Laparoscopic Ovarian Cystectomy | Emory School of Medicine (2024)

What is a laparoscopic ovarian cystectomy?
An ovarian cystectomy is surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgery technique that only uses a few small incisions in your lower abdomen.

Why am I having this surgery?
Many women will have an ovarian cyst at some point during their lives. Commonly, cysts will cause little to no symptoms. However, if a cyst is causing painful or discomforting systems, surgical removal of the cysts may be the best treatment option. Some symptoms of an ovarian cyst include pelvic pain, especially during your period or sexual intercourse.

What happens during this surgery?
Before surgery begins, you will be given anesthesia to sleep. A laparoscope – a thin tube with a camera on the end – is inserted into the abdomen, usually at the site of your navel, through a small incision. Additional incisions will be made on your abdomen. Air will be used in the abdomen to create more space between your abdominal wall and internal organs. Surgical instruments will be used to remove the cyst.

What are the risks?
This procedure has a small risk of:

  • Possible need for removal of the ovary
  • Bleeding during surgery, which may require a blood transfusion
  • Infection of the bladder or surgical site
  • Damage to surrounding organs (bladder, bowel, and ureters)
  • Possible need for further surgery

What should I do to prepare for the procedure?

  • Do not eat or drink anything after midnight the night before your surgery.
  • You will be under anesthesia for the procedure so you will need someone to drive you to and from your appointment.
  • Be sure to arrive two hours before your estimated surgery start time.
  • Ask your provider any questions you may have before the procedure, especially instructions on stopping or continuing to take any existing medications.
  • Follow the instructions from our office to schedule your pre and post op appointments.

What should I expect during recovery?
After the procedure, it is normal for your navel area and abdomen to be sore and possibly bruised. Your shoulders and back may hurt from the gas placed in your abdomen during the procedure. You may have some vagin*l discharge or spotting after surgery.

The incisions in your abdomen will be closed with skin adhesive or stitches and may be covered with Band-Aids. If you have bandages, they can be removed 24 hours after surgery, and the adhesive or stitches will dissolve on their own. If you have small bandage trips on your incisions, leave them on and they will fall off on their own. If they do not fall off you can remove them seven days after your procedure. Do not soak your incisions in the bathtub or go swimming. You may shower, but do not rub your incisions.

The first week after surgery, you may feel more tired than usual. Take it easy this first week, and then gradually increase your activity level with short walks and light activity. Sexual activity can resume when you feel comfortable.

Call your provider if you experience:

  • Fever greater than 100.4 degrees Fahrenheit
  • Severe nausea / vomiting or abdominal pain
  • Heavy bleeding (more than 2 pads soaked per hour)
  • Redness, swelling, or discharge from your incisions

Office number:(404) 778-3401, Monday – Friday 8:00AM – 5:00PM

  • For emergencies after hours, calling this number will connect you to the operator, who will page the OBGYN physician on call.
  • If your pain becomes severe, or your fever rises above 102oF in the 3 days following the procedure you should go to the emergency room.

Click here for a PDF version of this information.

Laparoscopic Ovarian Cystectomy | Emory School of Medicine (2024)

FAQs

Is laparoscopic ovarian cystectomy a major surgery? ›

Is ovarian cystectomy a major surgery? It depends on what type of surgery you have. If your surgeon can perform the procedure laparoscopically, it's minimally invasive and you'll likely return to your typical activities within two or three weeks. There are still risks to surgery, but they're low.

How many incisions for laparoscopic ovarian cystectomy? ›

What happens during the procedure? Typically, one or two tiny (1/4 inch) incisions are made at the belly button and on the far right or left side in the bikini line. One slightly larger (3/4 inch) incision is also made just above the pubic bone. The larger incision is used to remove the cyst.

What is the recovery time for a laparoscopic ovarian cystectomy? ›

Most women feel better within the first week following surgery; however, do not lift, push or pull any heavy objects for a few weeks. Do not resume sexual intercourse until your doctor says it is OK. Full recovery takes about four to six weeks to allow for internal healing.

How painful is ovarian cystectomy? ›

After the procedure, it is normal for your navel area and abdomen to be sore and possibly bruised. Your shoulders and back may hurt from the gas placed in your abdomen during the procedure. You may have some vagin*l discharge or spotting after surgery.

What is the hardest laparoscopic surgery? ›

Laparoscopic cholecystectomy (LC) is the gold standard cholecystectomy. LC is the most common difficult laparoscopic surgery performed by surgeons today. The factors leading to difficult laparoscopic cholecystectomy can be predicted.

Does cystectomy damage ovary? ›

Thus, ovarian cystectomy affects ovarian reserves (8–10). Surgical procedures on the ovaries lead to ovarian tissue damage, which can exacerbate the harm to the remaining follicles, which raises concerns for gynecological researchers regarding the use of different surgical procedures in this field (11, 12).

Do they stitch you after laparoscopic surgery? ›

If you're having surgery, more small cuts may need to be made in your tummy for the surgeon to pass their tools through. When it's finished, the air is let out of your tummy and the cuts are closed with stitches or clips, and a dressing is placed on top.

What size cyst is needed for laparoscopy? ›

Surgery will be recommended to remove the cyst or ovary if medications do not help or cysts are 5 to 10 cm in diameter. Different types of surgeries to remove the cysts include laparoscopic surgery or laparotomy.

Will I lose weight when they remove ovarian cyst? ›

Will you lose weight after ovarian cysts resolve? Not necessarily. However, if you have PCOS, the correct treatments — which could include medication, dietary supplements, or lifestyle changes — may lead to weight loss. Ovarian cysts can cause some abdominal bloating, which may resolve after they go away.

How do you sleep after an ovarian cystectomy? ›

Sleeping on your back after laparoscopic surgery is indeed the best option. You may alleviate the strain on your lower spine by placing a cushion beneath your knees. Using a cushion of the same size as your neck, prop it up. Prevent sleeping on a pillow that's too big for your neck and back and avoid pain.

Can I sleep on my side after ovarian cystectomy? ›

Sleeping in a semi-upright position is recommended, using a few pillows to elevate the head and shoulders to avoid putting pressure on the abdominal area. Avoid sleeping on your stomach or the side where the incisions were made.

Can ovarian cyst come back after cystectomy? ›

An ovarian cyst can be removed from an ovary (cystectomy), preserving the ovary and your fertility. But it is possible for a new cyst to form on the same or opposite ovary after a cystectomy. New cysts can only be completely prevented by removing the ovaries (oophorectomy).

What size ovarian cyst for cystectomy? ›

Large cysts (>5 to 10 cm) are more likely to require surgical removal compared with smaller cysts. However, a large size does not predict whether a cyst is cancerous. If the cyst appears suspicious for cancer (based on tests) or if you have risk factors for ovarian cancer.

Will I feel better after ovarian cyst removal? ›

You may have less pain and discomfort compared with those in a laparotomy, and you can start eating and drinking early. After laparoscopic surgery, you can resume normal activities within a day. However, you must avoid any strenuous activity, heavy weight-lifting, or exercise for about four to six weeks.

How long will my stomach be swollen after laparoscopy? ›

The truth of the matter is that symptoms such as swelling, stomach distention and abdominal discomfort are very common after surgery. The good news is that these sensations are only temporary. Phew! Post-operative bloating and swelling usually peaks 48 hours after surgery, but will mostly subside by the 12-week mark.

What is the major surgery for ovarian cyst removal? ›

If your cyst is particularly large, or there's a chance it could be cancerous, a laparotomy may be recommended. During a laparotomy, a single, larger cut is made in your tummy to give the surgeon better access to the cyst. The whole cyst and ovary may be removed and sent to a laboratory to check whether it's cancerous.

What are the advantages of laparoscopic ovarian cystectomy? ›

However, the advantages of laparoscopic surgery such as lesser postoperative pain, shorter hospital stay, better cosmetic outcomes, and early return to activities in addition to the advancing techniques of specimen retrieval in minimally invasive surgery to tackle peritoneal seeding have led to its increased preference ...

Do you lose weight after ovarian cyst removal? ›

Will you lose weight after ovarian cysts resolve? Not necessarily. However, if you have PCOS, the correct treatments — which could include medication, dietary supplements, or lifestyle changes — may lead to weight loss. Ovarian cysts can cause some abdominal bloating, which may resolve after they go away.

What are the complications of a laparoscopic cystectomy? ›

Minor complications such as infection and irritation of the incisions are possible, as are more serious risks such as: Ovarian cysts and endometriomas (cysts in the uterine lining) may reoccur. Anesthesia-related issues. The formation of hematomas, or swelling due to blood outside a vessel.

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