During my research into minimally invasive gynaecological procedures, I found that ovarian cysts are a common concern among women, but not every cyst requires surgery. For women who have persistent, symptomatic or potentially concerning cysts, Ovarian cystectomy in Mumbai can be considered to remove the cyst while aiming to preserve healthy ovarian tissue. Dr. Maitreyee Parulekar, a gynaecological oncologist and laparoscopic surgeon, offers expertise in minimally invasive gynaecological surgery, fertility-preserving procedures and complex ovarian conditions.
An ovarian cyst is a fluid-filled sac that develops on or within an ovary. Many ovarian cysts are benign and may disappear without treatment. However, some cysts can become large, persist over time or cause symptoms that affect a woman’s daily life.
Common symptoms can include pelvic pain, abdominal bloating or fullness, irregular periods, heavy bleeding, pain during intercourse or bowel movements, and pressure on the bladder causing frequent urination.
The appropriate treatment depends on the cyst’s size, appearance, location, symptoms, age, medical history and reproductive plans. An ultrasound and other investigations may be recommended before deciding whether observation or surgery is appropriate.
Surgery is not automatically necessary for every ovarian cyst. A gynaecologist may recommend cystectomy when the cyst is large, persistent, symptomatic or has features that require further evaluation.
According to the treatment information provided by Dr. Maitreyee Parulekar’s clinic, surgical treatment may be considered when a cyst is typically larger than 5 cm, causes persistent pain or bloating, affects ovarian function or fertility, appears suspicious, or creates complications such as torsion or rupture.
The decision should always be individualised rather than based on size alone. Some smaller cysts can resolve spontaneously, while certain complex or persistent cysts may require closer assessment.
Ovarian cystectomy involves removing the cyst while preserving the ovary whenever medically appropriate. There are two broad surgical approaches: laparoscopic cystectomy and open surgery.
Laparoscopic ovarian cystectomy is a minimally invasive procedure performed through small abdominal incisions using a camera and specialised surgical instruments. It generally results in smaller scars, less postoperative discomfort and a shorter recovery period.
Open surgery, or laparotomy, involves a larger abdominal incision and may be considered when a cyst is particularly large or when its characteristics raise concern about malignancy. The choice between the two approaches depends on the cyst’s size, location, appearance and the overall clinical situation.
For suitable patients, minimally invasive surgery can offer several advantages. These may include: