Cyst Removal (Ovarian Cystectomy)

What is Ovarian Cystectomy?

An ovarian cystectomy is a surgical procedure aimed at removing ovarian cysts, which are fluid-filled sacs that can develop on the ovaries. While these cysts are common and often resolve independently without treatment, your healthcare provider may recommend a cystectomy if the cyst persists, enlarges, or causes discomfort.

Types of Ovarian Cystectomy

There are two primary approaches to performing an ovarian cystectomy:

Laparoscopic Ovarian Cystectomy

This minimally invasive technique involves the insertion of a laparoscope— a small camera equipped with a light— through a tiny incision in your abdomen. This allows the surgeon to visualize the reproductive and pelvic organs. Additional small incisions are made to introduce surgical instruments to remove the cyst.

Open Cystectomy (Laparotomy)

In cases where the cyst is particularly large or there are concerns about cancer, a larger incision is made in the abdomen to facilitate the removal of the cyst.

Laparoscopic cystectomy is preferred due to its minimally invasive nature, which promotes a quicker recovery compared to open surgery. However, open surgery may be necessary for larger cysts or suspected malignancy.

Causes of Ovarian Cysts

Ovarian cysts can arise from various conditions, including:

• Hormonal disorders, such as polycystic ovary syndrome (PCOS)
• Ovulation or ovulation induction medications
• Endometriosis
• Pelvic inflammatory disease
• Cancer

Why Consider Ovarian Cystectomy?

While many ovarian cysts are harmless and resolve on their own, surgical intervention may be required if:

• The cyst is large (generally over 2.5 to 3 inches in diameter)
• You experience significant pain
• There is suspicion of cancerous changes

Dr. Mohit Agrawal will assess your condition and determine if an ovarian cystectomy is the best course of action for your health.

Preparation and Procedure Details

Preparation for an ovarian cystectomy involves following your surgeon’s pre-operative instructions, including dietary restrictions and medication management.

During the procedure, you will be placed under general anesthesia. For laparoscopic cystectomy, your surgeon will create a few small incisions in your abdomen, inflate the area for better visibility, and remove the cyst using specialized instruments. If open surgery is necessary, a larger incision will be made for direct access to the cyst.

Recovery After Ovarian Cystectomy

Post-surgery, you will be monitored in a recovery room. Depending on the type of surgery, your recovery time can vary:

• Laparoscopic Cystectomy: Typically allows for discharge within two to three hours.
• Open Cystectomy: May require an overnight hospital stay.

Your surgeon will provide specific post-operative care instructions, including activity restrictions, pain management, and follow-up appointments.

Benefits and Risks

The primary benefit of an ovarian cystectomy is the removal of potentially harmful or painful cysts. However, like all surgical procedures, there are risks involved, such as infection, bleeding, and injury to surrounding tissues. Discuss these risks thoroughly with Dr. Agrawal to ensure you are fully informed.

Fertility Considerations

An ovarian cystectomy does not inherently affect your fertility. However, underlying conditions causing the cysts may influence your ability to conceive. If you have concerns regarding fertility, Dr. Agrawal can provide insights tailored to your situation.

When to Seek Help

If you experience symptoms such as increased pain, unusual bleeding, or signs of infection following your cystectomy, contact Dr. Mohit Agrawal promptly for evaluation.

An ovarian cystectomy can be a critical procedure for managing ovarian cysts that pose a risk to your health. If you’re experiencing symptoms or have concerns about ovarian cysts, schedule a consultation with Dr. Mohit Agrawal to explore your treatment options and receive expert care.