Ovarian cysts are abnormal fluid-filled sacs or pouches present on the ovary. Some indications of an ovarian cyst include pelvic pain, particularly during menstruation or sexual activity. These cysts are very prevalent and usually resolve on their own without treatment. If you have an ovarian cyst that fails to go away on its own, grows in size, or causes unbearable discomfort, your doctor may consider an ovarian cystectomy. Ovarian cystectomy is the surgical removal of ovarian cysts.
These days, the vast majority of harmless ovarian cystectomies are done laparoscopically. Basic tests are performed to stratify the risk of ovarian cancer. If there are signs of cancer, a multidisciplinary approach is followed, and a gynecological oncologist is consulted.
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The following are the types of available ovarian cystectomy procedures in India:
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The following are the steps involved in the procedure for laparoscopic ovarian cyst removal surgery:
Admission & Pre-surgery Preparation
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You are admitted on the day of surgery and prepared for the procedure. A general anesthetic is given so you remain completely asleep and pain-free throughout the operation.
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An intravenous (IV) line is inserted to deliver anesthesia, medications, and fluids during surgery.
Start of Laparoscopic Ovarian Cystectomy
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Once you are asleep and the surgical area is sterilized, the surgeon begins the procedure.
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A small incision is made near the belly button, and a laparoscope (a thin tube with a camera and light) is inserted to visualize the pelvic organs on a screen.
Creating Surgical Space
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Carbon dioxide gas is gently introduced into the abdomen to inflate it slightly. This creates space and allows the surgeon to clearly see the ovaries, uterus, and surrounding structures.
Accessing the Ovarian Cyst
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Two to three additional small incisions are made in the lower abdomen. These openings allow the surgeon to insert fine surgical instruments.
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The ovary is carefully examined, and the cyst is separated from healthy ovarian tissue while preserving ovarian function as much as possible.
Cyst Removal & Safety Check
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The ovarian cyst is removed through one of the small incisions with care taken to keep the cyst intact.
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If required, the cyst is sent to the laboratory for testing to rule out cancer.
Completion of the Procedure
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The carbon dioxide gas is released from the abdomen.
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All instruments are removed, and the small incisions are closed using dissolvable stitches.
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The incision sites are covered with sterile dressings, and you are moved to recovery for monitoring as the anesthesia wears off.
You should expect some soreness and maybe bruises around the navel and belly after the operation. The gas that is injected into your abdomen during the treatment might cause discomfort in your shoulders and back. After surgery, you can experience spotting or vaginal discharge.
Within 24 hours following surgery, you will be able to remove any bandages that may have been used. The adhesive or stitches will naturally dissolve. Keep the bandages on your incisions until they naturally come off if you have any tiny ones. After seven days following your treatment, you can take them off if they don't come off. Do not swim or bathe the area around your incisions in the tub. You can take a shower, but be careful not to scrub the wounds.
Excessive fatigue is a common symptom in the first week following surgery. After the first week of resting, start increasing your activity level slowly with gentle exercises and shorter walks. When you are ready and your doctor allows, you can resume sexual activity.
The cost of ovarian cyst removal surgery in India can vary depending on the hospital, surgeon’s fees, location, and complexity of the procedure. For a laparoscopic ovarian cystectomy, the typical cost range is between ₹50,000 and ₹200,000.
Either a laparotomy or a laparoscopic procedure can be used to remove an ovarian cyst. Your surgeon will discuss the available options with you and advise you on the most appropriate course of action depending on your health status.
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Q1: Are ovarian cystectomy procedures safe?
A: Yes, ovarian cyst removal surgery, particularly when done laparoscopically by skilled gynecologists, is generally safe.
Q2: How long does recovery take after ovarian cyst laparoscopic surgery?
A: Following laparoscopic removal of an ovarian cyst, the majority of patients make a full recovery within a week or two.
Q3: Does ovarian cystectomy affect fertility?
A: Laparoscopic ovarian cyst removal often does not harm fertility and maintains ovarian tissue. As a last resort, your doctor will discuss fertility-preserving measures with you.