Laparoscopic Ovarian Cystectomy

If you have been diagnosed with an ovarian cyst and are experiencing ongoing pelvic pain, pressure, bloating, or other persistent symptoms, laparoscopic ovarian cystectomy may be recommended. At Surgical Solutions Network, patients can access private ovarian cyst surgery at our accredited surgical centre in Burnaby, British Columbia. A laparoscopic ovarian cystectomy is a minimally invasive keyhole procedure used to remove an ovarian cyst while preserving as much healthy ovarian tissue as possible. For appropriately selected patients, this approach may help relieve symptoms, address a cyst that is persistent or concerning on imaging, and support a quicker recovery compared with open surgery. 

Through Surgical Solutions Network, patients who need ovarian cyst surgery may benefit from experienced gynaecologic surgeons, modern minimally invasive equipment, timely access to care, and a co-ordinated, patient-centred approach focused on comfort, education, and support before and after surgery. 

Why Choose Surgical Solutions Network for Private Ovarian Cyst Surgery? 

• Experienced gynaecologic surgeons and trained surgical teams 

• Modern minimally invasive equipment and safety-focused protocols 

• Timely access to care 

• A co-ordinated, patient-centred approach focused on comfort, education, and support before and after surgery 

What Does Laparoscopic Ovarian Cystectomy Treat? 

A laparoscopic ovarian cystectomy is a minimally invasive keyhole procedure used to remove an ovarian cyst while preserving as much healthy ovarian tissue as possible. 

Your surgeon may recommend ovarian cyst removal when a cyst: 

• Is causing ongoing symptoms such as pelvic pain, pressure, bloating, or discomfort with movement or intercourse 

• Is large, increasing in size, or not resolving over time 

• Has ultrasound features that suggest it is not a simple functional cyst 

• Has caused complications, or there is concern it could, such as twisting of the ovary (torsion) or rupture 

• Needs to be removed to confirm a diagnosis and guide further care 

Many ovarian cysts are harmless and can be safely monitored. Surgery is typically considered when symptoms, size, persistence, or imaging features indicate that removal is the best next step. 

How the Procedure Works 

Specific steps vary based on your surgeon and clinical situation, but laparoscopic ovarian cystectomy commonly follows this general pathway. 

Before the Procedure 

• You will have pelvic imaging, most often an ultrasound, to assess the cyst’s size and appearance. 

• Your surgeon will review your medical history, current medications, allergies, and any previous surgeries. 

• You will receive instructions about fasting and which medications to stop or continue prior to surgery. 

If your imaging or history raises concern for a more complex condition, your surgeon will discuss the safest surgical plan and the most appropriate care team. 

Anaesthesia and Positioning 

• The procedure is usually performed under general anaesthesia. 

• You will be positioned on the operating table, and the surgical area will be cleaned and prepared in a sterile manner. 

Laparoscopic Cystectomy Step by Step 

• Small incisions are made: Several small incisions are created on the abdomen, often including one near the belly button. 

• A camera is inserted: A laparoscope (a thin camera) is used to view the pelvic organs. 

• Working space is created: The abdomen is gently inflated with gas so the surgeon can see and operate safely. 

• The cyst is removed: The surgeon carefully separates the cyst from the ovary and removes it, aiming to protect healthy ovarian tissue. 

• The ovary is preserved when appropriate: The remaining ovarian tissue is shaped and supported as needed. 

• Incisions are closed: The instruments are removed and the incisions are closed with small sutures or surgical tape. 

Many patients go home the same day, while others may stay overnight depending on the complexity of the surgery and their recovery. 

Benefits 

For appropriately selected patients, laparoscopic ovarian cystectomy may offer: 

• Relief of symptoms such as pelvic pain, pressure, or discomfort 

• Removal of a cyst that is persistent, growing, or concerning on imaging 

• Preservation of the ovary in many cases 

• Smaller incisions, less post-operative pain, and quicker recovery compared with open surgery 

• Short hospital stay, often as a day procedure 

Every patient is different. Your surgeon will review what outcomes are realistic based on your cyst type, size, and overall health. 

Who Might Be a Candidate? 

You may be considered for laparoscopic ovarian cystectomy if: 

• Imaging confirms an ovarian cyst that aligns with your symptoms or clinical findings 

• The cyst has persisted, is growing, or is affecting your quality of life 

• The cyst appears suitable for laparoscopic removal based on its size and characteristics 

• You are medically fit for surgery and anaesthesia 

A different approach may be recommended if: 

• There are imaging or clinical features that require a more specialised plan 

• The cyst is very large or difficult to remove safely through small incisions 

• Extensive scar tissue from prior surgery makes laparoscopy less safe 

• Removing the whole ovary is the safest option in your specific situation 

Your surgeon will discuss whether cystectomy (removing the cyst only) is appropriate, or whether another procedure is recommended. 

Risks and Possible Complications 

All medical procedures carry risk. Most complications are uncommon, but may include: 

• Bleeding 

• Infection 

• Reaction to anaesthesia or medications 

• Injury to nearby structures (such as bowel, bladder, or ureter) 

• Scar tissue (adhesions) 

• Ovarian tissue loss or reduced ovarian function in the operated ovary 

• Need to convert to open surgery for safety 

• Recurrence of cysts in the future 

• Blood clots (rare but serious) 

Your surgeon will review your specific risks and how they apply to your medical history, imaging results, and goals. 

Recovery and Rehabilitation 

Recovery is usually faster than open surgery, but timelines vary. 

Immediately After the Procedure 

• You will be monitored while the anaesthetic wears off. 

• Mild to moderate abdominal soreness is common. 

• Some patients notice shoulder-tip discomfort from the gas used during laparoscopy, which typically improves over several days. 

Activity 

• Light walking is encouraged soon after surgery. 

• You may be advised to avoid heavy lifting and intense exercise for a period of time. 

Return to Normal Activities 

• Many people return to light daily activities within several days. 

• Returning to work depends on the type of work you do and how you feel, and can range from about 1 to 3 weeks for many laparoscopic cases. Your surgeon will provide guidance for your situation. 

You will receive clear post-operative instructions, including pain control, incision care, and follow-up plans. 

How to Prepare 

Before surgery, your care team may: 

• Review your medication list and advise which to stop or continue 

• Provide fasting instructions 

• Arrange pre-operative testing if needed 

• Review what to expect on the day of surgery, including discharge planning 

If you smoke, reducing or stopping can support healing. Planning for help at home for the first day or two can also make recovery easier. 

Frequently Asked Questions 

Take the Next Step 

If you have been diagnosed with an ovarian cyst and are experiencing persistent symptoms, or you have been told surgery may be recommended, we’re here to help. Contact Surgical Solutions Network to book your surgical consultation. Visit our Contact Us page or give us a call, and a member of our team will help guide you through the next steps.