Laparoscopic Ovarian Cystectomy
What is Laparoscopic Ovarian Cystectomy?
Laparoscopic ovarian cystectomy is a minimally invasive surgical procedure to remove ovarian cysts while preserving the ovary, typically performed to treat symptomatic cysts, suspected malignancy, or infertility-related issues. It uses small incisions and a laparoscope (camera) for precision. In India, this surgery is conducted in obstetrics and gynecology departments at hospitals like Apollo, Fortis, Medanta, and AIIMS, offering advanced care at affordable costs. Understanding the procedure, costs, recovery, risks, and frequently asked questions (FAQs) is essential for patients in India to make informed decisions.
Why do you need Laparoscopic Ovarian Cystectomy?
Laparoscopic ovarian cystectomy is indicated for:
- Symptomatic cysts:
- Persistent pain: Pelvic pain, dysmenorrhea, or dyspareunia (painful intercourse).
- Large cysts: >5–6 cm, causing pressure symptoms (e.g., bloating, urinary frequency).
- Torsion risk: Cysts causing ovarian twisting, leading to severe pain.
- Suspected pathology:
- Endometriomas: Endometriosis-related cysts (chocolate cysts).
- Dermoid cysts: Benign teratomas containing tissue like hair or teeth.
- Cystadenomas: Serous or mucinous cysts with potential for growth.
- Suspected malignancy: Complex cysts (e.g., solid components, septations) on ultrasound; requires further evaluation.
- Infertility:
- Cysts impairing ovulation or distorting ovarian anatomy (e.g., endometriomas, large functional cysts).
- Failed conservative management:
- Functional cysts (e.g., follicular, corpus luteum) not resolving after 2–3 menstrual cycles or medical treatment (e.g., oral contraceptives).
The procedure aims to remove the cyst while preserving ovarian tissue to maintain hormonal function and fertility, particularly in younger women.
Why Do Laparoscopic Ovarian Cystectomy Costs Vary in India?
Costs range from ₹80,000 to ₹2 lakh :
- Procedure Complexity: Simple cystectomy (₹80,000–₹1.5 lakh); complex (e.g., endometrioma, large cyst) or with adhesiolysis (₹1.5–2 lakh).
- Hospital/Location: Higher in metro cities (Apollo, Fortis); lower in government hospitals (AIIMS, ₹20,000–₹60,000).
- Surgeon’s Expertise: Experienced gynecologists charge more.
- Additional Costs: Anesthesia (₹10,000–₹20,000), hospital stay (₹5,000–₹15,000/day), pathology (₹2,000–₹5,000).
- Insurance: Covered for symptomatic cysts or suspected malignancy; confirm with your provider.
Laparoscopic Ovarian Cystectomy Procedure
- Before Surgery Evaluation:
- Diagnosis:
- Transvaginal ultrasound: Assesses cyst size, type (simple vs. complex), and features (e.g., septations, solid areas).
- MRI (if needed): Evaluates complex cysts or suspected malignancy.
- Tumor markers: CA-125 (elevated in endometriomas, cancer), AFP, and β-hCG (for germ cell tumors).
- Blood tests: Hemoglobin, clotting profile, and kidney/liver function.
- Medications: Stop blood thinners (e.g., aspirin) 5–7 days prior; antibiotics (e.g., cefazolin) pre-surgery.
- Consent: Risks, including ovarian damage, are explained.
- Diagnosis:
- Surgical Techniques:
- Laparoscopic Cystectomy:
- Performed under general anesthesia, lasting 1–2 hours.
- 3–4 small incisions (0.5–1 cm) are made in the abdomen (one near the navel, others lower).
- CO2 gas inflates the abdomen for better visualization.
- A laparoscope (camera) is inserted to locate the cyst; laparoscopic instruments are used to dissect the cyst wall from the ovary.
- The cyst is carefully peeled off (enucleation) to preserve healthy ovarian tissue; the cyst is placed in an endobag to prevent spillage (esp. dermoid or suspected malignancy).
- The cyst is removed through an incision; ovarian tissue may be sutured if needed to control bleeding.
- Cyst Drainage (if not removable):
- Rarely, large cysts are drained first, then the wall is excised (higher recurrence risk).
- Oophorectomy (if needed):
- Entire ovary removed if extensive damage, malignancy confirmed (frozen section), or in postmenopausal women.
- Intraoperative Tools:
- Laparoscope: Visualizes the ovary and cyst.
- Endobag: Prevents spillage of cyst contents.
- Frozen section: Immediate pathology (if malignancy suspected) to decide on further surgery (e.g., staging).
- Laparoscopic Cystectomy:
- After Surgery:
- Hospital stay: 1–2 days.
- Pain management: IV analgesics (e.g., morphine) for 1 day, then oral (e.g., ibuprofen).
- Antibiotics: For 1–2 days to prevent infection.
- Pathology report: Within 5–7 days (confirms cyst type, rules out malignancy).
- Instructions: Avoid heavy lifting or intercourse for 4–6 weeks.
Recovery After Laparoscopic Ovarian Cystectomy
- Hospital Stay: 1–2 days.
- Post-Surgery Care:
- Pain: Incision pain and shoulder discomfort (from CO2 gas) for 3–5 days, managed with analgesics.
- Activity: Walking within 24 hours to prevent clots; avoid heavy lifting (>5 kg) or strenuous activity for 4–6 weeks.
- Bleeding: Light vaginal spotting for 1–2 weeks; heavy bleeding is abnormal.
- Ovary function: Normal hormonal function resumes in 1–2 cycles; ovulation may restart in 4–6 weeks.
- Intercourse: Avoid for 4–6 weeks until healed.
- Monitoring: Watch for signs of infection or ovarian torsion (rare post-surgery).
- Diet: Start with liquids, progress to solids; high-protein foods (e.g., eggs, lentils) and fiber (e.g., fruits) aid healing; 2–3 liters water daily.
- Follow-Up:
- Visit at 1–2 weeks for wound check; 6 weeks for recovery assessment.
- Ultrasound: At 3–6 months to check for recurrence (e.g., endometriomas).
Most resume normal activities in 2–4 weeks; full recovery takes 4–6 weeks. Pain relief: 85–90% for symptomatic cysts; fertility improvement: 50–70% (if infertility was cyst-related). Recurrence rates: 10–20% for endometriomas, 5–10% for other cysts.
Risks and Complications
- Surgical Risks:
- Bleeding (2–5%): 1–2% may need transfusion; rare conversion to open surgery.
- Infection (1–3%): Wound or pelvic; treated with antibiotics.
- Blood clots (1–2%): Deep vein thrombosis (DVT); early ambulation reduces risk.
- Ovarian Risks:
- Ovarian damage (5–10%): Loss of ovarian tissue may reduce ovarian reserve; risk of premature ovarian failure (<1%).
- Adhesions (5–10%): Scar tissue around the ovary, potentially affecting fertility.
- Other Complications:
- Bowel/bladder injury (<1%): Rare, requires repair.
- Recurrence (10–20%): Higher for endometriomas; hormonal therapy (e.g., progestins) reduces risk.
- Malignancy missed (rare, <1%): If cancer not suspected pre-op; frozen section helps.
- Fertility: Preserves fertility in 90–95% of cases; 5–10% risk of reduced ovarian reserve.
Report fever, severe pain, heavy bleeding, or difficulty urinating promptly.
Frequently Asked Questions (FAQs)
What causes ovarian cysts?
Functional (e.g., follicular, corpus luteum), endometriosis (endometriomas), benign tumors (e.g., dermoid, cystadenomas), or rarely, malignancy.
Can I avoid surgery for ovarian cysts?
Yes, for functional cysts: 70–80% resolve in 2–3 cycles with observation or hormonal therapy; surgery is for symptomatic, large, or suspicious cysts.
Is laparoscopic cystectomy painful?
Not during surgery (general anesthesia); post-surgery pain (incisions, gas) for 3–5 days, managed with medication.
How soon can I resume activities?
Light activities in 1–2 weeks; normal routines in 2–4 weeks.
Is laparoscopic ovarian cystectomy covered by insurance in India?
Yes, for symptomatic or suspicious cysts; confirm with your provider.
Signs of complications?
Fever, severe pain, heavy bleeding, or difficulty urinating.
Will I lose my ovary?
Rarely (5–10%); cystectomy aims to preserve the ovary unless malignancy or extensive damage (e.g., torsion) requires oophorectomy.
Lifestyle changes post-surgery?
Avoid heavy lifting for 4–6 weeks, monitor for recurrence (esp. endometriomas), consider hormonal therapy (if not trying to conceive), and attend follow-ups.
Conclusion
Laparoscopic ovarian cystectomy is a safe, effective procedure to remove ovarian cysts while preserving ovarian function, offering quick recovery and minimal scarring. India’s top hospitals (Apollo, Fortis, AIIMS) provide affordable, expert care. Understanding the procedure, costs, recovery, risks, and FAQs helps patients approach surgery confidently. Consult a gynecologist for personalized guidance and optimal outcomes.
Looking for Best Hospitals for Laparoscopic Ovarian Cystectomy
Note: we are not promoting any hospitals
we are not promoting any hospitals we sourced all the details from google and hospitals website, please verify and start with your surgery here we go the list includes government, budget and superspeciality hospitals accreditation bodies are the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₹) | Maximum Price (₹) |
|---|---|---|
Agra |
40,000 |
1,30,000 |
Ahmedabad |
50,000 |
1,50,000 |
Ajmer |
40,000 |
1,30,000 |
Aligarh |
40,000 |
1,30,000 |
Allahabad |
40,000 |
1,30,000 |
Amritsar |
45,000 |
1,40,000 |
Aurangabad |
45,000 |
1,40,000 |
Bangalore |
50,000 |
1,50,000 |
Bareilly |
40,000 |
1,30,000 |
Belgaum |
45,000 |
1,40,000 |
Bhopal |
45,000 |
1,40,000 |
Bhubaneswar |
45,000 |
1,40,000 |
Bikaner |
40,000 |
1,30,000 |
Chandigarh |
50,000 |
1,50,000 |
Chennai |
50,000 |
1,50,000 |
Coimbatore |
50,000 |
1,50,000 |
Dehradun |
45,000 |
1,40,000 |
Delhi |
50,000 |
1,50,000 |
Dhanbad |
40,000 |
1,30,000 |
Durgapur |
40,000 |
1,30,000 |
Faridabad |
50,000 |
1,50,000 |
Ghaziabad |
50,000 |
1,50,000 |
Gorakhpur |
40,000 |
1,30,000 |
Guntur |
45,000 |
1,40,000 |
Gurgaon |
50,000 |
1,50,000 |
Guwahati |
45,000 |
1,40,000 |
Gwalior |
40,000 |
1,30,000 |
Hyderabad |
50,000 |
1,50,000 |
Indore |
45,000 |
1,40,000 |
Jabalpur |
40,000 |
1,30,000 |
Jaipur |
50,000 |
1,50,000 |
Jalandhar |
45,000 |
1,40,000 |
Jamshedpur |
45,000 |
1,40,000 |
Jodhpur |
40,000 |
1,30,000 |
Kanpur |
40,000 |
1,30,000 |
Kochi |
50,000 |
1,50,000 |
Kolkata |
50,000 |
1,50,000 |
Kollam |
45,000 |
1,40,000 |
Lucknow |
45,000 |
1,40,000 |
Ludhiana |
50,000 |
1,50,000 |
Madurai |
45,000 |
1,40,000 |
Mangalore |
45,000 |
1,40,000 |
Meerut |
40,000 |
1,30,000 |
Moradabad |
40,000 |
1,30,000 |
Mumbai |
50,000 |
1,50,000 |
Mysore |
50,000 |
1,50,000 |
Nagpur |
45,000 |
1,40,000 |
Nashik |
45,000 |
1,40,000 |
Navi Mumbai |
50,000 |
1,50,000 |
Noida |
50,000 |
1,50,000 |
Patna |
40,000 |
1,30,000 |
Pune |
50,000 |
1,50,000 |
Raipur |
45,000 |
1,40,000 |
Rajkot |
45,000 |
1,40,000 |
Ranchi |
40,000 |
1,30,000 |
Surat |
50,000 |
1,50,000 |
Thane |
50,000 |
1,50,000 |
Vadodara |
45,000 |
1,40,000 |
Varanasi |
40,000 |
1,30,000 |
Visakhapatnam |
45,000 |
1,40,000 |
Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.