Laparoscopic removal of ovarian cysts is performed through a small keyhole incision. A cyst is a sack of fluid which develops inside the ovaries, which can be either benign or Malignant (cancerous). Typically, a benign ovarian cyst can be removed leaving the ovaries intact, making the natural conception still possible.
Ovarian cysts have a recurrence rate of 35% even after they are surgically removed. If the cysts keep recurring, then the entire ovary is removed by a procedure called Laparoscopic oophorectomy. And also if the cyst is malignant, the entire ovary or both ovaries need to be removed.
Most ovarian cysts are small and don’t cause symptoms. If a cyst does cause symptoms, you may have pressure, bloating, swelling, or pain in the lower abdomen on the side of the cyst. This pain may be sharp or dull and may come and go.
If a cyst ruptures, it can cause sudden, severe pain. If a cyst causes twisting of an ovary, you may have pain along with nausea and vomiting.
Common symptoms of ovarian cysts are:
- Pelvic Pain
- A dull ache in the lower back and thighs
- Problems emptying bladder or bowel completely
- Pain during intercourse/sex
- Unexplained weight gain
- Unusual vaginal bleeding
- Breast tenderness
- Needing to urinate more often / frequent urination problem
If left untreated, what are the possible complications that may arise?
Ovarian torsion. Cysts that enlarge can cause the ovary to move, increasing the chance of painful twisting of your ovary (ovarian torsion). Symptoms can include an abrupt onset of severe pelvic pain, nausea and vomiting. Ovarian torsion can also decrease or stop blood flow to the ovaries.
Rupture. A cyst that ruptures can cause severe pain and internal bleeding. The larger the cyst, the greater the risk of rupture. Vigorous activity that affects the pelvis, such as vaginal intercourse, also increases the risk.
When is Laparoscopic Ovarian Cystectomy Performed?
Ovarian cysts are fairly common. Most cysts are not harmful and usually resolve on their own. However, some cysts can hinder fertility, cause symptoms, or become cancerous.
Laparoscopic Ovarian Cystectomy may be recommended if:
- The patient has cysts or other masses in both ovaries
- An ovarian cyst has not shrunk or disappeared after 3 months
- A cyst is larger than 3 cms in diameter
- A cyst appears to be abnormal or malignant
- Your doctor suspects ovarian cancer
How is Laparoscopic Ovarian Cystectomies Performed?
In this procedure, the doctor makes a few small incisions in the abdomen and inserts the laparoscope. It is a thin, flexible instrument with a lighted camera at the end, which guides the surgeon through the procedure. The tissue is removed with an endobag through these small incisions.
Visit our Frequently Asked Questions on laparoscopic treatment section to know what you should do before, on the day and after laparoscopic procedure.