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 Liu Jian Wei
Obstetrics and Gynecology
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How is ovarian cyst surgery performed?

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 Xia Hu
Obstetrics and Gynecology
53sec home-news-image

Can you get pregnant with an ovarian cyst?

Ovarian cysts can allow for pregnancy, but if cysts are found before pregnancy, appropriate actions should be taken based on different situations. For instance, if the cysts are larger than 10cm and there are symptoms like abdominal pain, it is generally advised to undergo surgery before attempting to conceive for safety purposes. Currently, laparoscopic surgery is commonly chosen to remove ovarian cysts, which can be beneficial for pregnancy. Sometimes, an enlarged ovarian cyst may affect the morphology of the fallopian tubes, and even lead to infertility, thus surgery before pregnancy is necessary. However, smaller cysts, such as those less than 5cm, or about 2cm, do not require treatment and one can proceed with pregnancy. Even after conception, it is necessary to regularly monitor the status of the cysts through ultrasound examinations.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is an adnexal cyst an ovarian cyst?

In clinical terms, the adnexa include the fallopian tubes and ovaries, so an adnexal cyst is not solely an ovarian cyst; rather, ovarian cysts are just one type of adnexal cyst. Adnexal cysts can also include fallopian tube cysts, but in clinical practice, most adnexal cysts are manifestations of ovarian cysts. Therefore, when patients hear the term "adnexal cyst," they should further inquire whether it is an ovarian cyst, instead of simply assuming it to be one.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Ovarian cysts have no symptoms

Most ovarian cysts are physiological, so few people experience symptoms. Common ovarian cysts include corpus luteum cysts and other ovarian cysts, which generally disappear naturally after two to three months. Therefore, if the ovarian cyst is not large, within five centimeters, and there are no symptoms, it is possible to temporarily observe it and perform an ultrasound after two to three months. If the cyst has not decreased in size or continues to grow, it may be an ovarian tumor, which would require surgical treatment. This is because if an ovarian tumor is left for a long time, it may become malignant or may lead to ovarian torsion.

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Written by Xia Hu
Obstetrics and Gynecology
54sec home-news-image

Symptoms of malignant and benign ovarian cysts

Some benign ovarian cyst symptoms are relatively mild, with the most common being slight lower abdominal bloating and pain. However, if there are malignant changes, the pain can be more severe, often causing widespread abdominal pain and even cramp-like pain similar to intestinal obstruction. If the malignant tumor metastasizes, nearby areas may show symptoms. For example, if it spreads to the bladder, symptoms such as frequent urination and urgency can occur. If it metastasizes to the intestines causing intestinal obstruction or adhesions, it may lead to abdominal bloating, lower abdominal pain, cessation of passing gas, and even vomiting. Distant metastasis, such as to the lungs, might present symptoms like coughing and coughing up blood, so the symptoms of malignant tumors tend to be more varied.