This video demonstrate laparoscopic ovarian cystectomy by Dr R K Mishra at World Laparoscopy Hospital. An ovarian cystectomy is surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgery technique that only uses a few small incisions in your lower abdomen. The incisions in your abdomen will be closed with skin adhesive or stitches and may be covered with Band-Aids. If you have bandages, they can be removed 24 hours after surgery, and the adhesive or stitches will dissolve on their own. If you have small bandage trips on your incisions, leave them on and they will fall off on their own. If they do not fall off you can remove them seven days after your procedure. Do not soak your incisions in the bathtub or go swimming. You may shower, but do not rub your incisions.

Ovarian cysts are fluid-filled sacs that develop on one or both ovaries. While many ovarian cysts are benign and resolve spontaneously, some require surgical intervention, particularly when they are large, symptomatic, or persistent. Bilateral ovarian cysts, involving both ovaries, pose a unique challenge for preservation of ovarian function, especially in women desiring future fertility.

What is Laparoscopic Bilateral Ovarian Cystectomy?
Laparoscopic bilateral ovarian cystectomy is a minimally invasive surgical procedure to remove cysts from both ovaries. Unlike traditional open surgery, laparoscopy involves small incisions, a camera (laparoscope), and specialized instruments, which allow precise removal of cysts while preserving healthy ovarian tissue.

Indications for Surgery
Surgery is generally recommended in cases where cysts are:

• Persistent or large (>5–10 cm)

• Symptomatic (pain, bloating, irregular menstruation)

• Suspected to be endometriomas or dermoid cysts

• Causing hormonal imbalances or infertility

Preoperative Preparation
Patients typically undergo:

• Ultrasound or MRI to evaluate cyst size, location, and characteristics

• Blood tests including hormonal profile and tumor markers

• Counseling regarding the procedure, potential risks, and fertility preservation

The Procedure

1. Anesthesia: General anesthesia is administered.

2. Incisions: 3–4 small incisions (usually 0.5–1 cm) are made in the abdomen.

3. Insertion of Laparoscope: A camera is inserted to visualize the ovaries and surrounding structures.

4. Cyst Removal: Using fine instruments, cysts are carefully dissected from ovarian tissue. Bilateral removal is performed with utmost care to preserve ovarian reserve.

5. Hemostasis: Any bleeding is controlled, often with bipolar cautery or suturing.

6. Closure: Small incisions are closed with absorbable sutures or steri-strips.

Advantages of Laparoscopic Approach

• Minimal invasiveness: Reduced postoperative pain and smaller scars.

• Faster recovery: Most patients resume normal activities within 1–2 weeks.

• Preservation of ovarian function: Essential for fertility.

• Reduced hospital stay: Many patients are discharged the same day or after an overnight stay.

• Better visualization: Magnified view helps in precise excision of cysts.

Postoperative Care

• Mild abdominal discomfort is common and can be managed with medications.

• Light activity is recommended initially, avoiding strenuous exercise for 2–3 weeks.

• Follow-up ultrasounds are advised to monitor ovarian recovery and ensure no recurrence.

Risks and Complications
Though generally safe, possible complications include:

• Bleeding or infection

• Damage to ovarian tissue, fallopian tubes, or surrounding organs

• Adhesion formation

• Recurrence of cysts

Conclusion
Laparoscopic bilateral ovarian cystectomy represents a safe, effective, and fertility-preserving option for women with ovarian cysts on both sides. With advances in minimally invasive surgery, patients benefit from reduced pain, quicker recovery, and excellent cosmetic results. Consulting a skilled gynecologic laparoscopic surgeon is essential to ensure optimal outcomes, especially for women planning future pregnancies.