Reviewed by: Dr. Priyadatt Patel, Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead. Last updated: 26 May 2026.
Laparoscopy · Ovarian Cystectomy
Laparoscopic Ovarian Cystectomy
Removal of ovarian cysts while preserving the ovary – the fertility-preserving approach for benign ovarian pathology.
When indicated
Cystectomy vs observation
Persistent simple cysts over 6 cm, complex cysts with suspicious features, cysts causing pain or torsion, suspected endometriomas, or dermoid cysts (mature teratomas).
Technique
Ovarian preservation
Stripping of the cyst wall with preservation of healthy ovarian cortex, careful haemostasis using minimal coagulation to preserve follicles, and specimen retrieval in protective bags to prevent peritoneal spillage.
Special considerations
Endometrioma and ovarian reserve
For endometriomas, the balance between thorough excision and ovarian reserve preservation matters. We use precise dissection, minimal energy use on the cortex, and consider AMH before and after surgery.
Common questions
Frequently asked
Can the ovary be saved?
For benign cysts, yes – cystectomy preserves the ovary. Removal of the whole ovary (oophorectomy) is reserved for situations where preservation is not safe.
Will my fertility be affected?
For most cysts, cystectomy minimally affects ovarian reserve. For endometrioma, modest impact may occur. We monitor AMH and counsel accordingly.
What if the cyst is cancerous?
Surgical planning includes frozen section analysis if malignancy is suspected, allowing intraoperative decisions about extent of surgery.
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Dr. Priyadatt Patel
Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead
MS OBGyn · Pregnancy Care · Advanced Gynaecological Ultrasound · Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Endometriosis
Superficial to deep infiltrating, fertility-preserving excision
IVF & Fertility
Individualised protocols, ART Level 2 lab, transparent outcomes
Advanced Laparoscopy
3D Karl Storz precision, nerve-sparing technique
Pregnancy Care
Antenatal care, high-risk pregnancy, advanced ultrasound
Balaji Horizon Women Hospital
Science City Road, Ahmedabad 380060
Mon–Sat 11:00–20:00 · +91 97234 31544
Balaji Women Clinic (AEC)
Naranpura, Ahmedabad
Mon–Sat 08:30–10:30 · +91 70460 02566
