Surgery to remove an ovarian cyst

Many women mistakenly believe that an ovarian cyst is a minor problem that can go away on its own. However, some types of cysts can cause serious complications, such as rupture, torsion, or infertility. Ignoring this diagnosis can be costly, while seeing a doctor in a timely manner solves the problem effectively and safely. but a real chance to preserve health and prevent serious consequences.

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Do I need surgery to remove an ovarian cyst?

Not every ovarian cyst requires surgery. The choice of treatment method depends on the type of cyst, its size, symptoms and the general health of the woman.

Do I need surgery to remove an ovarian cyst?

Indications and contraindications for surgery

Surgery may be needed if:

  1. The mass causes severe pain or discomfort. For example, if it presses on neighboring organs or disrupts blood circulation
  2. Large cyst. Formations larger than 5-7 cm may not resolve on their own and pose a risk of complications
  3. There are signs of rupture or torsion of the cyst. These are emergency conditions that require immediate surgical intervention. Symptoms include sharp pain, nausea, fever
  4. Cyst is not functional. Endometrioid cysts ("chocolate"), dermoid formations or other pathological formations do not disappear on their own and require resection
  5. Suspected cancer. If there are signs of a malignant process on ultrasound or other studies, surgical removal of the cyst is performed to clarify the diagnosis and prevent the spread of

Some neoplasms, such as follicular or corpus luteum cysts, occur due to normal processes in the menstrual cycle and often go away on their own in a few months. If the size of the cyst does not exceed 5 cm, it does not cause pain and does not interfere with the work of other organs, the doctor may recommend simply observing it with regular ultrasound.

If the cause is hormonal failure, hormonal drugs may be prescribed. In such cases, surgery is not necessary, but it is important to be under the supervision of a doctor.

General information

Advantages of Laparoscopic Surgery

Advantages of this medical method:

  1. Minimal tissue damage. Instead of incisions 10-15 cm long, the surgeon makes only 3-4 punctures with a diameter of 5-10 mm. For women, especially when it comes to the reproductive organs, this approach is important, as less tissue damage reduces the risk of complications
  2. Rapid Recovery. After laparoscopy, patients return to normal life faster. After 6-8 hours, you can get up and move, and to work and usual activity - after 7-14 days. For comparison, after traditional surgery, rehabilitation can last up to 6-8 weeks
  3. Low risk of complications. Small punctures significantly reduce the likelihood of infection of the surgical wound. In addition, laparoscopy is less likely to provoke the formation of adhesions, which is especially important for women planning pregnancy. Adhesions in the pelvis can prevent conception, and their formation directly depends on the amount of tissue injury
  4. Aesthetics. After laparoscopic intervention, only small scars remain, which become almost invisible after a few months. Unlike incisions after traditional operations, such traces do not cause aesthetic discomfort
  5. High Accuracy. The camera used during laparoscopy magnifies the image by 10 times, allowing the surgeon to see the smallest details. For example, when resecting an ovarian cyst, it is important to preserve healthy tissue so as not to affect ovulation. Laparoscopy allows you to work as accurately as possible, which is especially important in gynecology
  6. Less pain. Due to small incisions and minimal intervention in the tissues, the pain after laparoscopic intervention is much weaker. Usually, ordinary painkillers are enough to relieve pain, and strong drugs are practically not used
  7. Universality of the method. The laparoscopic technique is used to treat most gynecological diseases: ovarian cysts, endometriosis, uterine fibroids, ectopic pregnancy, fallopian tube problems and other

Laparoscopy helps to avoid serious tissue damage and reduces the risk of adhesions, which is especially important for women planning a pregnancy. This method, for example, in the removal of ovarian cysts or the treatment of endometriosis, gives a better chance of successful conception in the future.

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Types of laparoscopy for ovarian cysts

There are several methods for performing laparoscopy for cysts.

Laparoscopic Cystectomy

Laparoscopic cystectomy is used to remove only the cyst, preserving healthy ovarian tissue. Instruments are inserted through small incisions, and the cyst is removed along with the capsule. This is important to minimize the risk of recurrence. The structure of the ovary itself is restored, which allows you to preserve its function.

Rehabilitation takes about two weeks.

Laparoscopic removal of the ovary (oophorectomy)

Oophorectomy is performed if the cyst has completely destroyed the structure of the ovary or there is a high risk of a malignant process. The procedure involves the complete removal of the affected ovary. The second ovary continues to perform its functions, maintaining hormonal balance.

The recovery period is 2-3 weeks. Full physical activity is excluded in the first month.

Laparoscopic resection of the ovary

This method is used when it is necessary to remove the neoplasm along with part of the ovary, preserving its remaining healthy tissue. Resection allows you to save part of the ovary, which is especially important for women planning a pregnancy.

Postoperative recovery lasts about two weeks.

Laparoscopy for cyst rupture

Emergency laparoscopy is performed in case of cyst rupture, which may be accompanied by internal bleeding or inflammation. During the procedure, the remains of the cyst are removed, the abdominal cavity is washed, and bleeding is stopped. If necessary, partial removal of the damaged ovary is performed.

Rehabilitation after such an operation lasts 3-4 weeks.

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Preparation for surgery to remove an ovarian cyst

The doctor prescribes a standard set of tests to assess the patient's health:

  • Blood and urine tests. They include general analysis, biochemistry, determination of blood group and
  • pelvic ultrasound. It shows the exact location and size of the neoplasm, and also allows you to assess the condition of the ovaries and other organs
  • ECG and consultation with an anesthesiologist. The state of the cardiovascular system is assessed and the optimal type of anesthesia is selected
  • Additional studies. If necessary, MRI, CT scans, or tumor markers may be prescribed to rule out malignancies

If the patient is taking any medications, it is important to discuss this with the doctor. For example, blood thinners may require temporary withdrawal. Sometimes the doctor prescribes preventive antibiotic therapy or drugs to improve blood clotting.

Diet and regimen before the procedure:

  • Nutrition. The day before surgery, the patient is advised to eat light food to reduce the load on the digestive system. Fatty, fried foods and alcohol are excluded.
  • Colon cleansing. It is usually done the night before or in the morning on the day of surgery. It can be a laxative or an enema.
  • Fasting. Do not eat or drink liquids 8-10 hours before surgery to avoid complications from anesthesia.

The day before, you need to take a shower and remove hair in the abdomen, if recommended by a doctor. Use mild hygiene products to avoid irritation.

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How is laparoscopy performed for an ovarian cyst

Let's consider all the stages of the procedure.

  1. Start of procedure. The patient is immersed in a drug-induced sleep (general anesthesia). The doctor makes three to four small incisions in the abdomen (usually no more than 1 cm). Through one of them, a laparoscope is inserted - a thin tube with a camera that transmits the image to the screen. The remaining incisions are used to insert surgical instruments
  2. Resection. Through a laparoscope, the doctor receives a detailed image of the ovary and cyst. Depending on the situation, one of the methods is performed: removal of only the cyst (cystectomy), removal of part of the ovary (resection) or removal of the entire ovary (oophorectomy). If there are signs of complications, such as rupture, the abdomen is cleaned and bleeding is stopped
  3. Termination of Operation. After the cyst is removed, the instruments are removed and the incisions on the abdomen are sutured with self-absorbable sutures. Sterile bandages are applied to the incision site. Surgery usually takes 30 minutes to 2 hours, depending on the complexity

A few hours after the procedure, the patient can start drinking water, and the next day she can get up and move. Abdominal soreness and mild discomfort may persist for a few days, but this is normal. The incisions heal within 1-2 weeks. The doctor prescribes a follow-up examination after 7-10 days and may recommend limiting physical activity for a month.

At the K+31 clinic (Moscow), we have extensive experience in performing operations to remove ovarian cysts. We use modern methods and approach each case individually. If you need help, call, make an appointment, and you will find the current prices in our price list on the website.

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Rehabilitation and recommendations after surgery

Recommendations for the rehabilitation period:

  1. Diet. Light food rich in proteins and vitamins is recommended. Avoid fatty, spicy and gas-forming foods to reduce the burden on the digestive system
  2. Hygiene. Keep the seam area dry and clean. Follow your doctor's recommendations for treating your incisions. Antiseptic solutions are usually used
  3. Medicines. The doctor may prescribe painkillers, antibiotics or drugs to maintain hormonal levels, if necessary. Take medication strictly as recommended
  4. Restrictions. Refrain from using the pool, sauna and hot baths for 2-3 weeks. This reduces the risk of inflammation
  5. Sexual intercourse. Usually, the resumption of intimate life is possible 4-6 weeks after surgery, but the exact date will be determined by the doctor depending on your condition

Most patients return to their usual lifestyle 3-4 weeks after laparoscopy. With more complex operations, the time can increase to 6-8 weeks. The main thing is to listen to your body and take your time.

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Answers to popular questions

Health questions are always important, especially when it comes to surgeries. We have collected answers to the most popular questions from patients.

Is it possible to get pregnant after ovarian cyst removal?

Yes, in most cases, pregnancy after the removal of the neoplasm is possible. Laparoscopic technique is considered a gentle method that minimally injures the ovaries. As early as 1-3 months after the procedure, depending on the doctor's recommendations, you can start planning conception. However, it is important to consult a doctor and undergo a follow-up examination to make sure that the body has fully recovered.

How long should you not exercise after surgery?

After laparoscopy, light exertion, such as walking, is allowed the next day. However, it is better to postpone intense training, running or weight lifting exercises for 4-6 weeks. This time is necessary for tissue healing and complete recovery of the body.

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