Laparoscopic Cystectomy

Laparoscopic Cystectomy is a minimally invasive surgical procedure to remove cysts from the ovaries while preserving the healthy ovarian tissue. Ovarian cysts are fluid-filled sacs that develop in or on the ovaries and may cause symptoms like pelvic pain, bloating, and irregular periods. This procedure is ideal for women who experience cyst-related symptoms or have large or complex cysts.

Ovarian cysts are common and often harmless, but in some cases, they can cause pain, discomfort, or affect fertility. Types of ovarian cysts include:

• Functional cysts: Occur during the menstrual cycle and often disappear on their own.
• Dermoid cysts: Contain tissues like hair, skin, or teeth.
• Endometriomas: Form due to endometriosis.
• Cystadenomas: Develop from ovarian tissue and may be filled with a watery or mucous-like fluid.

While many cysts resolve without treatment, larger or persistent cysts may require surgical removal.

Laparoscopic Cystectomy is a surgical procedure performed using small incisions and a laparoscope (a thin camera-equipped tube) to remove ovarian cysts. This procedure allows for the removal of the cyst while preserving the ovary, making it a fertility-sparing option for women of reproductive age.

Key Benefits:

• Minimally invasive
• Shorter recovery time compared to open surgery
• Reduced post-operative pain
• Minimal scarring
• Preservation of fertility

This procedure is recommended for women who:

• Have large or persistent ovarian cysts causing symptoms
• Experience cysts that interfere with daily activities or fertility
• Have complex cysts that may require further evaluation for cancerous cells
• Wish to preserve fertility

Prior to surgery, your doctor may recommend:

• Imaging tests (such as an ultrasound or MRI) to assess the cyst’s size and nature.
• Pre-operative blood work to ensure you’re in good health.
• Stopping certain medications, like blood thinners, before the procedure.
• Fasting for several hours before surgery.

1. Anesthesia: The procedure is done under general anesthesia.
2. Incisions: Small incisions are made in the abdomen, typically around the belly button.
3. Insertion of Laparoscope: A laparoscope is inserted to provide a clear view of the ovaries and surrounding structures.
4. Cyst Removal: The cyst is carefully removed from the ovary while preserving as much healthy ovarian tissue as possible.
5. Completion: The cyst is extracted through one of the small incisions, and the incisions are sutured.

• Hospital Stay: Most patients can return home the same day or within 24 hours.
• Post-Surgery Care: Mild discomfort and bloating are common. Pain medications will be provided.
• Return to Activity: Light activities can resume within a few days, while more strenuous activities should be avoided for 2-4 weeks.
• Follow-Up: A follow-up appointment will be scheduled to ensure proper healing.

Laparoscopic Cystectomy is generally safe, but like any surgery, it carries some risks, including:

• Bleeding
• Infection
• Injury to nearby organs (bowel, bladder)
• Adhesion (scar tissue) formation
• Rarely, the cyst may recur or additional surgery may be needed if complications arise.

1. Minimally Invasive: Small incisions lead to quicker recovery and minimal scarring.
2. Preservation of Ovaries: The procedure focuses on removing the cyst while keeping the ovary intact, maintaining fertility.
3. Lower Risk of Complications: Compared to open surgery, there is less risk of infection, less pain, and a shorter hospital stay.

Post-surgery, contact your doctor if you experience:

• Severe pain not relieved by medication
• Heavy bleeding
• High fever or signs of infection
• Difficulty urinating or other abnormal symptoms