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A laparoscopic ovarian cystectomy (keyhole surgery) is a type of keyhole surgery used to treat ovarian cysts.
An ovarian cyst is a sac that is formed in a woman’s ovary. Ovarian cysts are very common in women of reproductive age as most of the cysts identified are physiological due to the normal process of the menstrual cycle.
However, ovarian cysts are also common in menopausal women.
There are different types of cysts:
Commonly ovarian cysts don’t cause any symptoms especially when they are small. When the cyst increases in size it can cause:
Occasionally, there can be bleeding inside the cyst or the cyst can burst and this can cause:
Finally, a cyst or the whole ovary can twist and this can cause:
If the cyst that you have is not causing any symptoms, if it is physiological and if it does not have any concerning signs, your gynaecologist may suggest to conservatively manage the cyst that is to keep an eye on the cyst by having a scan every few months to ensure that the cyst is not getting bigger.
However, if your cyst causes symptoms like pelvic pain, then your gynaecologist may suggest having the cyst treated with surgery. The majority of the times, ovarian cysts are treated laparoscopically through key-hole surgery. Very rarely, if the cyst is too big or if there are worrying signs on the cyst, an open operation may be recommended to you.
The ovary is left open but it heals back to its normal shape. If the cyst removed is too big and the defect on the ovary is big some surgeons may choose to suture the ovary closed. During the excision of the cyst there may be some bleeding from the ovary that can be controlled by applying thermal energy to the ovary. This can rarely damage some of the egg reserve of the ovary therefore some surgeons prefer again to suture the ovary to stop the bleeding rather than using thermal energy.
If you have gone through the change (menopause), if your family is complete and you are near the age of menopause, or if there are any worrying signs on the ovarian cyst, your gynaecologist may suggest removing the whole of the ovary rather than just the cyst itself. This can also be done through keyhole surgery but sometimes an open procedure may be recommended. This is called laparoscopic or open oophorectomy.