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Laparoscopic Cystectomy

This is decided by considering the patient's age, general health status, the content-size of the cyst, and the patient's complaints. Generally; Cysts that are larger than 7 cm, grow, do not regress, and cause serious discomfort and pain in the patient, are surgically removed.

Laparoscopic cystectomy can be applied to patients of all ages. HOWEVER, open-classical surgery may be recommended for very large cysts, cysts suspected of cancer.

What to expect from laparoscopic cystectomy operation?

Laparoscopy is typically performed under general anesthesia. (fully asleep). After the surgeon enters the patient's abdomen through a small incision, he inflates the abdomen with carbon dioxide gas. Thus, all internal organs become clearly visible. Then, 2-3 small incisions are made and the cyst is evaluated. During all these procedures, maximum effort is made to minimize the damage to the patient's ovary or tubes (duct). Sometimes the ovaries, tubes and cysts of the patients become highly adherent to the surrounding organs and intervention becomes difficult. In some cases, the cyst bursts during surgery. However, this is usually not a problem. After the cyst is removed, the tiny incisions in the abdomen are closed and the patient is awakened. In the postoperative period, the patient can go home the same day or the next day. However, recovery time varies from patient to patient. However, most women; does not start work and light activity before 2 weeks.

What are the risks of laparoscopic cystectomy?

Laparoscopic cystectomy is a relatively safe surgery. However, like all operations, this surgery has some potential risks. Complications and risks that may occur before surgery are explained to each patient in detail.

  • Ovarian cysts and chocolate cysts can recur
  • There may be risks associated with anesthesia
  • Infection
  • Hematoma (blood pool)
  • Allergic reactions
  • Nerve damage
  • Plumbing into the lung
  • Damage and consequent removal of the ovaries and ducts
  • Damage to internal organs

These risks are slightly higher in patients who have had previous abdominal surgery, have intra-abdominal adhesions or are overweight.

What to expect in the post-operative period?

It is normal to have mild pain and bruising, especially around the navel, after surgery. Since we inject gas into the abdomen, pain in the shoulder and back can be expected on the first day after the surgery. There may also be some vaginal discharge or spotting bleeding. You will have bandages on your abdomen. Even if they are not taken, they will fall off on their own. Ask your doctor if these bandages will come off. Do not get your seams wet by swimming or bathing. You can take a standing shower, but do not rub the wounds.

A week after the surgery, you may feel more tired compared to your general state. Be relaxed this first week, don't get tired. It is beneficial to take a walk by gradually increasing it. If you feel comfortable and healed, you can engage in sexual activity.

If any of the following occur, you should definitely apply to the nearest emergency room and inform your doctor.

  • High fever
  • Nausea and vomiting
  • Excessive bleeding
  • Redness, discharge at the wounds

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