Ovarian Cystectomy
An ovarian cystectomy is a surgical procedure that removes a cyst or cysts from one or both of your ovaries.
These cysts disrupt menstruation and induce infertility. This procedure is made to protect the ovary for patients who wish to become pregnant.
Ovarian cysts are rather frequent, however, surgical treatment is dependent on whether you want to keep your fertility and the state of the cyst. The type of surgery is determined by the patient’s ability to retain fertility as well as the condition of the cyst. With the modern laparoscopic techniques, such as a minimally invasive ovarian cystectomy, with just two tiny incisions. The treatment normally takes less than an hour, and most women are back to normal in a matter of a few days.
Who is the right candidate for an Ovarian Cystectomy procedure?
- Ovarian tumour
- Large ovarian cyst
- Severe vaginal bleeding and pelvic pain
Benign ovarian cyst
Ovarian cysts frequently resolve on their own.In many circumstances, it may be removed without causing any harm to the ovary. An ovarian cyst may be evacuated by laparoscopy or open surgery. Your doctor may advise you to use hormone therapy to prevent future ovarian cysts.
Malignant ovarian cyst
Large or persistent ovarian cysts, as well as cysts that cause symptoms, must usually be surgically removed. Surgery is also usually suggested if there is a chance that the cyst is or may become malignant. To remove ovarian cysts, two types of surgery are performed are mentioned below.
The process can be performed using a variety of approaches, including:
Laparotomy: A laparotomy is a surgical procedure in which your surgeon makes a large cut in your abdomen to reach the ovary and remove the cysts.
Laparoscopic surgery is a keyhole procedure in which small incisions are created on your tummy. Gas is injected into your abdomen to provide the surgeon access to your ovaries. Then, through these two to three holes, a laproscope with a light at the end is put into your abdomen to remove the cyst.
Intra Operative Frozen Section
Frozen section on ovarian masses with a diagnosis accuracy of 89.7 percent is a real eye opener for gynecologic surgeons when it comes to the utility of this diagnostic tool. Furthermore, it emphasises that by providing histology on cryostat sections intraoperatively, the pathologist assists surgeons in tailoring the surgery.
Laparoscopy procedure for ovarian cyst removal
Laparoscopy can be used to remove benign ovarian cysts. This is a sort of keyhole surgery in which small wounds in your abdomen are made and gas is pumped into your pelvis to allow the surgeon access to your ovaries. A laparoscope is inserted into your abdomen to allow the surgeon to examine your interior organs. The cyst is then removed by the surgeon using small cuts in your skin. The wounds will be repaired with dissolvable stitches after the cyst has been removed.
Laparoscopy is preferable since it is less painful and has a shorter recovery period. Most folks can return home the same day or the next day.
Laparotomy procedure
A laparotomy may be indicated if your cyst is especially large or if there is a possibility that it is malignant. A single, bigger cut is made in your abdomen during a laparotomy to allow the surgeon better access to the cyst.
The cyst and ovary may be removed and sent to a laboratory to be tested for malignancy. The incision will be closed with stitches or staples. You may be required to stay in the hospital for a few days following the procedure.
What Are the Benefits of an Ovarian Cystectomy?
Because the vast majority of ovarian cysts and masses in premenopausal women are benign, laparoscopy is an excellent option for many individuals. Patients can avoid huge, open incisions using minimally invasive ovarian cystectomy techniques.
The occurrence of ovarian cysts in postmenopausal patients is 18%, and the majority are benign, with malignancy rates ranging from 5% to 20% depending on the study referenced. Laparoscopy is also beneficial for elderly patients because it eliminates the need for open surgery, which can be difficult for older women to recover from.
Recovery after an Ovarian Cystectomy
Because the incisions utilized are small and attractively situated to reduce pain, recovery following ovarian cystectomy is relatively short. Most patients can walk the next day and return to work within three to five days, with many patients recovering faster. Because the incisions are minimal and do not go through the muscle, normal activities can be resumed reasonably quickly after these treatments. Patients are advised to resume activities as soon as possible and return to a regular lifestyle.
If you are diagnosed with an ovarian cyst, Book your appointment with DR. ANSHUMALA SHUKLA who is the top gynecologist in Kokilaben Hospital, Mumbai.