Ovarian Dermoid Cyst

Posted , 5 users are following.

Hi guys,

I found that I have a ovarian dermoid cyst in my left ovary about 8cms big. I was just wondering if whether laproscopic or laparotomy surgery method is better for removing the cyst/having a better chance of preserving the ovary. 

I have been to two gynecologist specialist and have been told two different opinions and now I feel abit stressed. One specialist told me that he wishes to operate through laparoscopic surgery to remove the cyst as there is no need to cut my open and can be done through keyhole, the other specialist stating that laparotomy would be the better option as it has a higher chance of preserving/saving my ovary keeping it intact and stated that by doing it through laparoscopic surgery it will have lower chances of being able to save the ovary, also stating that laparotomy would have a 50% higher chance of success.

I understand that every specialist has their own method of operating and what they are specialised in but now I feel confused and stressed as to which method of surgery would be best. So I wanted to come and ask if anyone has experienced either surgerys or has any advice, or information on this it would be much appreciated. 

Thank you!

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9 Replies

  • Posted

    Hi 

    I'm in a position where I have a dermoid cyst on both ovaries 6cm on left 2cm on right after have an appointment with gyo consultant and blood test results coming back normal I was advised I would have to have laparotomy (open surgery) I was gutted as was hoping for quick recovery with laparoscopic. I was advised open as like you they want to try and salvage as much ovary as possible as I am only 34 yrs already have my children however don't really want early menopause if can help it.  I was considering a second opinion but I suppose would be in the same position as you unsure where to go.  My consultant advised open best for me so can get ovary out as content of dermoid cyst not good if leaks into body.  I'm still very anxious about the whole situation but I am going with her advice and experience.

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  • Posted

    Hi Carly!

    Thank you so much for your reply. I feel abit less stressed knowing that another specialist has recommened the same procedure for removing a dermoid cyst because whenever I research removal of dermoid cyst usually laproscopic surgery comes up and I read threads where usually thats the preferred method. I am only 20 years old sad and having this surgery makes me quite upset. I have also been told there's a 10% chance of dermoid cyst growing in my other ovary.. so since I'm so young I want to do as much as possible to preserve as much ovary as possible.

    What my specialist said was the exact same thing as your specialist. Open would be best to try saving as much ovary as possible, where laprosopic would have a higher chance of spillage and not being able to carefully remove the dermoid from the cyst etc. 

    Would you happen to have a email where I could contact you further. I have a few other questions I would like to ask you, if that is okay with you! 

     

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  • Posted

    Hi hun!! I know exactly what your going through since i've been dealing with this for the last 2 months. Im having surgery in 2 days and my obgyn is going to try and do it through laparoscopy , however my cyst on the left side is 12 cm and a have a smaller one on the right , she mentioned if they feel during laparoscopy that she cant manage to complete the surgery they will go ahead and open me up. so it all depends on the surgeon. MIne is willing to dive into laparotomy during the surgery if the first method isnt succefull. Deffinitly would ask the one your more comfortable with. I personally googled , yelped, health md the obgyn that is perfroming my surgery and got some previous reviews on the methods and surgerys she has preformed.
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  • Posted

    Hi 

    It's very anxious time I really don't want the surgery but know it's the only way with this kind of cyst, I have never had any kind of surgery before so very worried about being put to sleep. You can ask me any questions I don't really want to post my email adress on here if that's ok, but ask away I will try and help.

    could I ask what symptoms you had/have with the cyst mind are very strange some days I feel terrible but pain in pelvis/back etc and other days nothing. I have no obvious swelling so unsure where this thing is hiding !

    i am located in the midlands, haven't been given date yet on surgery but have had my pre-op appointment, whole process is very scary for me as I suffer with anxiety so this isn't helping.

    maria what type of cyst do you have? How quickly did you get you operation date 

    thanks 

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    • Posted

      Hey carly!! i have a complex dermoid cyst both on my left and right side. The left side one is 12 cm and not sure about my right. It happened about 2 months ago and got my appt pretty quick. Be prepared to have ultasounds, ct scans , blood test all before your pre op.
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    • Posted

      The symptons i had - I felt perfectly fine.. then out of no where I kept feeling a sharp pain in my lower left abdomen (felt as if I was being stabbed haha) I thought it was my stomach playing up. Then the pain lasted after a few days didn't go away.. 1 week past and I told myself this is definitely not normal. So I went to see my GP and she told me to do a ultrasound and a CT scan and the dermoid was found! 

      Now the pain is better, heaps better! It comes and goes.

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  • Posted

    Thanks for the reply guys!

    That's what my first surgeon the one who preferred the keyhole method stated (keyhole but if my dermoid is too complicated or if anything occurs he will have to cut me open) so I went back to my other specialist who initially wanted to do open surgery and told her this she stated that her open cut method is still preferred, as it will be less chance of spillage, also she will be able to much better job. I guess that is her method and what she is trained in/believes works in better. But I feel anxious because I don't know who to choose if I choose the keyhole method and during the operation anything happens or goes wrong and I wake up without an ovary.. I will be pretty devasted and blame myself for not just sticking with open cut surgery.

    Could I ask did both of your surgeons state what were the chances of saving/preserving your ovaries?

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  • Posted

    I had key hole surgery to remove my dermoid cyst 2 weeks ago, apparently it was a tricky cyst to remove but they managed it without removing the ovary. My gynae consultant says that he rarely removes them via a laporotomy, he would only do this if they were on the very large side.

    I am feeling pretty well the only issue I have now is the shoulder tip pain from the gas. Also my period is late is this common after gynae surgery & I'm not pregnant.

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