Ovarian cystectomy is a surgical procedure that involves the removal of ovarian cysts, which are fluid-filled sacs that can develop on the surface of the ovaries.
Ovarian cystectomy is performed when ovarian cysts are causing symptoms such as irregular cycles, pain, discomfort, or if there is concern about the possibility of cancerous cysts. It may also be done when a cyst is large, persists over time, or if there are fertility concerns.
The primary purposes of ovarian cystectomy are:
To remove ovarian cysts that are causing symptoms or concerns.
For fertility purposes.
To preserve the healthy ovarian tissue, which is crucial for hormone production and fertility.
To assess and remove any cysts that may be cancerous or have the potential to become cancerous.
During ovarian cystectomy:
General anesthesia is typically administered to ensure the patient is unconscious and pain-free during the procedure.
Laparoscopic ovarian cystectomy involves making a few small incisions in the abdominal wall to access the surgical area. In some cases, if cysts are huge more than 15 cms and suspicious of cancer an open surgical approach may be necessary, resulting in a larger incision.
Instruments used may include laparoscopes, trocars, graspers, scissors, and electrosurgical devices to precisely dissect and remove the cyst.
The length of surgery varies depending on factors such as cyst size and complexity. Laparoscopic cystectomy typically takes around 30 minutes to 2 hours.
Monitoring equipment, including ECG and blood pressure monitors, is used to ensure the patient's safety during the surgery.
Potential complications may include:
Expected outcomes of ovarian cystectomy include:
– Alternatives to Surgery
Alternatives may include watchful waiting (monitoring the cyst), medical management, or aspiration (draining) of the cyst fluid. The choice depends on the cyst type, size, and patient's condition.
– Scarring
Laparoscopic ovarian cystectomy typically results in small, discreet scars at the incision sites, which may fade over time.
Post-operative care includes:
– Hospital Stay
Most ovarian cystectomies are performed as outpatient procedures, and patients can often go home on the same day.
Recovery time varies but typically follows this pattern:
Patients should follow their healthcare provider's guidance for a successful recovery, including activity restrictions and attending follow-up appointments. The exact recovery time depends on individual factors and the specific procedure performed.
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