Removal of ovarian cyst or ovary

Ovarian Cystectomy Melbourne

Do ovarian cysts need to be removed?

Most ovarian cysts (functional cysts) resolve spontaneously over time, these are normally followed-up through serial pelvic ultrasound. However, other ovarian cysts such as dermoid cysts, endometriomas or large cystadenomas will require surgical excision, most commonly through laparoscopic (key-hole) surgery.

Ovarian cystectomy refers to the removal of an ovarian cyst while preserving the ovary, especially in women who desires fertility.

Why is oophorectomy occasionally recommended over ovarian cystectomy?

In some cases, removal of the entire ovary (oophorectomy) is recommended over the removal of the ovarian cyst:

  • if the patient is post-menopausal
  • if the suspicion of malignancy is higher
  • or if the cyst is large and therefore there is no normal ovarian tissue remaining.

In most cases, only one of the two ovaries is removed to preserve hormonal function, even in post-menopausal women. Each decision would be considered and tailored carefully to each individual woman.

How may ovarian cystectomy be performed?

Ovarian cysts of all sizes can be removed laparoscopically. The tumour (cyst) is removed from the surrounding normal ovarian tissue, and is then placed in a special bag for removal from the body via the key-hole incisions. This allows the procedure to be performed in a minimally invasive way, reducing the risks of an open surgery.

What are the advantages of laparoscopic ovarian cystectomy?

In many cases, laparoscopy replaces the need for open surgery (with larger cut in the abdomen), therefore:

  • reduces pain after surgery
  • reduces the risk of bleeding
  • reduces the risk of infection
  • causes less scarring
  • and allows shorter recovery time – usually able to go home the same day, and return to work within a week

Who should be performing your laparoscopic ovarian cystectomy?

Laparoscopic ovarian cystectomy should be performed by specialist gynaecologists who have completed additional training either in minimally invasive gynaecology surgery, or in surgical gynaecological oncology in order to learn techniques and procedures to complete the most complex surgeries with lower complication rates and quicker recovery period. They also perform higher volume of more complex cases.

Further Information

Link to AGES Patient Information Video on Laparoscopic Ovarian Cystectomy.

Ovarian Cyst Removal Melbourne
Dr Kent Kuswanto

Main rooms located in Epworth Freemasons in East Melbourne. Also available for consults in Mercy Hospital for Women in Heidelberg, Epworth Eastern in Box Hill, and Women’s Health Hub in Werribee.