When an ovarian cyst needs to be closely looked at, a surgeon can do so through a small incision using laparoscopy or through a larger abdominal incision (laparotomy). But if there is any concern about cancer, you may have a laparotomy. It gives the best view of the abdominal organs and the pelvic organs. Then, if the doctor finds ovarian cancer, it can be safely removed.
During surgery, a noncancerous cyst that is causing symptoms can be removed (cystectomy), leaving the ovary intact. In some cases, the entire ovary or both ovaries are removed, particularly when cancer is found.
An ovarian cyst can be removed from an ovary (cystectomy), preserving the ovary and your fertility. But it is possible for a new cyst to form on the same or opposite ovary after a cystectomy. New cysts can only be completely prevented by removing the ovaries (oophorectomy).
Risks of ovarian surgery include the following:
General anesthesia usually is used during surgery.
After a laparoscopy, you can usually resume normal activities within a day. But you should avoid strenuous activity or exercise for about a week.
After a laparotomy, you may stay in the hospital from 2 to 4 days. You can return to your usual activities in 4 to 6 weeks.
Surgery for an ovarian cyst may be advised in the following situations:
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