Ovarian cysts affect women across all ages and managing troublesome cysts may occasionally require surgical removal. At Sitaram Bhartia hospital Delhi, our gynecologists leverage minimally invasive approaches to eliminate cysts while preserving fertility function.
Ovarian cysts result from temporary or permanent sacs of fluid forming in or on the ovaries. Many ovarian cysts emerge harmlessly over the course of the menstrual cycle. However, some cysts create complications like pelvic pain, abnormal bleeding, pressure on the bladder or other organs, risky twisting, or interference with ovulation. Certain severe or complex cysts also confer higher risks for ovarian torsion, infection, rupture, or even ovarian cancer.
When cysts become painful, excessively large, or potentially cancerous, ovarian cyst removal may be indicated. Traditionally this involves an open abdominal surgery but advanced operative laparoscopy now enables precise cyst elimination through tiny incisions. Compared to open surgery, laparoscopic ovarian cystectomy requires shorter hospitalization while lessening pain, scarring and recovery time.
At Sitaram Bhartia hospital Delhi, skilled gynecologists first determine the type, size and location of ovarian cysts through ultrasound, MRI pelvis or CT scans along with clinical history. Serous or dermoid cysts can simply be drained while endometriomas, cystadenomas or other abnormal tissue cysts call for removal without damaging healthy ovarian tissue or eggs.
During laparoscopic surgery, the gynaecologist makes a small cut of 0.5-1cm near the navel to insert a camera for internal visualization. Small tools get threaded through additional micro-incisions in the abdomen for delicately detaching adhesions, separating cyst walls and extracting cysts fully. For large, multi-loculated or densely adherent cysts, the ovaries may be partially exteriorized through the incision to enable meticulous dissection.
Skilled surgeons utilize specialized equipment like hydrodissectors to gently loosen tissues while clearly identifying vital structures of the ovary, vessels and ureter. This optimizes cyst removal while preventing blood loss or preservation fertility after healing. For ovarian endometriomas caused due to endometrial tissue migration, surgeons may also vaporize cyst walls or excise surrounding lesions using plasma energy devices.
For simple ovarian cyst cases, patients may go home the same day but some complex surgeries warrant brief overnight admission. While recovery differs based on cyst specifics, patients commonly resume normal routines within a few days compared to 6-8 weeks after open surgery. However, refraining from vigorous work, exercise and sexual activity for 2-4 weeks allows proper internal healing.
Potential temporary post-operative side effects involve shoulder pain from gas inflation, abdominal soreness, fatigue and constipation. But serious complications like excessive bleeding, infection, injury or ovarian failure are unlikely when surgery gets performed by expert laparoscopic gynecologists.
Ovarian cyst removal restores comfort and wellbeing when cysts become problematic. Thankfully advanced keyhole approaches minimize surgery and recovery difficulties posed by traditional open procedures. Coupling meticulous surgical skill with holistic support throughout, Sitaram Bhartia hospital Delhi seamlessly guides patients across the cyst removal journey. Our sensitive gynecologists remain partners beyond the operation room, providing follow-up care until normal life becomes possible once again.
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