Understanding Laparoscopic Ovarian Cystectomy
Laparoscopic ovarian cystectomy is a keyhole surgery procedure used to remove cysts from the ovaries while preserving the ovarian tissue. This advanced technique allows for the treatment of ovarian cysts with smaller incisions compared to traditional open surgery.
About Ovarian Cysts
Ovarian cysts are fluid-filled sacs that develop on or inside an ovary. They’re common and often cause no symptoms. However, some cysts can cause:
- Pelvic pain or pressure
- Bloating
- Changes in menstrual patterns
- Painful intercourse
- Frequent urination
Most cysts are harmless and may disappear on their own, but some require surgical removal.
The Laparoscopic Ovarian Cystectomy Procedure
Here’s what you can expect during a laparoscopic ovarian cystectomy:
- You’ll be given general anaesthesia to ensure you’re comfortable throughout the procedure.
- The surgeon makes small incisions (usually 0.5-1 cm) in your abdomen.
- A laparoscope (a thin tube with a camera) and specialised surgical instruments are inserted through these incisions.
- Your abdomen is inflated with carbon dioxide gas to create space for the surgeon to work.
- The surgeon locates the ovarian cyst using the laparoscope.
- The cyst is carefully separated from the healthy ovarian tissue and removed.
- If necessary, the ovary is repaired to maintain its function.
- The cyst is removed through one of the small incisions, sometimes using a special bag to prevent spillage.
- Finally, the small incisions are closed with stitches.
Benefits of the Procedure
Compared to traditional open surgery, laparoscopic ovarian cystectomy offers several advantages:
- Smaller scars
- Less postoperative pain
- Shorter hospital stay (often just a day case)
- Quicker recovery time
- Lower risk of infection
- Less blood loss during surgery
- Preservation of ovarian function and fertility
Suitable Candidates
This procedure may be suitable for you if:
- You have a persistent ovarian cyst that hasn’t resolved on its own
- Your cyst is causing significant symptoms
- There’s a concern that the cyst might be cancerous
- You wish to preserve your ovarian function and fertility
Your doctor will assess your individual case to determine if this is the best option for you.
Recovery Process
Recovery from laparoscopic ovarian cystectomy is typically quick:
- Most women go home the day after surgery.
- You can usually return to normal activities within 1-2 weeks
- Full recovery typically takes about 2-4 weeks
You may experience some pain and light vaginal bleeding for a few days after the procedure, which is normal.
Important Considerations
- While laparoscopic ovarian cystectomy aims to preserve the ovary, in some cases, it may be necessary to remove the entire ovary if the cyst is very large or complex.
- There’s a small chance that cysts may recur in the future.
- In rare cases, the surgeon may need to switch to an open surgery during the procedure if complications arise.
- If you’re planning to get pregnant, your doctor will advise you on how long to wait after the surgery before trying to conceive.
References:
Medical News Today – Surgery for ovarian cysts