Doç. Dr. Cengiz Andan

Laparoscopic Cyst Surgery

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What is Laparoscopic Cyst Surgery? | A Modern Solution for Ovarian Cysts

Ovarian cysts are fluid-filled sacs that are quite common in women. Most cysts are harmless and resolve (disappear) on their own over time. However, some cysts can cause pain, menstrual irregularities, infertility, or emergencies such as a cyst rupture. In these situations, surgical treatment may be necessary.

Today, one of the most modern methods for cyst treatment is laparoscopic cyst surgery.

What Does Laparoscopic Surgery Mean?

Laparoscopic surgery is popularly known as “minimally invasive surgery” or “closed surgery.” It is a procedure performed by inserting a special camera and surgical instruments through small incisions made in the abdominal region. Compared to traditional open surgery, it offers less pain, a shorter hospital stay, and a faster recovery process.

For Which Cysts is Laparoscopy Preferred?

  • Cysts larger than 5 cm in diameter

  • Chocolate cysts (endometriomas)

  • Cysts that are cystic in nature and show growth during follow-up

  • Cysts causing pain or infertility

  • Cysts suspected of being malignant (cancerous) on ultrasound or MRI imaging (in select cases)

According to studies, more than 70% of cysts larger than 8 cm continue to grow during follow-up and require intervention.

How is the Surgery Performed?

Under general anesthesia, entry is made through 3-4 small incisions (ports) around the navel (umbilicus) and lower abdomen. The ovary containing the cyst is visualized with the help of a camera. The cyst is carefully removed (excised), and the ovarian tissue is preserved as much as possible. If necessary, other gynecological issues can also be addressed during the same session.

What is the Recovery Process Like?

  • Hospital stay: Usually 1 day

  • Return to work: 5-7 days

  • Sexual intercourse and exercise: After approximately 2 weeks

  • Full recovery: 2-3 weeks

Patients use, on average, 60% less pain medication after laparoscopic surgery compared to open surgery. Additionally, since the incisions are small, the risk of scarring is very low.

Effect on Fertility

The laparoscopic method is the most “fertility-sparing” (protective of fertility) surgical approach. The goal is to preserve as much healthy ovarian tissue as possible. Especially for women planning to have children, the role of an experienced surgeon is crucial to ensure the ovarian reserve is not damaged during the cyst removal.

According to scientific data, the chance of getting pregnant after surgery increases by 30-50%, especially in women with endometriomas (chocolate cysts).

Advantages of Laparoscopic Cyst Surgery

  • Less pain and reduced need for pain medication

  • Shorter hospital stay

  • Lower risk of infection

  • Faster return to work and daily life

  • Better cosmetic results (less scarring)

Conclusion

Laparoscopic cyst surgery is one of the most reliable and patient-friendly approaches in modern gynecology. An accurate diagnosis and timely intervention are crucial to both protect your health and improve your quality of life.

Remember, not every ovarian cyst requires surgery. However, if surgery is necessary, you can get through this process comfortably with the laparoscopic method.

Other Laparoscopic Surgical Treatments

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