Author – Dr Preety Aggarwal
MBBS, DGO, DNB,
Medical Director (Gurgaon)- Obstetrics and Gynaecology
All You Need to Know About Ovarian Cystectomy
Ovarian cysts generally go away on their own, however, some patients with large ovarian cysts and painful symptoms might need surgery. The surgical removal of these ovarian cysts is known as ovarian cystectomy. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, the surgical removal may be performed either by small incisions (laparoscopically) or by one large incision (laparotomy). The type of surgery according to the top lady doctor in Gurgaon may depend on your medical condition.
What Are Ovarian Cysts?
Ovarian Cysts refer to fluid-filled sacs that are either developed on or inside an ovary. Most of the time, these cysts do not show any symptoms. Sometimes, however, these may cause dull pain, pressure, or bloating in the abdomen. While most ovarian cysts go away on their own, surgery sometimes may be needed for complete removal.
The best female doctor near me Gurgaon will suggest surgery if:
1. Your cysts have not disappeared even after a few menstrual cycles.
2. Your cysts can be cancerous.
3. Your cysts are extremely large or are increasing in size.
4. You are going through menopause.
5. Your cysts suddenly rupture.
What Causes Ovarian Cysts?
Although the exact cause of ovarian cyst is not known, it can be caused by:
1. Hormonal disorders including polycystic ovary syndrome (PCOS).
2. Endometriosis.
3. Pelvic inflammatory disease.
4. Cancer.
How is an Ovarian Cystectomy Performed?
Depending on your medical condition, the top lady doctor in Gurgaon may recommend laparoscopy or laparotomy to remove cysts.
Laparoscopy
Dr Preety Aggarwal usually prefers laparoscopic removal of cysts since this is a minimally invasive procedure. If the cysts, however, are extremely large or cancerous, a laparotomy is suggested.
During a laparoscopic surgery:
1. The doctor will make a small incision on your abdomen to insert a tiny camera.
2. Another incision will be made to insert tiny surgical instruments.
3. The cyst will be dissected from the ovary or sometimes an entire ovary will be removed.
4. The cyst tissue will be removed from the body.
5. The doctor will remove the camera, and surgical tools, and close the incisions with tiny sutures.
6. You will be discharged on the same day and can return to normal activities within a week.
Laparotomy
A laparotomy is usually considered when the cysts are too large and cannot be removed from tiny incisions. It is also performed when the cysts are cancerous or are even suspected to be cancerous.
A single large incision is made on the abdomen to access the cyst. Once removed, the incision is closed and sewn back. Since this is a traditional surgery with a large incision, discharge may take up to four days. You can resume your normal activities within a month.
How is The Recovery After Ovarian Cystectomy?
Recovery after laparoscopy is faster with discharge mostly on the same day and you can even get back to your routine within a week. It is, however, recommended to take sufficient rest within 24 hours of your surgery. At times, you might also experience certain postoperative symptoms such as:
1. Nausea.
2. Dizziness.
3. Abdominal cramps.
4. Shoulder pain.
5. Bloating.
6. Sore throat.
In the case of laparotomy, the recovery period is longer up to three months. Your top lady doctor in Gurgaon will provide you with post-operative instructions to follow. You will also have follow-up appointments to check your incision.
Ovarian cysts are usually harmless, but these can sometimes develop into cancerous tumours. In such cases, it is best to get these removed. If you suspect excruciating pain in your lower abdomen, consult Dr Preety Aggarwalat the Motherhood Hospitals and get yourself checked and treated under expert guidance.