Name of the Procedure:

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach
Common name: Ovarian cyst drainage
Technical term: Ovarian cyst aspiration via laparotomy

Summary

This procedure involves draining fluid from one or more cysts located on the ovaries. It can be done through an incision in the abdomen, allowing direct access to the cysts.

Purpose

This procedure addresses ovarian cysts that may cause pain, discomfort, or other health issues. The goal is to remove the fluid from the cysts, relieving symptoms and preventing complications.

Indications

• Persistent pelvic pain or discomfort
• Cysts larger than 5 centimeters
• Suspected malignancy
• Risk of cyst rupture or torsion
• Infertility issues related to cysts

Preparation

• Fasting for 8 hours before the procedure
• Stopping certain medications as advised by the doctor
• Blood tests, pelvic ultrasound, or MRI imaging as recommended

Procedure Description

1. The patient is placed under general anesthesia.
2. An incision is made in the abdominal wall.
3. The cysts are located visually by the surgeon.
4. A needle or suction device is used to drain the fluid from the cysts.
5. The cyst walls may either be removed or left to heal on their own.
6. The incision is closed with sutures.

Tools used include scalpels, suction devices, and laparoscopic instruments. General anesthesia ensures the patient feels no pain during the procedure.

Duration

Typically, 1 to 2 hours.

Setting

Performed in a hospital operating room or surgical center.

Personnel

• Surgeon
• Anesthesiologist
• Surgical nurses
• Operating room technicians

Risks and Complications

• Infection
• Bleeding
• Damage to surrounding organs
• Anesthetic complications
• Recurrence of cysts

Benefits

• Relief from pain and discomfort
• Reduced risk of cyst rupture or torsion
• Improved fertility outcomes Benefits are often noticeable shortly after recovery.

Recovery

• Hospital stay of 1-2 days
• Pain management with prescribed medications
• Restrictions on heavy lifting and strenuous activities for a few weeks
• Follow-up appointment in 1-2 weeks

Alternatives

• Watchful waiting with periodic monitoring
• Medication to manage symptoms or shrink cysts
• Laparoscopic ovarian cystectomy
• Each alternative has its pros and cons, such as less invasiveness or different potential outcomes.

Patient Experience

During the procedure, the patient is under general anesthesia, so no pain is felt. Post-procedure, some discomfort or pain can be expected, managed with prescribed medications. Recovery involves a gradual return to normal activities, with full recovery typically within a few weeks.