Ovarian cyst removal

The operation to remove an ovarian cyst is performed mainly by laparoscopy through small punctures on the anterior abdominal wall. Three such incisions are made to perform the operation to remove the cyst. The main advantages of this method are the low degree of trauma, the short stay of the patient in the hospital, rapid recovery, the absence of pain and scars after the operation, the stitches are usually removed on the seventh day.

Ovarian cyst removal is performed under general anesthesia. The duration of the operation, depending on the severity of the condition, ranges from thirty minutes to an hour and a half. On the day of the operation, the patient is not allowed to drink or eat. If necessary, a cleansing enema is given. Before the operation, the abdomen is filled with gases and the necessary instruments are inserted through punctures in the abdominal cavity, with the help of which the cyst is removed.

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Indications for ovarian cyst removal

• Large cysts. Large neoplasms provoke the risk of rupture of the cyst or ovary, which threatens the development of intra-abdominal bleeding and the formation of adhesions.
• Formation of a cyst on a stalk, which can cause torsion or rupture of the cyst, up to and including removal of the ovary.
• Development of a cyst deep within the ovary, which can lead to disruption of its functions.
• Risk of cyst degeneration into a malignant formation.
• Formation of an endometrioid cyst (often develops against the background of endometriosis).

Laparoscopic removal of ovarian cyst

Laparoscopic removal of an ovarian cyst, like any surgical intervention, requires preliminary preoperative preparation, namely:

• Complete blood count (maximum two weeks before surgery);
• Urine and, if necessary, stool analysis;
• Fluorography;
• Conducting electrocardiography;
• Ultrasound examination of the abdominal cavity and pelvic organs;
• Conducting a thorough examination to identify contraindications to cyst removal;
• Abstaining from food and water on the day of surgery;

After all the necessary procedures are completed, the patient is given anesthesia, after which the abdomen is treated with antiseptics. Then the actual operation to remove the cyst takes place: a needle is inserted through a puncture in the navel and the abdominal cavity is filled with carbon dioxide, after which a laparoscope is inserted into it, allowing the internal organs to be displayed on a special screen, and through a third puncture - a special device for moving the internal organs and removing the cyst.

Removal of endometrioid ovarian cyst

An endometrioid cyst is usually formed against the background of endometriosis (proliferation of endometrial cells beyond its limits). Removal of an endometrioid ovarian cyst is performed in cases where conservative treatment has proven ineffective.

Removal of an endometrioid cyst can be performed by laparoscopy or laparotomy with preservation of the ovary, if possible. Surgical intervention is indicated in cases where the size of the endometrioid cyst exceeds five centimeters, in the case of a combination of endometriosis and infertility, as well as in the case of a risk of the cyst degenerating into a malignant tumor. When removing an endometrioid cyst, preoperative and postoperative treatment with hormonal drugs is carried out to relieve the inflammatory process and prevent relapse of the disease. After removal of the endometrioid cyst, the patient is also prescribed restorative physiotherapy.

Removal of ovarian dermoid cyst

Removal of a dermoid cyst of the ovary is the only method of treatment in case of such a neoplasm. Cystectomy is usually indicated for young women; during the climacteric period, the ovary or uterine appendages may be removed along with the cyst. Laparoscopy or laparotomy is used to remove a dermoid cyst. Conception can be planned no earlier than six months after the removal of such a cyst. Recurrent dermoid cyst formation is rare.

Ovarian Cyst Removal During Pregnancy

Removal of an ovarian cyst during pregnancy is performed only in emergency cases: if a cyst has ruptured or torsioned. Even if the formation is benign, there is a certain risk for a pregnant woman: if the cyst grows to a large size, it may rupture or torsion, which causes bleeding and poses a danger to bearing a child. Removal of a cyst during pregnancy is performed by laparoscopy, and if this is not possible, a lower-midline incision is made, which allows creating the most gentle conditions for the fetus. As for anesthesia, during pregnancy, for safety reasons, it is preferable to use local anesthesia. If this is not possible, the operation is performed under regional anesthesia, and only in extreme cases is general anesthesia used.

Consequences after removal of ovarian cyst

Consequences after removal of an ovarian cyst occur mainly in case of complications of the operation with rupture or torsion of the cyst. Certain risks also exist when removing a neoplasm of very large sizes, in case of injuries and opening of bleeding. When the operation is planned by laparoscopy, the risks of complications are minimal. Laparoscopic surgery allows to minimize the risk of injury and infection, scars and marks after the operation are absorbed within a few months and become practically invisible.

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Complications after ovarian cyst removal surgery

Complications after ovarian cyst removal surgery may include infection, which manifests itself as an increase in body temperature, sharp pain in the lower abdomen, dark vaginal discharge that may have an unpleasant odor, as well as pain and swelling of the skin in the navel area with the release of fluid with an unpleasant odor. Possible complications after ovarian cyst removal also include bleeding, recurrence of the cyst, infertility, and damage to nearby organs. Factors that can influence the development of complications include obesity, pregnancy, chronic or recent illnesses, alcohol abuse, nicotine abuse, use of any narcotic substances, and taking certain medications. If any alarming symptoms appear after surgery, you must immediately seek medical help.

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Scar after removal of ovarian cyst

Removal of an ovarian cyst by laparoscopy allows to minimize the formation of scars and marks on the skin. The scar after removal of an ovarian cyst by laparoscopy is almost invisible and practically disappears after three to six months.

Pain after ovarian cyst removal

Immediately after the removal of the ovarian cyst, during the wear-off of anesthesia, a woman may experience pain. Pain after the removal of the ovarian cyst, which bothers the patient in the first day after the operation, is neutralized with painkillers. If, after some time, the patient complains of sharp and cutting pain in the lower abdomen, this may indicate the development of some complications. In such cases, immediate medical attention is necessary.

Adhesions after ovarian cyst removal

To avoid the occurrence of such a phenomenon as adhesions after the removal of an ovarian cyst, the patient may be prescribed special therapy after the operation. To prevent the development of inflammation, the woman may be prescribed antibacterial agents. Also, during the recovery period, physiotherapy and hormonal drugs may be prescribed. Adhesions appear in the event of the transition of acute inflammation to chronic. If the treatment of inflammation and the adhesion process was started in a timely manner, the likelihood of adhesions is significantly reduced.

If the ovary hurts after the cyst removal

If the ovary hurts after the cyst is removed, this may be due to the following reasons:

• formation of adhesions in the pelvic cavity;
• bleeding starts (symptoms may include sharp pains in the lower abdomen, dizziness, nausea, and pale skin);
• development of the inflammatory process;

The more complex the ovarian surgery, the more severe the pain syndrome may be later. As a rule, with a planned cyst removal, not accompanied by its rupture or twisting, full recovery occurs within a month after the surgery.

Pregnancy after ovarian cyst removal

Pregnancy after ovarian cyst removal can be planned after three to four months have passed since the operation. However, each case is individual and only the attending physician can give precise recommendations depending on the indications.

After the cyst is removed, sexual intercourse should be avoided for the first month. A woman needs about three to four months to restore the ovary, and only after this period can the issue of planning a pregnancy be considered. If conception does not occur within a year after the operation, the couple should seek advice and undergo a full examination.

If pregnancy occurs two months after the cyst removal, it is necessary to immediately register and be under constant observation of a gynecologist, since after laparoscopy of the cyst there is a risk of miscarriage in the early stages of pregnancy.

Recommendations after removal of ovarian cyst

Before discharge from the hospital, the attending physician will definitely give recommendations after the removal of the ovarian cyst. As a rule, they are as follows:

• You must not take a bath for fifteen days after the operation;
• After taking a shower, it is necessary to treat the seams with disinfectants;
• In the first month after surgery, it is not recommended to consume alcoholic beverages and heavy foods;
• Sexual rest during the first month after surgery;
• Planning pregnancy no earlier than three months after cyst removal;
• Periodic observation by a gynecologist until complete recovery.

Treatment after removal of ovarian cyst

As a rule, in the absence of complications, additional treatment after ovarian cyst removal is not required. During the recovery period, a woman is recommended to avoid physical activity and maintain a balanced diet and nutrition regimen. Also, after cyst removal, a woman may be prescribed hormone therapy to prevent relapse of the disease, as well as physiotherapy procedures. In order to normalize hormonal levels, as well as to prevent the development of inflammatory processes, oral contraceptives may be prescribed for four to six months. After surgery, the patient may be prescribed immunomodulatory agents, as well as vitamins and enzymatic preparations to prevent the development of adhesions.

Postoperative period after removal of ovarian cyst

Ovarian cyst removal: in the postoperative period, the patient is prescribed painkillers on the first day. If necessary, the doctor prescribes antibiotics. Three to five hours after the operation, the patient is allowed to get up and slowly move around in the evening. If there are no complications, the patient can be discharged on the second day. As a rule, the patient's stitches are removed a week after the operation. Until the next menstrual cycle, the woman is recommended to abstain from sex. Attempts to conceive can be made in two to six months, depending on the indications.

Rehabilitation after removal of ovarian cyst

Rehabilitation after laparoscopic ovarian cyst removal takes place in a fairly short time. Already on the first day, the patient may be allowed to get up and drink a little. Eating should be excluded on the first day. However, the next day, it is allowed to eat small portions of fermented milk products, broths or porridge. If there is pain on the first day after the operation, painkillers can be prescribed. The stitches are removed approximately on the seventh day after the cyst removal. During the rehabilitation period, until the stitches are removed, water procedures cannot be carried out. Sexual intercourse should be avoided for thirty days after the operation.

Recovery after ovarian cyst removal

Recovery after laparoscopic ovarian cyst removal usually occurs quite quickly. Already on the first day after the operation, the patient is allowed to get up and drink a little. On the second day, light food is allowed, such as kefir or porridge. In the future, you should also adhere to a healthy diet. During the recovery period, it is not recommended to drink alcohol and eat heavy food, as well as exercise. On the seventh day after the operation, the stitches are removed. Until this time, the woman should not take a bath or shower. As a restorative treatment, the woman may be prescribed hormonal drugs and vitamin complexes, as well as immunomodulators. During the recovery period after ovarian cyst removal, the woman is recommended to have sexual rest.

Diet after ovarian cyst removal

Nutrition after ovarian cyst removal does not require any special diet. During the first month after the operation, it is forbidden to eat heavy food and drink alcoholic beverages. A few hours after the operation, the woman is allowed to drink a little. The next day, you can eat regular foods, in particular broth, kefir, porridge, it is recommended to eat fractionally, but often - about five times a day. The amount of liquid can be increased to one and a half liters.

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Diet after ovarian cyst removal

As a rule, no special diet is required after ovarian cyst removal. Eating is prohibited only on the first day after surgery, in the evening you can drink some water. On the second day, you can eat little by little, broths, porridges or fermented milk products. Later, during the recovery period, fractional but frequent meals are recommended, about five times a day, alcohol consumption should be excluded. You can drink about one and a half liters of liquid per day. After the surgery, you should lead a healthy lifestyle and stick to a balanced diet and diet.

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How much does it cost to remove an ovarian cyst?

The question of how much it costs to remove an ovarian cyst is quite relevant for women with this pathology. Prices for ovarian cyst removal depend not only on the complexity of the operation, but also on the choice of the clinic where it will be performed. Detailed information on how much it costs to remove an ovarian cyst can be obtained directly from the clinic providing laparoscopic surgery services. This can be either a government agency or a private clinic. In each individual case, prices may vary depending on the complexity of the patient's condition. You can clarify the price of the operation by contacting the clinic for a consultation by phone or during an in-person visit to the doctor.