Dr. Konstantinidis MD, PhD, FACS - General Surgeon & Director of Bariatric, Laparoscopic & Robotic Surgery of Athens Medical Center.
Hemorrhagic ovarian cysts are a common condition in women. Usually, they are quite small to cause problems, but there are cases that require surgical removal.
Thanks to the development of minimally-invasive surgery, resection of symptomatic ovarian cysts can be performed with even greater safety and efficiency than in the past, ensuring the least possible injury of tissue and a sensitive -and precious for the female fertility- anatomical area.
What Are Hemorrhagic Ovarian Cysts?
Hemorrhagic ovarian cysts usually occur in women who have not entered menopause. They develop during ovulation, as any hypertrophy in the follicles can result in bleeding.
Having hemorrhagic ovarian cysts is not necessarily a problem unless it is complicated by a rupture in the abdomen or if it causes severe symptoms.
What are the symptoms of Hemorrhagic Ovarian Cysts?
Hemorrhagic ovarian cysts are asymptomatic and are usually detected during a pelvic exam carried out for another reason.
Sometimes, however, they are accompanied by severe pain, which may coincide with menstruation or ovulation.
Do Hemorrhagic Ovarian Cysts Affect Fertility?
In general, hemorrhagic ovarian cysts do not have a negative impact on fertility.
Even if one ovary eventually needs to be removed, as long as the other ovary remains healthy, the woman can still conceive normally.
The only case in which there is an impact on fertility because of hemorrhagic ovarian cysts is when cysts develop in both ovaries.
How are Hemorrhagic Ovarian Cysts diagnosed?
The diagnosis of hemorrhagic ovarian cysts is made through imaging tests, such as:
- MRI or CT scan
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Ovarian Cyst Resection
How Are Hemorrhagic Ovarian Cysts Treated?
Treatment for hemorrhagic ovarian cysts depends on the size of the cyst and the severity of the symptoms.
In small or medium-sized cysts that do not cause pain or other symptoms, your doctor may recommend a simple follow-up.
This usually involves carrying out a pelvic ultrasound once every few months to check if the cyst is growing.
No further treatment is usually needed, as in many cases the cyst disappears on its own in a few months.
If a cyst is larger than about 10 cm, or if it causes pain and other symptoms, then doctors usually recommend surgery to have it removed.
Some cysts can be resected without removing the entire ovary. However, if the cyst has damaged the ovary to the point where healthy tissue cannot be saved, then the entire organ is removed.
The resection of the cyst or – if necessary – the removal of the entire ovary is now performed with minimally invasive methods of laparoscopic surgery or robotic surgery which is the evolution of the former.
What is Robotic Ovarian Cyst Resection?
The use of robotic tools has enhanced the effectiveness of laparoscopic surgery, minimizing the pain, discomfort, complications, and recovery time of surgery for the patient.
Robotic ovarian cystectomy aims to remove various types of growths and formations in the ovaries using specially designed tools, which are smaller than those of traditional laparoscopic surgery.
During the operation, the surgeon navigates the robotic tools from a console while the patient is at the operating table. After a few small incisions are made, the surgeon inserts the tools and locates the cysts.
The cysts are then removed from the ovaries.
After the removal of the cysts, the incisions are sutured, and the patient can recover.
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Why Dr. Konstantinidis?
The Robotic Surgery Team of Athens Medical Center, under the direction of Dr. Konstantinidis, with the participation of experienced gynecologists, has performed a large number of robotic resections of ovarian cysts with exceedingly high success rates and patient satisfaction.
Combining the latest developments in medical technology and science with respect and sensitivity to each patient, Dr. Konstantinidis and his Surgical Team offer innovative treatments with respect and compassion for the patient.