What is an ovarian cyst?

Ovarian cyst is a benign ovarian growth. If a cyst does not disappear for a long time, if it contains dense inclusions or causes some complaints, then it is necessary laparoscopic cyst operation, while maintaining healthy ovarian tissue.

What are the possible symptoms?

• Even discomfort in the lower abdomen
• Pain more localized on one side
• Changes in menstrual bleeding
• Sudden and strong pain in the lower abdomen
• Infertility

What to do?

First of all, gynecological ultrasonography should be performed and cysts should be assessed. If the cyst is small, smooth walls, without inclusions, without multiple chambers, with clear content, then a tolerable tactic is acceptable and a gynecological ultrasonography should be repeated after 3 months.

If during ultrasonographic examination there is a suspicion that the formation itself can not spontaneously disapear, then it is necessary to plan a laparoscopic operation from the very beginning.

Before surgery it is necessary to determine the online markers CA125 and HE4, which allows a very accurate distinction between benign and malignant ovarian cysts.

For girls and women under the age of 45-50,most often are susupected to have benign cysts, which most often will be follicular, non-cystic or endometriosis-induced cysts, and young women more often have embryonic developmental cysts called teratomas or dermoid cysts.

Always be careful if an unclear formulation is detected in a woman with a history of menopause, as the age increases, the oncological risk also increases.

How to treat?

If the cyst has not disappeared or initially caused any complaints after repeated gynecological ultrasonography examinations, then the "gold standard" is a laparoscopic, minimally invasive operation with cyst capsule disrupting. Cyst capsule disassembly is a must, otherwise there is a great chance to recover cysts.

Will there be scars after surgery?

After surgery, small scar in the insertion of instruments remains. The largest scar in the umbilical region is about 10mm long, and a similar 10mm scar is on the left side of the abdomen, the lower scar remains on the right side of the abdomen, and occasionally an additional instrument is inserted into the lower abdomen just along the middle line. In all these places, the scar is a maximum size of 5mm. These scars are more striking during the first 2 months, so it is time to actively measure special wound ointments that can speed up proper healing of scars, as well as massage wounds 1-2 times a day in the first weeks. Such active care reduces scar formation and significantly improves the cosmetic effect. Typically, after 12 months of operation, the following minimally invasive operations leave a completely invisible look.