Surgery for Ovarian Cysts
When an ovarian growth or cyst needs to be closely looked at, a surgeon can do so through a small incision using laparoscopy or through a larger abdominal incision (laparotomy). Either type of surgery can be used to diagnose problems such as ovarian cysts, adhesions, fibroids, and pelvic infection. But if there is any concern about cancer, you may have a laparotomy. It gives the best view of the abdominal organs and the female pelvic organs. Then, if the doctor finds ovarian cancer, he or she can safely remove it.
During surgery, a noncancerous cyst that is causing 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.
What To Expect After Surgery
General anesthesia usually is used during surgery.
After a laparoscopy, you can resume normal activities within a day. But you should avoid strenuous activity or exercise for about a week.
After a laparotomy, you may stay in the hospital from 2 to 4 days and return to your usual activities in 4 to 6 weeks.
Why It Is Done
Surgery is used to confirm the diagnosis of an ovarian cyst, remove a cyst that is causing symptoms, and rule out ovarian cancer.
Surgery for an ovarian cyst or growth may be advised in the following situations:
How Well It Works
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).
Risks of ovarian surgery include the following:
What To Think About
Surgery may be recommended if you have a large cyst, cysts in both ovaries, or other characteristics that may suggest ovarian cancer. Ovarian cancer can occur in women of all ages, but the incidence increases after menopause.
For more information, see Laparoscopic Surgery Versus Laparotomy.
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