Fertility Enhancing Surgery Female – Ovarian Cystectomy
An ovarian cystectomy is a surgical procedure designed to remove ovarian cysts, which are fluid-filled sacs or pouches that can develop on the ovaries. While many cysts resolve on their own, some may persist, grow larger, or cause discomfort, necessitating intervention.
Types of Ovarian Cystectomy
Surgeons employ two primary methods for removing ovarian cysts:
- Laparoscopic Ovarian Cystectomy: This approach involves the insertion of a laparoscope, equipped with a camera and light, through a small abdominal incision. This allows for a clear view of reproductive and pelvic organs. Additional incisions are made, facilitating the removal of the cyst through these small openings.
- Open Cystectomy (Laparotomy): In cases of larger cysts or suspected malignancy, surgeons may opt for this method, requiring a single larger incision for cyst removal.
Reasons for Ovarian Cystectomy
Ovarian cysts, a common occurrence, are often detected during routine examinations or imaging tests. Surgery may be recommended if:
- The cyst exceeds 2.5 to 3 inches in diameter
- Persistent pain is experienced
- There is suspicion of malignancy
How is Ovarian Cystectomy Done?
During a laparoscopic cystectomy, a laparoscope is introduced through a small incision near the belly button. Carbon dioxide is used to inflate the abdominal wall, offering optimal visibility. Additional incisions are made for surgical instruments and the cyst ultimately removed through one of these openings.
For cases where laparoscopy isn’t feasible, an open surgery is conducted, entailing a larger incision for cyst removal.
Recovery and Outlook of Ovarian Cystectomy
Recovery time varies depending on the type of surgery. Patients undergoing laparoscopic cystectomy can expect a one to three-week recovery period, potentially resuming normal activities within two weeks. Open cystectomy may necessitate up to eight weeks for a full recovery.
Fertility Considerations when undergoing Ovarian Cystectomy
An ovarian cystectomy itself does not impact fertility. However, the underlying condition leading to cyst formation may affect fertility. Conditions like endometriosis and PCOS which are associated with ovarian cysts, can also influence fertility. While surgical damage to the ovary or fallopian tube is rare, it may potentially impact fertility.
When to Seek Medical Attention?
Following an ovarian cystectomy, contact your healthcare provider if you experience:
- Redness, pain, or pus around the incision sites
- Painful or inhibited urination
- Severe pelvic pain
- Leg swelling, throbbing, or ache
- Flu-like symptoms or fever
- Excessive vaginal bleeding