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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Do ovarian cysts hurt?

Most ovarian cysts do not cause abdominal pain, especially when they are small and benign. However, some patients with ovarian cysts may experience abdominal pain symptoms. For example, endometriotic cysts, also known as chocolate cysts, can cause severe lower abdominal pain, particularly manifesting as menstrual-like abdominal pain. When these pain symptoms occur, the primary reason patients initially visit local hospitals is to undergo medical examination for the condition.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can you get pregnant with ovarian cysts?

Ovarian cysts are generally physiological and may affect pregnancy, as physiological ovarian cysts secrete hormones. At this time, there may be abnormal hormone secretion, or the cyst itself may be caused by abnormal follicle development, mainly presenting as follicular cysts. Therefore, if there is a follicular cyst, there is generally no normal ovulation, so pregnancy will not occur. Ovarian cysts can be observed for 2 to 3 months; if they are physiological, they will disappear naturally. If the ovarian cyst has not decreased in size or has increased after 2 to 3 months, it indicates that it is an ovarian tumor, and surgery is required.

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Written by Xia Hu
Obstetrics and Gynecology
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ovarian cyst malignant symptoms

Ovarian cysts can exhibit certain symptoms if they become malignant. The primary symptom is pain in the lower abdomen. Generally, if the ovary undergoes a malignant transformation, the mass will grow larger and create a sensation of swelling and pain. Sometimes in the late stages of ovarian tumors, there can be pain throughout the abdomen, along with signs of cachexia, such as weight loss and decreased immunity after eating, which may suggest the possibility of cancer. In such cases, timely medical examinations are necessary. Typically, a pelvic and abdominal ultrasound can reveal the situation, along with blood tests including changes in certain common tumor markers. If the disease is malignant, the tumor markers in the blood will significantly increase.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to check for ovarian cysts?

Firstly, in gynecological outpatient clinics, an ovarian cyst requires examination through a gynecological color ultrasound, which can clearly determine the presence of an ovarian cyst, or evaluate the size and echo of the ovarian cyst to assess the severity of the condition. Additionally, a gynecological examination can also be performed to confirm the presence of an ovarian cyst. The main purpose is to assess the severity of the ovarian cyst disease through palpation.

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Written by Xia Hu
Obstetrics and Gynecology
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Causes of ovarian cysts

There are several common causes of ovarian cysts. The first is during the ovulation process where the follicle fails to release an egg, resulting in the formation of follicular cysts. The ultrasound typically shows these as simple cysts containing follicular fluid. Another situation is the corpus luteum cyst, which occurs after ovulation when the ovary forms a wound surface and a corpus luteum. Cysts can also develop during the growth of the corpus luteum. These two types of cysts generally disappear after the next menstrual period and are considered physiological cysts that usually require no treatment. However, some cysts result from pathological changes in ovarian cells, or even from tumors. On an ultrasound, these appear differently, often as mixed composition masses, in which case surgical treatment is recommended.