This video demonstrate laparoscopic surgery for left sided ovarian cyst performed by Dr R K Mishra at World Laparoscopy Hospital. cases, women are in their fertile age. Today, the surgical treatment has become more conservative and less invasive; hence, a laparoscopic approach in the presence of benign cysts has become a gold standard treatment.

Left-Sided Ovarian Cyst: Laparoscopic Approach at World Laparoscopy Hospital

Ovarian cysts are fluid-filled sacs that develop on the ovaries, and they are a common gynecological concern among women of reproductive age. When a cyst occurs on the left ovary, careful evaluation and management are essential to preserve ovarian function and prevent complications such as torsion, rupture, or malignancy. The advent of minimally invasive techniques has revolutionized the management of ovarian cysts, with laparoscopic surgery emerging as the gold standard. At World Laparoscopy Hospital (WLH), patients benefit from the most advanced laparoscopic techniques, ensuring safety, efficacy, and rapid recovery.

Diagnosis and Preoperative Assessment

Accurate diagnosis is the first step in managing a left-sided ovarian cyst. Patients usually present with symptoms such as lower abdominal pain, bloating, or menstrual irregularities. Ultrasound remains the primary diagnostic tool, allowing precise assessment of cyst size, morphology, and any suspicious features. In some cases, MRI or CT scans are used for further evaluation. Preoperative assessment at WLH includes a detailed history, clinical examination, and relevant lab tests, including tumor markers if malignancy is suspected.

Laparoscopic Approach: The WLH Advantage

Laparoscopic surgery for left-sided ovarian cysts is minimally invasive and offers numerous advantages over traditional open surgery:

• Smaller Incisions: Typically, only 3 ports are used—one for the camera and two for surgical instruments—resulting in minimal scarring.

• Reduced Pain: Patients experience significantly less postoperative pain compared to open surgery.

• Faster Recovery: Most patients resume daily activities within 24–48 hours.

• Precision Surgery: High-definition cameras and advanced instruments allow surgeons to carefully dissect the cyst, preserving healthy ovarian tissue.

At WLH, surgeons follow a meticulous step-by-step laparoscopic protocol:

1. Patient Positioning and Anesthesia: General anesthesia is administered, and the patient is placed in a lithotomy or Trendelenburg position for optimal pelvic access.

2. Port Placement: A primary 10 mm port is placed at the umbilicus for the laparoscope, and two 5 mm ports are positioned in the lower abdomen for instruments.

3. Cyst Visualization and Dissection: The cyst is carefully identified on the left ovary. Using laparoscopic scissors and graspers, the cyst wall is dissected from healthy ovarian tissue.

4. Cyst Removal: Depending on the cyst type, it is either aspirated or removed intact using an endoscopic bag to prevent spillage.

5. Hemostasis and Closure: The surgical site is checked for bleeding, and minimal suturing is required. Ports are removed, and the small incisions are closed with absorbable sutures.

Postoperative Care

WLH emphasizes patient comfort and rapid recovery. Postoperative care includes pain management, monitoring for complications, and early mobilization. Patients are usually discharged within 24–48 hours and are given guidelines for activity, diet, and follow-up visits.

Outcomes and Benefits

Patients undergoing laparoscopic removal of left-sided ovarian cysts at WLH report excellent outcomes, including:

• Preservation of ovarian function, important for fertility.

• Minimal postoperative discomfort and faster return to normal life.

• Reduced hospital stay and lower risk of infections.

• Enhanced cosmetic results due to small, virtually invisible scars.

Conclusion

The laparoscopic approach to left-sided ovarian cysts at World Laparoscopy Hospital exemplifies the fusion of surgical expertise, advanced technology, and patient-centered care. By prioritizing minimally invasive techniques, WLH ensures optimal outcomes, shorter recovery times, and preservation of reproductive health for women facing ovarian cysts.