How is ovarian cyst surgery performed?

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

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Written by Shen Li Wen
Obstetrics and Gynecology
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Do ovarian cysts require the removal of the ovary?

When women discover ovarian cysts, it is not necessarily required to remove the entire ovary. For example, in women of childbearing age, the ovary can continue to ovulate, aiding in normal conception and secreting hormones to maintain normal endocrine function. In such cases, surgery to remove the ovarian cyst while preserving the healthy ovarian tissue can be performed. However, if a woman is nearing menopause or has already undergone menopause and discovers a large ovarian cyst, the function of the ovaries may have gradually declined or already ceased. If surgery is performed to remove the ovarian cyst, there is a possibility of recurrence, and the function of the ovary may already be lost. In this case, it might be appropriate to proceed with the removal of the ovary.

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Written by Xia Hu
Obstetrics and Gynecology
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Symptoms of ovarian cyst rupture

It often manifests as severe pain that feels downward, and if it ruptures, there is obvious intraperitoneal bleeding, along with a sensation of heaviness in the anus. The pain is persistent and intense. If there is significant blood loss in the pelvis, there may also be symptoms of blood loss such as dizziness and fatigue, and other discomforts may occur. For example, there may be complications related to anemia and even symptoms of shock. Once an ovarian cyst ruptures, it requires prompt treatment. First, it is necessary to identify the specific location, as the ovaries are located on the left and right sides. After locating the affected area, timely treatment can be administered. The examination of ovarian cysts often reveals quite noticeable tenderness.

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Written by Xia Hu
Obstetrics and Gynecology
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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.

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Written by Yan Qiao
Obstetrics and Gynecology
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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.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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What should I do if an ovarian cyst ruptures?

Ovarian cyst rupture refers to the expulsion of the fluid inside an ovarian cyst out of the cyst due to external forces. When an ovarian cyst ruptures, the patient can suddenly experience severe pain in the lower abdomen on one side, which is often unbearable. At the same time, symptoms such as nausea and vomiting may accompany the pain. If the fluid inside the cyst is irritating, for example, the fluid in an endometriosis cyst which resembles chocolate, this fluid can promote widespread abdominal pain. This irritation can lead to peritonitis. Generally, an ovarian cyst rupture requires immediate surgical intervention for treatment.