Ovarian Cystectomy

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Procedure Description

An ovarian cystectomy is a surgical procedure designed to remove cysts from the ovary while preserving as much healthy ovarian tissue as possible. These cysts are fluid-filled sacs that may cause discomfort, irregular menstrual cycles, and even fertility challenges. While some cysts resolve on their own, others can persist, causing symptoms such as pelvic pain, bloating, and hormonal imbalances. For those with recurring, symptomatic, or potentially harmful cysts, an ovarian cystectomy may be a necessary treatment.

The procedure is typically recommended for cysts that do not respond to conservative treatments, such as hormonal medications, or for cysts that are suspected to be malignant. Common types of ovarian cysts that may require surgical removal include dermoid cysts, endometriomas, cystadenomas, and sometimes functional cysts that fail to regress. Ovarian cystectomy is often performed laparoscopically, a minimally invasive approach involving small incisions and the use of a camera to visualize the abdominal cavity, allowing surgeons to remove cysts with precision and minimal disruption to surrounding tissues.

During an ovarian cystectomy, the surgeon aims to remove the cyst while keeping the healthy ovarian tissue intact. This approach is particularly crucial for individuals who wish to retain their fertility, as removing the cyst without damaging the ovary preserves its function. For those with a high risk of malignancy or where cysts are more extensive, a more complex procedure may be required. In these cases, a laparotomy (open surgery) might be performed, allowing for direct access to the affected area.

Procedure Duration

The duration of an ovarian cystectomy varies depending on factors such as the size and location of the cyst, the surgical approach, and the individual’s health status. Generally, a laparoscopic ovarian cystectomy can take between 30 minutes to two hours. The minimally invasive nature of laparoscopy contributes to a faster surgical time and minimizes the extent of recovery required afterward.

After the initial surgical procedure, patients are usually monitored in a recovery room to ensure they respond well to anesthesia and the procedure itself. Following laparoscopic cystectomy, patients may experience mild discomfort and typically require a short hospital stay of one to two days. In some cases, especially if the surgery was uncomplicated, patients can even return home the same day.

Recovery time post-surgery depends on whether it was performed laparoscopically or through a laparotomy. For laparoscopic cystectomy, full recovery is generally achieved within two to four weeks, allowing patients to return to daily activities gradually. In contrast, a laparotomy approach may require a more extended recovery period of four to six weeks. During this time, patients are encouraged to avoid strenuous activities and follow a prescribed care routine to ensure optimal healing and reduce the risk of complications.

Benefits

  • Minimally Invasive (Laparoscopic) Approach: Reduces the recovery time and minimizes scarring, allowing for quicker return to daily activities.
  • Preservation of Fertility: Enables removal of cysts while preserving healthy ovarian tissue, crucial for individuals considering future pregnancy.
  • Pain Relief: Helps alleviate symptoms associated with ovarian cysts, such as pelvic pain, bloating, and discomfort.
  • Reduced Risk of Complications: Timely removal of problematic cysts can prevent complications like ovarian torsion or cyst rupture.
  • Early Cancer Detection: In cases where malignancy is suspected, ovarian cystectomy provides a means of early intervention and tissue analysis.

Potential Destinations

  • ThailandThailand is known for its advanced healthcare system and renowned surgeons specializing in gynecological surgeries. The country’s hospitals are equipped with state-of-the-art laparoscopic technology, making it a prime choice for medical tourists seeking quality care.
  • IndiaIndia offers high-quality healthcare services at competitive prices, making it a popular destination for ovarian cystectomy. With its blend of modern technology and skilled surgeons, India provides excellent options for international patients seeking affordable treatment.
  • TurkeyTurkey has become a major hub for medical tourism, particularly in minimally invasive surgical procedures. Turkish hospitals maintain high standards of care and are known for their multilingual medical staff, making the country a convenient choice for patients from diverse backgrounds.
  • MexicoFor those looking for accessible, high-quality healthcare in close proximity to the United States, Mexico offers a range of reputable facilities. Many clinics and hospitals in major Mexican cities provide laparoscopic ovarian cystectomy at lower costs without sacrificing quality.
  • South KoreaSouth Korea is celebrated for its advanced medical technology and commitment to healthcare innovation. The country’s hospitals are highly specialized in various surgical procedures, including ovarian cystectomy, attracting patients worldwide for its quality and efficiency.

Risks & Considerations

  • Infection: Post-operative infections are possible, particularly if proper wound care is not followed. Patients should be mindful of symptoms like fever and persistent pain.
  • Bleeding: As with any surgery, there is a risk of bleeding, both during and after the procedure, which may require further intervention in severe cases.
  • Damage to Surrounding Organs: In rare instances, surrounding organs such as the bladder, bowel, or uterus may be inadvertently injured during surgery.
  • Ovarian Damage: While the procedure aims to preserve the ovary, there is a slight risk of ovarian tissue damage, which could affect hormonal balance and fertility.
  • Anesthesia Risks: General anesthesia poses its own set of risks, such as respiratory complications or allergic reactions, though these are generally rare.

How to Choose the Right Doctor and Hospital

Selecting a qualified surgeon and facility is essential for a successful ovarian cystectomy. When researching potential healthcare providers, prioritize doctors with specialized experience in laparoscopic gynecological surgeries. Look for board-certified surgeons who have extensive experience in treating ovarian cysts and who are up-to-date with the latest advancements in minimally invasive techniques.

Choosing a hospital that is accredited by international healthcare standards and has a well-established medical tourism program can ensure a higher quality of care. Accredited hospitals are typically subject to stringent quality control, offering reassurance about the safety and reliability of their services. Additionally, a dedicated patient coordinator or liaison within the hospital can be valuable for international patients, as they provide support with language, cultural needs, and logistical arrangements.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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