Laparoscopic ovarian cystectomy
Laparoscopic cystectomy (cyst removal) is the preferred approach to managing benign ovarian cysts in adolescents and adults. Any ovarian lesion suspicious for malignancy is a contraindication for laparoscopy. Hence all ovarian cysts are evaluated with a risk malignancy index (RMI score). The approach may have to be changed if the score is too high.
With this approach we aim to preserve the ovarian cortex (shell) while removing the cyst. This reduces the risks of reducing ovarian reserve. The content of the cyst is removed with minimal or no spillage using specially designed retrieval bags. Patients are usually discharged home same day.
Steps of Laparoscopic Ovarian Cystectomy
Steps of Laparoscopic Ovarian Oophorectomy