Most of cysts on the ovary will get away by themselves – these cysts can resolve after some weeks and don't need any treatment.
However, some cysts are pathological – they are doing no resolve spontaneously. These cysts ought to be removed with surgery.
Cysts need to be removed when:
Removing the cysts will prevent complications of the cysts in the future. These complications embody rupture, infection, internal bleeding, or ovarian torsion. When complication happens, women could have severe acute pain and an emergency surgery will be required.
Additionally, once the cysts are removed, they'll be sent for pathology to make sure that there's no cancerous tissue.
Ovarian cysts are removed with a surgery referred to as cystectomy. In cystectomy, solely the cyst is removed, conserving the healthy ovarian tissues. We tend to perform most of our cystectomy using minimally invasive techniques – laparoscopic ovarian cystectomy.
In laparoscopic surgery, a few small incisions (typically 0.5-1cm) are created on abdominal skin. Through these small incisions, our surgeon place in a slender, high-definition telescope (laparoscope) to confirm the presence of ovarian cyst. At a similar time, the surgeon additionally carefully checks the condition of other pelvic organs, as well as the other ovary.
Next, laparoscopic instruments are introduced to get rid of the cyst from the ovary. These fine, special devices can enable the surgeon to perform precise minimally invasive surgery. Finally, the cyst are going to be taken out of the body with dedicated techniques, like using a specially designed bag.
Compared to traditional open abdominal surgery, minimally invasive surgery causes less trauma to the body. Recovery is way quicker. Patients will often get up at intervals a few hours of surgery, and move around without major problem on succeeding day. Hospital day is reduced. Most of our patients go return on succeeding one or 2 days, some even on the same day of surgery, depending on the complexness and extent of the surgery. normal activities is resumed much before open surgery, typically in one to 2 weeks’ time.
In some cases, the whole ovary might have to be removed, as an example, when the cyst is extremely massive and has destroyed the ovary. Due to new advances in laparoscopic instruments and techniques, the whole ovary is removed with minimally invasive surgery as well. Surgical removal of the ovary is termed oophorectomy.
Women are normally born with 2 ovaries. If the other ovary is healthy and preserved, it'll still perform to take care of normal hormone cycles and ovulation for potential conception and pregnancies in the future, even after the diseased ovary is removed.
For women after menopause, the specialist could suggest removal of both ovaries within the same operation. This may fully eliminate the danger of re-growth of the cysts or ovarian cancer in the future.