Ovarian cyst removal
Last reviewed: 23.04.2024
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The operation to remove the ovarian cyst is carried out mainly by laparoscopy through small-sized punctures on the anterior wall of the abdomen. For the operation to remove the cyst, three such incisions are made. The main advantages of this method are a low rate of trauma, a short stay of the patient in the hospital, a quick recovery, no pain and scarring after the operation, the sutures are usually removed on the seventh day.
Removal of the ovarian cyst is performed under full anesthesia. The time of the operation, depending on the severity of the condition, ranges from thirty minutes to one and a half hours. On the day of surgery, the patient is not allowed to drink and eat. If necessary, a cleansing enema is put. Before the operation, the stomach is filled with gases and through the punctures in the abdominal cavity the necessary tools are inserted, by means of which the cyst is removed.
Indications for removal of the ovarian cyst
- Cysts of large size. Large sizes of neoplasms provoke the risk of rupture of the cyst or ovary, which threatens the development of intra-abdominal bleeding, the formation of adhesions.
- The formation of a cyst on the stem, which can cause torsion or rupture of the cyst, up to the removal of the ovary.
- The development of a cyst in the depth of the ovary, which can lead to a violation of its functions.
- Risk of degeneration of the cyst in malignant formation.
- The formation of the endometrioid cyst (often develops against the background of endometriosis).
Laparoscopic removal of the ovarian cyst
Laparoscopic removal of the ovarian cyst, like any surgical intervention, requires pre-preoperative preparation, namely:
- General blood test (maximum two weeks before surgery);
- Analysis of urine and, if necessary, stool;
- Fluorography;
- Carrying out electrocardiography;
- Ultrasound examination of the abdominal and pelvic organs;
- Conducting a thorough examination to identify contraindications to the removal of the cyst;
- Abstention from food and water on the day of the operation;
After performing all necessary procedures, the patient is given anesthesia, and then the abdomen is treated with antiseptics. Next, the cyst is directly removed: a needle is inserted through the 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 displacing the internal organs and removing the cyst .
Removal of the endometrioid ovarian cyst
The endometrioid cyst is formed, as a rule, against the background of the development of endometriosis (proliferation of endometrial cells beyond its limits). The removal of the endometrioid ovarian cyst is performed in cases where conservative treatment has proved ineffective.
The removal of the 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, with the combination of endometriosis and infertility, as well as in the case of the risk of degeneration of the cyst into malignant formation. When the endometrioid cyst is removed, preoperative and postoperative treatment with hormonal drugs is performed to relieve the inflammatory process and prevent recurrence of the disease. After removal of the endometrioid cyst, the patient is also given a restorative physiotherapy treatment.
Removal of dermoid ovarian cyst
Removing the dermoid ovarian cyst is the only treatment option in the case of such a tumor. Women of young age are shown, as a rule, a cystectomy; In the menopause, the ovary or uterine appendages can be removed along with the cyst. To remove the dermoid cyst, the laparoscopic or laparotomy method is used. You can plan for conception not earlier than six months after the removal of such a cyst. Re-formation of the dermoid cyst is infrequent.
Removal of the ovarian cyst during pregnancy
Removal of the ovarian cyst during pregnancy is carried out only in emergency cases: if there has been a rupture or torsion of the cyst. Even in the presence of benign education for a pregnant woman, there is a certain risk: in the case of an increase in the cyst to a large size, there may be a rupture or torsion, which causes bleeding and is dangerous for the bearing of the child. Cyst removal during pregnancy is performed by laparoscopy, and in cases where this is not possible, a lower-median incision is made, which allows creating the most sparing conditions for the fetus. As for anesthesia, it is preferable to use local anesthesia during pregnancy for safety reasons. If this is not possible, the operation is performed under regional anesthesia, and only in extreme cases resort to general anesthesia.
Consequences after removal of the ovarian cyst
The consequences after removal of the ovarian cyst arise mainly in the event of a complication of the operation by rupture or torsion of the cyst. Certain risks exist also when removing a tumor of very large size, with injuries and the opening of a bleeding. With the planned operation by laparoscopy, the risks of complications are minimal. Laparoscopic surgery allows minimizing the risk of injury and infection, scars and scars after surgery resorb for several months and become almost invisible.
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Complications after ovarian cyst removal operation
Complications after the removal of ovarian cysts can be the penetration of infection, manifested as an increase in body temperature, severe pain in the lower abdomen, vaginal discharge of dark color, which can have an unpleasant odor, and also in the form of pain and swelling of the skin in the navel area with release of liquid with an unpleasant odor. To the possible complications after removal of the ovarian cyst also include the development of bleeding, re-education of the cyst, infertility, damage to nearby organs. Factors that can affect the development of complications include obesity, pregnancy, chronic or recently transferred diseases, alcohol abuse, nicotine, the use of any drugs, as well as the taking of certain medications. If you have any anxiety symptoms after the operation, you need to seek medical help without delay.
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Scar after removal of ovarian cyst
Removal of the ovarian cyst by laparoscopy allows to minimize the formation of scars and scars on the skin. The scar after removal of the ovarian cyst with laparoscopy is almost imperceptible and after about three to six months it practically disappears.
Pain after removal of the ovarian cyst
Immediately after removal of the ovarian cyst during the withdrawal of anesthesia, a woman may experience pain. Pain after removal of the ovarian cyst, disturbing the patient in the first day after the operation, is neutralized with pain medication. If after some time the patient has complaints about sharp and cutting pains in the lower abdomen, this may indicate the development of any complications. In such cases, urgent medical attention is needed.
Spikes after removal of the ovarian cyst
To avoid the occurrence of such a phenomenon as adhesions after removal of the ovarian cyst, after surgery the patient may be prescribed special therapy. To prevent the development of inflammation, a woman can be prescribed antibacterial drugs. Also during the recovery period, it is possible to prescribe physiotherapeutic treatment and hormonal preparations. Spikes appear in case of transition of acute inflammation to chronic inflammation. If treatment of inflammation and adhesions has been started in a timely manner, the likelihood of adhesions is significantly reduced.
If after removal of the cyst hurts the ovary
If after removal of the cyst the ovary hurts, it can be caused by the following reasons:
- the formation of adhesions in the cavity of the small pelvis;
- the opening of bleeding (symptoms may be severe pain in the lower abdomen, dizziness, nausea, blanching of the skin);
- development of the inflammatory process;
The more difficult the operation on the ovaries, the stronger the pain syndrome can subsequently be expressed. As a rule, with a planned removal of the cyst, not accompanied by its rupture or twisting, a full recovery occurs within a month after the operation.
Pregnancy after removal of the ovarian cyst
Pregnancy after removal of the ovarian cyst can be planned after three to four months after the operation. However, each case is individual and exact recommendations can be given only by the attending physician depending on the indications.
After removal of the cyst during the first month, you should refrain from having sexual intercourse. About three to four months a woman is required to restore the ovary and only after this period can consider the issue of pregnancy planning. If conception does not occur within a year after the operation, a married couple should consult a consultation and undergo a full examination.
If the pregnancy occurred after two months after the removal of the cyst, you must immediately register and be under constant supervision of the gynecologist, since after laparoscopic cysts there is a risk of miscarriage in the early stages of pregnancy.
Recommendations after removal of the ovarian cyst
Before discharge from the hospital, the attending physician must give recommendations after removal of the ovarian cyst. As a rule, they consist in the following:
- For fifteen days after the operation, you can not take a bath;
- After taking a shower, it is necessary to treat the joints with disinfectants;
- In the first month after the operation, it is not recommended to drink alcoholic beverages and heavy meals;
- Sexual rest during the first month after the operation;
- Pregnancy planning not earlier than three months after cyst removal;
- Periodic observation by a gynecologist before complete recovery.
Treatment after removal of the ovarian cyst
As a rule, in the absence of complications, additional treatment after removal of the ovarian cyst is not required. During the recovery period, a woman is recommended to avoid physical exertion and maintain a balanced diet and diet. Also, after removal of the cyst, a woman can be prescribed hormone therapy to prevent recurrence of the disease, as well as physiotherapy procedures. In order to normalize the hormonal background, as well as to prevent the development of inflammatory processes, oral contraceptives may be prescribed for four to six months. After surgical intervention, the patient may be given immunomodulatory medications, as well as vitamins and enzyme preparations to prevent the development of adhesions.
Postoperative period after removal of ovarian cyst
Removal of the ovarian cyst: during the postoperative period in the first day the patient is prescribed painkillers. If necessary, the doctor prescribes antibiotics. At the end of three to five hours after the operation, the patient is allowed to get up and in the evening, not hurrying to move. In the absence of complications, the patient can be discharged on the second day. Typically, a week after surgery, the patient is removed from the stitches. Before the next menstrual cycle, a woman is recommended sexual rest. Attempts to conceive can be taken in two to six months depending on the indications.
Rehabilitation after removal of the ovarian cyst
Rehabilitation after removal of the ovarian cyst by laparoscopic method takes place in a fairly short time. Already on the first day the patient can be allowed to go up, and also drink a little. Meals in the first day should be excluded. However, the next day it is allowed to take small amounts of sour-milk products, broths or cereals in small portions. In the presence of painful sensations in the first day after the operation can be prescribed painkillers. The sutures are removed approximately on the seventh day after removal of the cyst. During the rehabilitation period until the seams are removed, water procedures should not be performed. Within thirty days after the operation, sexual contact should be avoided.
Recovery after removal of the ovarian cyst
Recovery after removal of the ovarian cyst by the method of laparoscopy, as a rule, occurs quickly enough. Already on the first day after the operation, the patient is allowed to get up, and also to drink a little. On the second day it is allowed to take non-lean food, for example, 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 take heavy food, as well as exercise. On the seventh day after the operation, the stitches are removed. Until then, a woman should not take a bath or shower. As a restorative treatment, a woman can be prescribed hormonal drugs and vitamin complexes, as well as immunomodulators. During the recovery period after removal of the ovarian cyst, a woman is recommended sexual rest.
Eating after removal of the ovarian cyst
Nutrition after removal of the ovarian cyst does not require any special diet. During the first month after the operation, it is forbidden to take heavy food and drink alcohol. A few hours after the operation, a woman is allowed to drink a little. The next day, food can be taken with conventional products, in particular broth, kefir, porridge, recommended meals are divided, but often - about five times a day. The amount of liquid can be increased to 1.5 liters.
Diet after ovarian cyst removal
As a rule, any special diet after removal of the ovarian cyst is not required. To eat food is prohibited only in the first day after the operation, in the evening you can drink some water. On the second day you can take a little food, broths, cereals or sour-milk products. In the future, during the recovery of food recommended fractional, but frequent, about five times a day, the use of alcohol should be excluded. You can consume liquid in an amount of about one and a half liters per day. After the operation, you should lead a healthy lifestyle and adhere to a balanced diet and diet.
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How much does the ovarian cyst removal cost?
The question of how much it costs to remove the ovarian cyst is quite relevant for women who have this pathology. The removal of ovarian cysts depends not only on the complexity of the operation, but also on the choice of the clinic in which it will be performed. Detailed information on how much it costs to remove the ovarian cyst can be obtained directly from the clinic that provides operative laparoscopy services. It can be both a state institution and a private clinic. In each individual case, prices may vary depending on the complexity of the patient's condition. To clarify the price of the operation, you can contact the clinic by phone or in case of a full-time visit to the doctor.