How is ovarian cyst surgery performed?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 03, 2024
00:00
00:00

Currently, in clinical practice for ovarian cyst surgery, options include open surgery and laparoscopic surgery. The choice of surgery type needs to be based on the extent of the patient's ovarian cyst, the patient's wishes, and the size of the surgical area, which are all factors that should be integrated into the decision-making process. Furthermore, the specific implementation of the surgery also needs to consider the patient's age, the nature of the ovarian cyst, and the patient's wishes. Options available include ovarian cystectomy and salpingo-oophorectomy. If the tumor is malignant, a more extensive surgical approach may be required.

Other Voices

doctor image
home-news-image
Written by Xia Hu
Obstetrics and Gynecology
53sec home-news-image

Do ovarian cysts require the removal of the ovary?

Generally, ovarian cysts do not require the removal of the ovary; the common practice is to perform a cystectomy, which involves peeling off the cyst from the ovary. After that, the situation of bleeding is assessed. If there is no significant bleeding on the surgical surface, suturing can be done, which preserves both the morphology and function of the ovary. Ovaries are crucial for females as they produce estrogen, progesterone, and also have the function of ovulation. Therefore, removing ovaries would reduce the levels of estrogen and progesterone in the body and decrease ovulation functions, which is why ovary removal is generally not recommended. Typically, the impact of the cystectomy on these ovarian functions is minimal. Thus, recovery tends to be good, with minimal impact on daily life in terms of prognosis.

doctor image
home-news-image
Written by Yan Qiao
Obstetrics and Gynecology
38sec home-news-image

Do ovarian cysts hurt?

This ovarian cyst is generally a benign tumor change. Normally, ovarian cysts do not show any symptoms. However, as the cyst grows larger, it may cause an increase in abdominal size and bloating. It may also press on the gastrointestinal tract and the bladder, leading to corresponding urinary and gastrointestinal symptoms. Additionally, changes in body position may lead to acute abdomen, such as ovarian cysts, torsion of the stalk, rupture of ovarian cysts, and other conditions.

doctor image
home-news-image
Written by Xia Hu
Obstetrics and Gynecology
49sec home-news-image

ovarian cyst malignant symptoms

Ovarian cysts can exhibit certain symptoms if they become malignant. The primary symptom is pain in the lower abdomen. Generally, if the ovary undergoes a malignant transformation, the mass will grow larger and create a sensation of swelling and pain. Sometimes in the late stages of ovarian tumors, there can be pain throughout the abdomen, along with signs of cachexia, such as weight loss and decreased immunity after eating, which may suggest the possibility of cancer. In such cases, timely medical examinations are necessary. Typically, a pelvic and abdominal ultrasound can reveal the situation, along with blood tests including changes in certain common tumor markers. If the disease is malignant, the tumor markers in the blood will significantly increase.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
55sec home-news-image

Can ovarian cysts cause infertility?

Women with ovarian chocolate cysts may experience effects on their reproductive function. When the cysts are small, they typically do not significantly impact fertility. However, as the cysts grow in size, they can compress the normal ovarian tissue, causing ovulatory disorders and leading to infertility. Additionally, certain types of ovarian cysts, such as chocolate cysts, can cause adhesions in the female pelvic area. For instance, they may result in abnormal fallopian tube function, leading to infertility due to tubal factors. These cysts may also alter the pelvic environment, making conception difficult. If the ovarian cysts are malignant or capable of secreting hormones, they can also affect normal ovulation, leading to infertility.

doctor image
home-news-image
Written by Xia Hu
Obstetrics and Gynecology
49sec home-news-image

Early Symptoms Judgment of Ovarian Cysts

The early symptoms of ovarian cysts include pain in the lower abdomen on one side, which is generally mild, persistent, and tolerable discomfort. However, this pain needs to be differentiated from other conditions. Since the pelvic area contains the uterus and ovaries, sometimes it is necessary to distinguish these symptoms from gastrointestinal diseases. For example, appendicitis often needs to be differentiated from cysts on the right side, as both can cause abdominal pain. However, appendicitis also includes gastrointestinal symptoms such as nausea and vomiting, and during examination, there is tenderness at McBurney's point, indicating appendicitis. On the other hand, the pain from an ovarian cyst is usually positioned slightly lower, and thus can often be differentiated through a gynecological examination.