Laparoscopic Surgery for Ovarian Cysts

Most of the cysts can be removed by Laparoscopic Surgery (key hole surgery) particularly after they are tiny and look harmless on the ultrasound.

When an ovarian growth or cyst needs to be closely looked at, a surgeon will do so through a little incision using laparoscopy or through a larger abdominal incision (laparotomy). Either kind of surgery can be used to diagnose issues such as ovarian cysts, adhesions, fibroids, and pelvic infection.

But if there is any concern regarding cancer, you may have a laparotomy. It provides the most effective view of the abdominal organs camera and the feminine pelvic organs . Then, if the doctor finds ovarian cancer, he or she will be able to safely take away it.

The Reasons

Surgery for an ovarian cyst or growth could be suggested due to the following reasons:

  • The growths are in both ovaries.
  • An ovarian cyst is larger than 3 in. (7.6 cm).
  • An ovarian cyst that is being watched does not get smaller or disappear in 2-3 months.
  • An ultrasound exam suggests that a cyst is not a simple functional cyst.

The Benefits

The cysts can be removed while not more intensive abdominal surgery. Open abdominal surgery would involve a larger incision, longer hospital stay and recovery time, and larger discomfort. You are also less seemingly to develop a type of scar tissue called adhesion within the abdomen or pelvis. However remember, some cases are suitable only for open surgery.

During surgery, a noncancerous cyst that is inflicting symptoms can be removed (cystectomy), leaving the ovary intact. In some cases, the entire ovary or both ovaries are removed, particularly when cancer is found.

How It Is Done

First, you’re given a general anesthetic. A terribly tiny incision is made within the lower abdomen just below the navel. Carbon dioxide gas is pumped into the abdomen, to inflate it and build it easier for the surgeon to view the organs.

Through this incision, a laparoscope is inserted that may be a thin, lighted tube. The laparoscope is then used to locate the cyst. Once located, one or two more small incisions are made, through that surgical instruments are inserted to get rid of the cyst. The cyst will be removed intact or it will be aspirated and cyst wall will be either excised or ablated. The removed tissue should be sent for biopsy.

After the laparoscopy procedure, you’ll be able to resume your dailt activities however you must avoid strenuous activity or exercise. You may keep in the hospital many hours or overnight to recover once the procedure has been done.

The anesthetic might cause sleepiness for a whereas. You might have to experience abdominal pain or discomfort or shoulder pain or cannot urinate for a few days.


Whether you want it or not, there are also some risks of ovarian surgery which includes:

  • Ovarian cysts could return back after the procedure.
  • Infection or bleeding may develop due to the procedure.
  • The bowel or bladder may be broken during surgery.
  • Pain might not able to be controlled.
  • You’ll develop an infection or bleeding.
  • A tiny risk of injury to abdominal organs or blood vessels may be damaged.

What happens if I have a cyst and I don’t want go for surgery?

The cyst might grow in size and there might be bleeding into the cyst or the cyst can twist around its pedicle which can cause severe pain. In both these conditions you may should endure emergency surgery to get rid of the cyst.

Take this matter seriously as cysts can affect your married life. Take your time to discuss with your doctor and get the best suggestion for yourself and your family.



  1. Is it absolutely necessary for a transvaginal ultrasound to be performed in order to diagnose an ovarian cyst? Part of the reason my GF doesn’t want to go have her pain examined is she’s been told that the cold wand awaits her.

    She’s an attractive girl, and we’re both slightly concerned that the male radiologists might be just a bit too eager to perform such a test on her when a less invasive procedure may suffice.

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