Ovarian cysts are fluid filled sacs inside the ovary. When the follicles (sacs) in the ovaries do not rupture, they form small cysts called simple cysts. Dermoid cysts & chocholate cysts are other types of cysts. Large or pathological cysts can occur in about 5% of women during their reproductive years. Ovarian cysts are common, frequently asymptomatic and often resolve spontaneously.
Signs & Symptoms
- Often asymptomatic.
- Mild menstrual irregularity & vague pelvic pain.
- Low abdominal swelling.
- Pain if torsion, rupture or haemorrhage occurs.
- Amenorrhoea, obesity & hirsuitism may be presenting symptom.
- Occasional, dysparunia may be the presenting symptom.
- Ultrasound Pelvis
- CA 125
- Tumour markers – to detect ovarian tumors.
- CE A
Minimal Access Surgeries for Ovarian Cysts
- Laparoscopic Ovarian Cystectomy
Laparoscopic ovarian cyst excision is the procedure done to treat simple ovarian cysts. It is a safe procedure with laparoscopy & dosen’t need more than a day’s stay in the hospital, which is an advantage for young girls.
- Laparoscopy Ovarian Drilling
This is done in case of polycystic ovaries wherin the multiple cysts on the surface of the ovary are drilled.
The removal of the ovary along with the pathological cyst. This is done when the cyst is big & involves whole of the ovary.