Ovarian cystectomy describes the procedure of removing an ovarian cyst while preserving the ovary. The way this procedure is performed will affect the function of the remaining ovarian tissue and fertility.
In addition to that, since all masses of the ovaries can be removed, the preoperative assessment is crucial in defining which of them can be removed safely through minimally invasive surgery and which not.
The vast majority of ovarian cysts are benign. Minimally invasive procedures help dissect the cyst away from healthy ovarian tissue causing minimal side effects. The ability of delicate and precise dissection offered by robotic-assisted laparoscopic surgery minimizes the damage caused to ovarian reserve, thus affecting fertility.
If cancer is suspected or your period has stopped more than 12 months (post-menopausal status), you will most likely not be a candidate for minimally invasive cystectomy.
Special care should be taken for detailed assessment before surgery, such as an MRI scan of the pelvis and specific blood test.
In post-menopausal women, the removal of the ovary (oophorectomy) is preferred as the risk of malignancy is greater. At the same time in these patient fallopian tubes are removed since it is connected to the ovary and may cause complications if left. By removal of the tubes, patients will not experience any additional symptoms since they don’t secrete any hormones or affect patients’ well-being at this age.
When the ovarian cyst is removed from the abdomen, a special retrieval bag is used. The special design of this bag prevents any fluid spillage within the abdomen. The likelihood of cyst rupture is the same no matter what surgical route you will choose. During surgery, the details that make the difference are the management of healthy tissue, adhesion formation, the hospital stay, and oncological safety. The advantages of robotic surgery in these fields on top of a quick recovery and excellent pain control are widely acknowledged.
Rarely if all prognostic tests done preoperatively are unfavorable for malignancy and final histology comes back as cancer, you should be aware that some adjuvant treatment (re-operation, chemotherapy) might be needed.
Benefits of Robotic-Assisted Laparoscopy
Less estimated blood loss
Earlier oral intake
Lower wound infection rates
Lower post-op bleeding
Shorter hospital stay (typically overnight stay)
Better cosmetic results
Quicker return to normal activities
Robotic-Assisted Laparoscopic Cystectomy
Surgeons dedicated to performing minimally invasive procedures are committed to personalized treatment for every individual patient. Robotic-assisted procedures are considered safe and effective. It is appropriate for most patients, but not for all.
Let’s discuss your treatment options.
If you are a surgical candidate for robotic surgery, skilled robotic surgeons with high-end equipment will be able to offer you treatment and relief of your symptoms.