Laparoscopic Cystectomy
Minimally invasive enucleation of ovarian cysts, dermoid cysts, and endometriomas while preserving healthy ovarian reserve by Dr. Manisha Kumari.
Dr. Manisha Kumari
MBBS, MS (O&G) Consultant Gynaecologist & Ultrasound Specialist- Dumduma Clinic: Near SBI, Phase-1
- IMS & SUM Hospital: K8, Kalinga Nagar
Best Laparoscopic Cystectomy in Bhubaneswar
Precision stripping and excision of ovarian dermoids, chocolate cysts (endometriomas), and cystadenomas preserving ovarian reserve under Dr. Manisha Kumari at IMS & SUM Hospital.
Dr. Manisha Kumari
MBBS, MS (O&G) Consultant Laparoscopic Gynaec Surgeon- Dumduma Clinic: Near SBI, Phase-1
- IMS & SUM Hospital: K8, Kalinga Nagar
Fertility-Preserving Ovarian Cyst Removal
- Have you been diagnosed with an ovarian chocolate cyst (endometrioma) or dermoid cyst over 5cm?
- Are you suffering from persistent one-sided pelvic pain, bloating, or menstrual agony?
- Do you want to remove the cyst while strictly preserving your ovarian reserve (AMH) and fertility?
Ovarian cysts are fluid-filled or tissue-containing sacs that develop on the ovaries. When cysts grow large, persistent, or complex, surgical removal via Laparoscopic Ovarian Cystectomy is essential to relieve pain, eliminate torsion risk, and protect fertility.
Dr. Manisha Kumari specializes in delicate, atraumatic micro-dissection—carefully peeling the cyst wall away while preserving the healthy ovarian cortex where your future eggs reside.
- Step 1: Keyhole Optical Entry: 3 tiny 5mm punctures in the abdomen allow 4K magnified visualization of the pelvis, fallopian tubes, and both ovaries.
- Step 2: Hydro-Dissection & Incision: Saline injection beneath the ovarian capsule creates an anatomical cleavage plane, isolating the cyst from ovarian tissue.
- Step 3: Capsule Stripping: The entire cyst capsule is gently peeled and excised intact to prevent recurrence without burning delicate ovarian stroma.
- Step 4: Endo-Bag Encasement & Extraction: The cyst is placed inside a sterile laparoscopic specimen retrieval bag before removal to prevent any chemical peritonitis or fluid leak.
- Step 5: Ovarian Reconstruction & Hemostasis: Precise bipolar spot coagulation and fine absorbable sutures reconstitute the ovary's natural anatomical contour.
Histopathological biopsy is routinely performed on all excised cyst walls for total diagnostic certainty.
Why Complete Cystectomy Outperforms Needle Aspiration
Laparoscopic Cystectomy (Gold Standard)
- The entire inner secretory lining/capsule of the cyst is completely removed.
- Recurrence rate is exceptionally low (<5% compared to 70%+ with aspiration).
- Full histopathological tissue sample obtained to rule out pathology.
- Concurrent inspection and adhesiolysis of fallopian tubes and pelvic peritoneum.
Simple Needle Aspiration
- Only fluid is drained; the active cyst wall is left inside the ovary.
- Cyst fluid rapidly re-accumulates within weeks or months.
- Does not provide definitive tissue diagnosis.
- Can cause chemical leakage into pelvic cavity causing painful adhesions.
Cashless TPA & Insurance Facility
Laparoscopic Ovarian Cystectomy is covered by all corporate insurance policies, Ayushman / state schemes at IMS & SUM Hospital, Bhubaneswar.
OPD consultations at Dumduma Clinic; surgeries conducted at IMS & SUM Hospital with 24x7 advanced modular OT backup.
Why Choose Dr. Manisha Kumari for Cystectomy?
- Dedicated Ovarian-Sparing Approach: Protecting normal ovarian tissue and follicular pool during dissection.
- No Thermal Damage to Follicles: Strict reliance on mechanical stripping rather than excessive electrocautery.
- Endo-Bag Safety Standards: Ensuring zero chemical leak or peritoneal contamination.
- Emergency Torsion Readiness: 24x7 surgical intervention at IMS & SUM Hospital for acutely twisted cysts.
- Seamless Post-Op Fertility Support: In-house ovulation induction and follicular monitoring following surgery.
- Complete Cashless Insurance: Dedicated staff assistance for smooth hospital admission and claim approval.
- Dual Practice Locations: Dumduma Clinic OPD & IMS & SUM Hospital, Bhubaneswar.
Frequently Asked Questions
Common questions regarding ovarian cyst removal, fertility, and recovery.
When performed by an expert laparoscopic surgeon using micro-dissection stripping and avoiding thermal coagulation, the impact on healthy ovarian reserve is negligible. In fact, removing an expanding endometrioma relieves chronic inflammation that would otherwise damage neighboring egg follicles.
Simple cysts under 5 cm that produce no symptoms are often monitored with serial ultrasound scans over 2 to 3 months. Surgery is recommended if a cyst exceeds 5 cm to 6 cm, is solid/complex (dermoid or endometrioma), causes severe pelvic pain, or presents an acute risk of ovarian torsion (twisting).
Ovarian torsion occurs when an enlarged cyst causes the ovary to twist on its blood supply stem. This cuts off oxygen flow, causing sudden, excruciating lower abdominal pain and nausea. Immediate emergency laparoscopy to untwist the ovary and remove the cyst is required within hours to save the ovary.
Most patients are discharged within 24 hours and can resume light desk work and daily household activities in 4 to 7 days. Strenuous workouts and heavy weight lifting can usually be resumed after 3 to 4 weeks.