Laparoscopic Ovarian Cyst Removal

Indications for Surgery

Surgery may be recommended for ovarian cysts when:

• The cyst is large, persistent, or increasing in size

• There is pelvic pain, pressure, or discomfort

• The cyst has features suspicious for a dermoid or other complex cyst

• There is a risk of ovarian torsion

• The cyst interferes with fertility or ovarian function

• Imaging findings are inconclusive and diagnosis is required

Dermoid cysts often contain fatty tissue, hair, or other benign elements. While usually non‑cancerous, they do not resolve on their own and are typically removed surgically.

How the Surgery Is Performed

The procedure is performed under general anaesthesia using keyhole (laparoscopic) surgery. Small incisions are made in the abdomen, allowing insertion of a camera and fine surgical instruments. The cyst is carefully separated from the ovary with the aim of preserving healthy ovarian tissue and maintaining hormonal function and fertility.

Dermoid cysts are removed using meticulous technique to avoid spillage of cyst contents. In most cases, the cyst is placed inside a retrieval bag before removal from the abdomen. Patients can go home the same day or after an overnight stay.

Risks and Recovery

Laparoscopic ovarian cyst removal is generally safe; however, potential risks include bleeding, infection, damage to surrounding organs, adhesion formation, ovarian tissue loss, blood clots, and anaesthetic risks. In rare cases, removal of the ovary may be required if it is severely damaged.

Recovery is typically rapid, with most patients returning to normal activities within 1–2 weeks. Follow‑up ensures appropriate healing and ongoing ovarian health.