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Ovarian Cyst Removal, Open Surgery


Why is this procedure done?


An ovarian cyst is a fluid-filled sac on or inside an ovary. Women have two ovaries. Ovaries are almond-shaped organs in your lower belly. Each month, one of the ovaries produces an egg. The egg is inside of a very small sac called a follicle. Normally, the follicle breaks open and the egg travels down the fallopian tube. If the follicle does not break open, the egg will stay inside of the sac and may form a cyst. Sometimes, the egg is released but blood and other fluids become trapped in the sac to form a cyst. Often the cysts are controlled by hormones. Cysts may vary in size. Some cysts contain small pieces of hair, fat or other tissues. ‚  
Your doctor may want to remove the cyst with surgery if the cyst is: ‚  
  • Causing pain and bleeding
  • Too big and is pressing on other organs
  • Not fluid-filled and feels solid
  • Suspected of being cancerous

When taking out the cyst, the doctor may have to take out one or both ovaries. Tissue may be sent to a lab for more tests. Sometimes, the uterus must be removed as well. ‚  


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What will the results be?


The cyst will be removed. ‚  

What happens before the procedure?


  • Your doctor will take your history. Talk to your doctor about:
    • All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
    • Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some examples are Coumadin, ibuprofen, Aleve (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about all of your drugs.
    • When you need to stop eating or drinking before your procedure.

Your doctor will do an exam and may order: ‚  
  • Lab tests
  • Ultrasound

You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home. ‚  

What happens during the procedure?


  • Once you are in the operating room, the staff will put an IV in your arm to give you fluids and drugs. You will be given a drug to make you sleepy. The drug will also help you stay pain free during the surgery.
  • When you are asleep, the doctors put a tube in your mouth to help you breathe. You will have a tube in your bladder to drain urine.
  • Your doctor will clean your belly and an antiseptic will be applied.
  • Your doctor will make a cut on your belly. The doctor will find your ovary and separate the cyst. Your doctor will remove the cyst. The ovary may or may not have to be taken out. The cut site will be closed with stitches or staples and covered with clean bandages.
  • The procedure will take 2 to 3 hours.

What happens after the procedure?


  • You will go to the Recovery Room and the staff will watch you closely. Your doctor may give you drugs for pain.
  • You may have the tube in your bladder for another day or so.
  • You may have to stay in the hospital for 1 to 3 days.

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain
  • Prevent infection

What problems could happen?


  • Wound infection
  • Bleeding
  • Part of the belly may protrude out (hernia)
  • Ovarian cysts come back
  • Blood clots in your legs and lungs

Where can I learn more?


The American Congress of Obstetricians and Gynecologists ‚  
http://www.acog.org/~/media/For%20Patients/faq075.pdf?dmc=1&ts=20120501T2201342972 ‚  
U.S. Department of Health and Human Services Office on Womens Health ‚  
http://www.womenshealth.gov/publications/our-publications/fact-sheet/ovarian-cysts.html ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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