectomy

• Anesthesia: General anesthesia will be administered to keep you comfortable and asleep during the surgery.

• Incision: A larger abdominal incision will be made to access the ovary and cyst.

• Cyst removal: The surgeon will identify and carefully remove the cyst while preserving the healthy ovarian tissue.

• Closure: The incision will be closed using layers of sutures or staples.

Road to Recovery, Risk Management, and Benefits of Ovarian Cystectomy Lap/Open:

Road to Recovery

Recovery time varies depending on the extent of the surgery and individual healing.

After the procedure, you may experience some pain, discomfort, or bloating, which can be managed with prescribed pain medications.

It is important to follow your healthcare provider’s instructions regarding rest, physical activity, incision care, and any necessary follow-up appointments.

Risk Management

Ovarian cystectomy is generally considered a safe procedure. However, as with any surgery, there are risks involved, including bleeding, infection, damage to surrounding structures, and anesthesia-related complications. Your healthcare team will take necessary precautions to minimize these risks.

Benefits of Ovarian Cystectomy Lap/Open:

• Preservation of ovarian function: Ovarian cystectomy aims to remove the cyst while preserving the healthy ovarian tissue, which can help maintain hormonal balance and preserve fertility.

• Relief of symptoms: Removing the cyst can alleviate symptoms such as pelvic pain, pressure, and discomfort.

Frequently Asked Questions

1. Will I still be able to conceive after ovarian cystectomy?

   In many cases, ovarian cystectomy helps preserve fertility by removing the cyst while preserving the healthy ovarian tissue. However, the impact on fertility depends on various factors, including the size, type, and location of the cyst. It is best to discuss your specific situation with a fertility specialist.

2. How long does it take to recover from ovarian cystectomy?

   Recovery time varies for each individual, but typically it takes a few weeks to return to normal activities. Your healthcare provider will provide specific post-operative instructions and guidelines to ensure proper healing and recovery.

3. Will the cyst come back after ovarian cystectomy?

   The recurrence of cysts after ovarian cystectomy is possible, especially if you have a history of cyst development. Regular follow-up visits and imaging tests can help monitor your ovaries for any new cysts.

4. Will I have a visible scar after ovarian cystectomy?

   In laparoscopic ovarian cystectomy, small incisions are made, resulting in minimal scarring. In open cystectomy, a larger incision is made, which may leave a visible scar. However, the scar will fade over time and can often be concealed beneath clothing.

5. Can ovarian cysts be cancerous?

   While most ovarian cysts are benign, some cysts can be cancerous. Your healthcare provider will evaluate the characteristics of the cysts and may perform further tests, such as a biopsy, if cancer is suspected.