Laparoscopic Ovarian Surgery

Laparoscopic ovarian surgery, or keyhole surgery, is a surgical procedure done to treat specific problems related to the ovaries, most commonly benign ovarian cysts. It may also be used for certain other conditions.  It is usually suggested when an ovarian condition does not improve with medicines or when scans show changes that need surgical treatment. The surgery is done using minor cuts on the abdomen instead of a large cut. As a result, pain and recovery time are often less than with open surgery. 

Laparoscopic ovarian surgery offers comfort from long-lasting ovarian issues using minimal invasion. It is commonly performed at Gleneagles Hospitals as part of routine gynaecology care.

Laparoscopic ovarian surgery is a minimally invasive operation in which a small camera called a laparoscope is used to see the ovaries. The camera sends images to a screen so the surgeon can operate through small openings in the abdomen.

This surgery is used for conditions such as ovarian cysts, endometriosis involving the ovaries, ovarian torsion, or ovarian problems that are not clearly understood through scans alone. In many cases, the surgeon tries to treat the problem while keeping as much healthy ovarian tissue as possible.

Laparoscopic ovarian surgery is used for different ovarian problems, not just one condition. The procedure is not the same for everyone. It is chosen based on what is seen on the scan and what problem is present at that time.

Standard laparoscopic ovarian procedures include:

• Laparoscopic ovarian cystectomy: where the cyst is removed, and the ovary is left behind. This is commonly done when the ovary itself appears healthy.

• Laparoscopic oophorectomy: where one ovary is removed if it is badly affected. In some situations, both ovaries may need to be removed, depending on the disease and overall health.
• Laparoscopic salpingo-oophorectomy: the ovary is removed along with the attached fallopian tube. This may be done on one side or both sides, based on the condition.
• Laparoscopic surgery for ovarian endometriosis: endometriotic tissue affecting the ovary is removed or treated to relieve symptoms and prevent progression.
• Laparoscopic cyst aspiration: fluid is drained from a cyst. This is usually considered only in selected cases and not as a routine treatment.

• Robotic-assisted laparoscopic surgery: an advanced approach that is used in selected complex ovarian procedures.

At Gleneagles Hospitals, the choice of procedure is decided after reviewing scan reports, symptoms, and individual patient needs, with attention given to safety and future fertility where relevant.

Laparoscopic ovarian surgery is not needed for every ovarian problem. Doctors suggest surgery only when it is clearly required.

This surgery is usually done in situations such as:

• Ovarian cysts that are causing regular pain

• Cysts that do not settle over time
• Ovarian changes are seen along with endometriosis
• Sudden lower abdominal pain linked to a twisted ovary

• Pelvic pain where scans show an ovarian finding

At Gleneagles Hospitals, doctors usually review the scan reports with the patient and discuss whether surgery is needed, taking the overall situation into account.

Laparoscopic ovarian surgery may not be the preferred option in some medical situations.

This includes cases such as:

• Long-standing heart or breathing illness

• Dense internal scarring from earlier abdominal or pelvic surgery
• Scan findings suggesting advanced ovarian disease

• Medical conditions where general anaesthesia is not suitable

In such cases, the surgical plan is adjusted after reviewing the reports.

The Procedure of Laparoscopic Ovarian Surgery:

Before surgery, the doctor reviews scan reports and blood test results with the patient and outlines how the surgery will be performed. As part of routine preparation:

• Food and water are stopped before surgery

• Regular medicines are checked

• Existing health issues are noted

This process is followed as part of standard surgical care at Gleneagles Hospitals.

During the Procedure:

The surgery is done under general anaesthesia. Minor cuts are made on the abdomen, usually near the navel. Gas is filled to create space, allowing the organs to be seen clearly.

The laparoscope and instruments are inserted through these cuts. The surgeon then performs the required procedure on the ovary. After completion, the instruments are removed, and the cuts are closed.

After Laparoscopic Ovarian Surgery:

After surgery, the patient is always kept in recovery for observation. Most women are encouraged to start moving within a few hours.

Some usual experiences include:

• Mild pain near the incision sites

• Shoulder discomfort due to the gas used

• Feeling tired for a day or two

Pain medicines are given if required. Many patients go home within one day, depending on recovery.

Laparoscopic ovarian surgery is a commonly used approach in gynaecological practice. Most patients do well after the procedure, though it is essential to understand that every surgery carries some risks.

These may include:

• Anaesthesia-related issues, which are assessed and monitored carefully before surgery

• Bleeding, either during surgery or in the immediate recovery period
• Blood clots, particularly in patients with certain medical risk factors
• Infection occurring at the incision sites is usually managed with medicines
• Injury to nearby organs, such as the bladder or bowel, is uncommon but possible

At Gleneagles Hospitals, laparoscopic ovarian procedures are performed regularly by the gynaecology team. Careful pre-surgical assessment, planned surgical steps, and close postoperative monitoring are followed to keep the risk of serious complications as low as possible.

At Gleneagles Hospitals, laparoscopic ovarian surgery is carried out through the gynaecology department for patients who require surgical management of ovarian conditions.

• Laparoscopic surgical systems

  Ovarian procedures are carried out using standard laparoscopic equipment designed for minimally invasive surgery, allowing controlled visual access during the operation.

• Operating theatre setup

  Surgeries are performed in operation theatres configured for laparoscopic procedures, with imaging and monitoring systems in place.

• Gynaecology team

  The gynaecology team handles laparoscopic ovarian procedures as part of regular surgical work.

• Anaesthesia and nursing care

  Anaesthesia and nursing staff are involved during the procedure for surgical support and monitoring.

• After-surgery care

  Patients are kept under observation after surgery and reviewed during recovery as needed.

Ovarian conditions do not always follow a single pattern, and treatment is not the same for everyone. Surgery is usually chosen only after reviewing symptoms, scan findings, and earlier treatments together. At Gleneagles Hospitals, laparoscopic ovarian surgery is handled by the gynaecology team using established surgical systems and minimally invasive techniques, with the approach discussed clearly with the patient. Patients may contact the hospital for consultation.