Ovarian cysts are usually benign and water-filled sacs that can be seen from the age of 20 until the menopause. With the cracking of the cyst formed during the menstrual period, the egg appears and if it is not fertilized, menstruation occurs. Due to the fact that this cyst does not crack, ovarian cysts form and sometimes their size grows. It cannot be said that it is a definite cause of infertility, but it is likely to cause infertility because it is caused by hormonal disorder. Ovarian cysts can be the cause of irregular menstruation.
While ultrasound examination is sufficient for a definitive diagnosis about whether there is a cyst or not, blood tests are required to differentiate the type of cyst. It is thought that the cysts, whose dimensions exceed 8-10 cm and which are smaller in size, have been detected to grow over time with follow-ups. For cysts suspected of being malignant, radiological examinations are applied and if necessary, it should be removed surgically, regardless of how old the patient is. Follow-up is recommended every 6 months after surgery.
After the operation is decided, it is necessary to decide what type of operation will be performed. Open or closed surgery can be performed. For this, factors such as the type and size of the cyst and the age of the patient are taken into consideration. In cancer cysts, open surgery is generally preferred because it is important to remove the cyst without detonation.
Laparoscopy in Ovarian Cyst Surgery
In the laparoscopy method, the operation is performed by opening small incisions so that a 10 mm diameter mini camera can enter the periphery of the navel hole and 2 or 3 places in the lower part of the abdomen so that 5 mm diameter surgical instruments can enter. In gynecological operations, a total of 3 of these incisions, called trocars, are opened under the navel and one on both sides of the groin, and the abdomen is entered. This method, which takes 30-60 minutes, is often preferred in gynecological operations. The operation is started by applying general anesthesia to the patient. The condition analysis is performed by checking the surrounding organs and intestines, especially the uterus, ovaries and tubes. In cases of intact ovarian tissue, only the cyst is removed, but if the ovarian tissues are not intact, the surgeon may choose to remove the ovary completely. When the cyst removal process is completed, bleeding is stopped, the inside of the abdomen is cleaned and the operation is terminated by closing the incisions. This method, which is preferred because the small incisions in the body cause smaller pain and the patient heals more quickly, is especially avoided in cases where there is a risk of tumor cells dispersing into the abdomen.
When laparoscopy is not preferred:
- Cancer suspected cysts
- Overweight patients
- For pregnants
- In patients with excessive bleeding
- When the cyst is large