Although in most instances ovarian dermoid cysts are harmless, it is still considered best practice to have them removed surgically. This is because it can continue to grow and cause peritonitis, a potentially fatal infection of the abdomen. Additionally, if they are not treated ovarian torsion can develop, this can restrict blood flow to the ovaries and eventually cause fertility problems. Women of childbearing age are encouraged to remove dermoid cysts because the risks of ruptures increase with pregnancy.
Treatment of Dermoid Cyst Removal
Removal a dermoid cyst is done under local anesthesia. Dermoid cyst should be removed in an outpatient setting and you can go home the same day; except when the cyst is cancerous and you should do an open surgery. In these cases, you will need to stay in the hospital for one or more nights. There are two types of surgery:
If the cyst is large or appears suspicious for cancer, it may be necessary to have an open incision (called a laparotomy) and the surgeon may need to remove the entire ovary and surrounding tissues. If there is suspicion of cancer, the whole ovary must be removed since cutting into a cancerous cyst may lead to cancer spread. In some cases, the whole ovary is removed and the cyst turns out to be benign. Having one ovary removed will not cause you to go through menopause and will not cause you to be infertile.
This procedure would ensure removal of adequately seen tissues or parts of the dermoid cyst. This is an advantage of laparotomy, the surgeon or the gynecologist has a full view of the operative area. As a result of this the recurrence rate is zero. However, the healing time or recovery time of the patient would be longer due to the larger incision made.
Laparoscopic surgery is a kind of minimally invasive surgery which entails the use of a scope to remove the cyst. This kind of surgery is recommended for dermoid cysts that are mild to moderate in size. The advantage of laparoscopic surgery is that there is a smaller incision size compared to the conventional way of removing the cyst. Because of the small incision, patients will have a faster recovery and fewer scars or keloid is formed. Patients also have less pain after operation.