An ovarian cystectomy is a surgical procedure to remove cysts on the ovaries. An ovarian cyst is a sac of fluid that can develop inside the ovaries.
Most ovarian cysts are asymptomatic. However, if a cyst does cause symptoms, you may feel pressure, bloating, swelling, or pain in the lower abdomen on the side of the cyst.
In most cases, these cysts disappear after a few months, and a follow-up ultrasound scan may be used to confirm this.
For too long, the only way to perform surgery on reproductive organs was laparotomy (open surgery). This surgery is a traditional, invasive surgery; the surgeon makes a long incision in the abdominal wall through which they can access the ovaries and remove the cysts.
Dr. Aliabadi focuses on laparoscopic surgery, which is minimally invasive and requires only a few small incisions in the lower abdomen. A thin, flexible camera is inserted into the abdomen, allowing the surgeon to see the ovary and cysts. Long, thin surgical instruments are then expertly inserted into the small cuts to carefully separate the cysts from the healthy ovarian tissue.
Both surgeries are performed under general anesthesia. However, abdominal surgery generally carries greater risks of infection or tissue damage.
Laparoscopic minimally invasive surgeries usually have quicker healing times and less pain.
For more information about our advanced minimally invasive outpatient ovarian cystectomies surgery and procedures, please visit our Outpatient Hysterectomy Center website.
What are the benefits of a cystectomy?
Removes painful cysts
Reduces cancer risk: This is particularly important for cysts that develop after menopause, as they are more likely to be cancerous.
Prevents complications:
Ruptured ovarian cyst: Avoids the risk of the cyst breaking open, which can cause severe pain.
Ovarian torsion: Prevents the cyst from causing the ovary to twist upon itself, a painful condition that can cut off blood flow and potentially lead to the loss of the ovary.
What are the risks of an ovarian cystectomy?
An ovarian cystectomy is a relatively safe procedure, but every surgery carries some risk. Risks of ovarian cystectomy include:
Recurring ovarian cysts
Pelvic pain
Infection
Adhesions – scar tissue that causes the pelvic organs to stick together
Damage to the bladder, fallopian tubes (uterine tubes), or other pelvic tissue
Call your healthcare provider if you experience fever, severe abdominal pain, heavy bleeding, or discharge from your incisions.
What is ovarian cystectomy recovery time?
Depending on your surgeon, you may need a hospital stay for a few days. In our Los Angeles minimally invasive surgical practice, our procedures are always outpatient, and you go home the same day. As soon as you can, stand up and walk for a few minutes to improve your circulation. This will help decrease the risk of blood clots in the legs.
In the days and weeks following your surgery, get plenty of rest and do some light exercise. Avoid heavy lifting or rigorous exercise.
If you have had abdominal surgery, you should be able to return to normal activities after 4-6 weeks. You may fully recover from a laparoscopy as soon as two weeks after the procedure.
Who is not a candidate for a cystectomy?
A patient may not be a good candidate for an ovarian cystectomy if they have certain medical conditions or factors, such as:
Non-symptomatic or small functional cysts: Small, asymptomatic functional cysts typically resolve on their own and may not require surgery.
Severe medical conditions: Patients with severe cardiovascular, respiratory, or other serious systemic conditions may not be ideal candidates for surgery due to the increased risk of complications.
High risk of malignancy: If there’s a significant risk that the cyst is malignant, a more extensive procedure, like an oophorectomy (removal of the entire ovary), may be recommended instead of a cystectomy.
Pregnancy: While some cysts are managed surgically during pregnancy, depending on the cyst type and the stage of pregnancy, surgery might be deferred to avoid risks to the mother and fetus unless there’s an immediate danger.
Blood tests, chest X-rays, and an electrocardiogram (EKG) may be ordered before the surgery, as well as imaging tests to assess your overall health and the size of the cyst.
As one of the nation’s leading OB/GYNs, Dr. Thaïs Aliabadi offers the best in gynecological and obstetric care. With her warm, professional women’s health team, Dr. Aliabadi supports women through all phases of life and fosters a special one-on-one relationship between patient and doctor.
Highly trained and honored by the medical community, Dr. Aliabadi is certified by the American Board of Obstetrics and Gynecology and a Diplomat of the American College of Obstetricians and Gynecologists. She is also a recognized leader in endometriosis treatment and has even taught minimally invasive laparoscopic surgery to other surgeons nationwide.
We invite you to establish care with Dr. Aliabadi. Please make an appointment online or call us at (844) 863-6700.
The gynecology practice of Dr. Thais Aliabadi in Beverly Hills is conveniently located for patients throughout Southern California and the Los Angeles area. We are near Beverly Hills, West Hollywood, Santa Monica, West Los Angeles, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, and Downtown Los Angeles.
Ovarian Cystectomy FAQs
What’s an endometrioma?
An endometrioma is a type of ovarian cyst formed when endometrial tissue, which normally lines the uterus, grows inside the ovary. It is often filled with old blood and is sometimes referred to as a “chocolate cyst.”
What is a functional cyst?
A functional cyst is an ovarian cyst that develops during a woman’s menstrual cycle and is usually harmless. It forms when a follicle (a small sac holding an egg) either doesn’t release the egg as it should or doesn’t dissolve after releasing the egg, resulting in a fluid-filled sac that can grow and eventually shrink. Functional cysts are common and typically resolve without surgical removal.
What is a corpus luteum cyst?
A corpus luteum cyst forms after an egg has been released from the follicle during ovulation. These cysts are usually benign and often resolve on their own without treatment, but they can sometimes cause pain or other symptoms if they grow large or rupture.
What’s a dermoid cyst?
A dermoid cyst is a benign ovarian cyst that contains tissue such as hair, skin, teeth, or fat. It is typically slow-growing and can occur in women of all ages, but it is most common in women of reproductive age.
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Frequently Asked Questions
What pre-op tests are required?
Before undergoing a Laparoscopic Ovarian Cystectomy, pre-op tests may include blood work, imaging tests such as ultrasounds or MRIs, and a physical examination to assess your overall health and the size of the cyst. Your doctor will determine specific pre-op requirements based on your individual case.
Are ovarian cysts cancerous?
If the growths are cancerous, an oophorectomy (removal of one or both ovaries) may be necessary. A Laparoscopic Ovarian Cystectomy could be recommended by your OB/GYN for non-cancerous cysts with troubling symptoms or infertility concerns. Dr. Aliabadi offers advanced surgical techniques and compassionate care in gynecology.
What post-op symptoms warrant concern?
If you experience unusual, new, painful, or persistent symptoms post-ovarian cystectomy, such as fever, severe abdominal pain, heavy bleeding, or signs of infection, contact your healthcare provider immediately for further evaluation and treatment. These symptoms could indicate potential complications that require prompt attention and care.
Does surgery target multiple cysts?
Surgery for ovarian cysts typically targets a singular cyst rather than multiple cysts. The procedure involves removing the cyst or cysts that are causing symptoms, pain, or concerns. Each cyst is assessed individually to determine the best course of action.
What triggers cyst development?
Cyst development can be triggered by various factors, including hormonal imbalances, endometriosis, pelvic infections, or irregular menstrual cycles. It's important to consult with an OB/GYN to determine the specific cause and appropriate treatment options.
Can cysts cause weight gain?
Ovarian cysts themselves typically do not directly cause weight gain. However, in some cases, hormonal imbalances associated with certain types of cysts may lead to weight gain as a symptom. It's essential to consult with your healthcare provider to determine the exact cause of any weight changes.
How are cyst sizes classified?
Cyst sizes are classified based on shape, size, and composition, determining if they are solid, fluid-filled, or a combination of both. Regular monitoring helps assess potential risks or necessary treatment.
Do cysts affect hormone levels?
Ovarian cysts can impact hormone levels, depending on the type of cyst. Functional cysts may affect hormones like estrogen and progesterone. Polycystic ovary syndrome (PCOS) can lead to an imbalance in hormones such as insulin and androgens. It's essential to consult with your OB/GYN for personalized guidance on managing hormonal changes related to ovarian cysts.
Can diet influence cyst growth?
Diet can influence cyst growth but not conclusively. Some studies suggest certain dietary choices may impact hormone levels, affecting cyst development. However, more research is needed to establish direct links between specific diets and cyst growth.
Are follow-up ultrasounds necessary?
Follow-up ultrasounds may be necessary post ovarian cystectomy to monitor any new cyst formation or changes in existing ones. It ensures the effectiveness of the procedure and helps in detecting any potential issues early on. Regular monitoring is vital for ongoing ovarian health.
What anesthesia side effects occur?
Anesthesia side effects can range from nausea and vomiting to confusion and muscle aches. Some patients may experience headaches, sore throat, or temporary memory loss. It's important to discuss any concerns with your healthcare provider pre-surgery.
How long does swelling last?
Swelling duration varies based on cause, with minor issues resolving in a few days, while serious conditions may take weeks. Consult a healthcare provider for personalized advice on managing and treating swelling effectively.
Can surgery relieve pain immediately?
Surgery can potentially relieve pain immediately by addressing the underlying cause, such as removing an ovarian cyst. However, individual experiences may vary and post-operative pain management will also play a role in managing discomfort.
Is family history a risk factor?
Yes, family history can be a risk factor for ovarian cysts. If the growths are cancerous, an oophorectomy may be necessary. Dr. Alibadi specializes in minimally invasive surgery, supported by a professional team. Call (310) 652-5052 for billing inquiries.
What signs suggest surgical complications?
Signs suggesting surgical complications from an Ovarian Cystectomy may include persistent or worsening pain, fever, heavy bleeding, swelling, redness at incision site, difficulty breathing, or signs of infection like discharge or foul odor. Immediate medical attention is crucial in case of any concerning symptoms.
Are biopsies conducted during surgery?
During surgery, biopsies can be conducted to determine if any abnormal growths or tissues are cancerous. This helps guide the surgeon in deciding the best course of treatment in real-time. Biopsies during surgery provide crucial information for immediate decision-making.
Can surgery induce early menopause?
Yes, surgery like an oophorectomy, which involves removing one or both ovaries, can induce early menopause due to the hormonal changes. Discuss this and its implications with your doctor before proceeding with the operation.
Are there non-surgical treatment options?
Non-surgical options for ovarian cysts include monitoring, birth control pills, and pain management. Surgery may be needed if cysts persist or grow. Discuss all options with your doctor for a tailored treatment plan.
When can normal activities resume?
After a Laparoscopic Ovarian Cystectomy, individuals can typically resume normal activities within 1-2 weeks, depending on the complexity of the surgery and the individual's recovery speed. It is advised to follow the specific guidelines provided by the healthcare provider for a safe recovery.
How are benign cysts monitored?
Benign cysts are monitored through regular check-ups, imaging tests, and symptom monitoring. Your OB/GYN will recommend a treatment plan based on the cyst's size, shape, and symptoms. In some cases, surgery, like a cystectomy, may be needed if the cyst grows or causes complications.
Can children undergo cyst removal?
Children can undergo cyst removal surgery if necessary. It is important to consult with pediatric specialists to ensure the procedure is safe and appropriate for the child's specific case.
Does insurance affect surgery choice?
Insurance coverage can influence whether a laparoscopic ovarian cystectomy is chosen over other surgical options. The decision may vary based on individual insurance plans and associated costs. Consult with your healthcare provider and insurance company for specific details on coverage and surgery selection.
What self-care tips aid recovery?
Self-care tips to aid recovery include getting enough rest, staying hydrated, eating nutritious foods, gentle physical activity, managing stress through relaxation techniques, and following doctor's orders. Prioritize self-care to support a healthy and efficient recovery process.
Are there hereditary risk factors?
Yes, hereditary risk factors play a role in ovarian cysts. If cysts are cancerous, oopariectomy may be necessary. A laparoscopic ovarian cystectomy may be recommended if cysts cause infertility, painful symptoms, or become cancerous. Dr. Aliabadi specializes in advanced minimally invasive procedures for optimal outcomes.
When do sutures need removal?
Sutures typically need removal within 5-14 days post-surgery, depending on the location and type of procedure. It is essential to follow your surgeon's instructions to prevent complications like scarring or infection. Incorrect or premature suture removal can lead to wound issues.
Can surgery impact menstrual cycles?
Surgery, such as an ovarian cystectomy, can sometimes impact menstrual cycles. Changes may occur due to hormonal shifts or the body adjusting post-surgery. It's important to discuss potential effects with your healthcare provider.
What pain management is available?
Pain management for ovarian cystectomy may include over-the-counter pain relievers, prescription medications, ice packs, heating pads, and resting. Discuss specific options with your healthcare provider for personalized pain management strategies.
Are cysts linked to infertility?
Ovarian cysts can cause infertility if they affect the normal function of the ovary, disrupt ovulation, or alter hormone levels. Some cysts can lead to hormonal imbalances that interfere with the menstrual cycle, affecting fertility. It's essential to discuss concerns with a healthcare provider for proper evaluation and management.
How does age affect recovery?
Age can impact recovery from surgery, with older patients generally taking longer due to slower healing processes. This can lead to extended hospital stays and increased risk of complications. Younger patients often recover faster and have a smoother post-operative experience.
When do follow-up appointments start?
Follow-up appointments typically start within a few weeks after your laparoscopic ovarian cystectomy to monitor your recovery and ensure there are no complications. Your healthcare provider will advise you on the specific timing based on your individual case.
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