Role of Minimally Invasive Surgery in Managing Ovarian Cysts: A Study of Postoperative Recovery

Authors

  • Dr. Nishat Anam Borna Jr. Consultant, Department of (Gyn & Obs), Upazila Health Complex, Paba, Rajshahi Author
  • Dr. Mst. Manzuda Khatun Consultant (Sonologist), Peerless Diagnostic & Hospital, Naogaon Author
  • Khondokar Seheli Nasrin Lina Assistant Professor, Department of Gynae & Obs, Rajshahi Medical College Hospital, Rajshahi, Bangladesh Author
  • Wahida Khatun Junior Consultant, Department of Gynae & Obs, Rajshahi Medical College Hospital, Rajshahi, Bangladesh Author

DOI:

https://doi.org/10.70818/iarjmsr.2024.v05i05.0139

Keywords:

Minimally Invasive Surgery, Ovarian Cysts, Laparoscopic Surgery, Postoperative Recovery, Patient Satisfaction

Abstract

Background: Ovarian cysts are a prevalent condition among women, and minimally invasive surgery (MIS) has been increasingly adopted due to its benefits in recovery and outcomes. Objective: This study evaluates the postoperative recovery of patients undergoing MIS for ovarian cyst management in tertiary hospitals in Bangladesh. Method: A cohort of 104 patients from a multicenter tertiary hospital in Bangladesh, treated between January 2023 and December 2023, underwent laparoscopic surgery for ovarian cysts. Data on postoperative recovery, pain levels, complication rates, and return to daily activities were collected over a 6-month follow-up period. Statistical analysis was used to calculate the mean, percentages, and recovery trends. Results: The mean postoperative pain score was 2.1 on the Visual Analog Scale (VAS), with 87% of patients reporting mild pain (VAS 1–3) within 24 hours post-surgery. The average time to return to daily activities was 9.6 days, and 92% of patients resumed normal routines within 10 days. The mean hospital stay was 2.4 days (range: 1–4 days), with 96% of patients discharged within 3 days. Only 4.8% of patients experienced minor postoperative complications, such as wound infections. There were no reported cases of major complications, such as organ injury. Cosmetic outcomes were rated highly, with 94% of patients satisfied with the minimal scarring from the procedure. Conclusions: Minimally invasive surgery is highly effective in managing ovarian cysts, with short recovery times, minimal complications, and high patient satisfaction. These results support MIS as a first-line treatment for ovarian cysts.

References

Ball, E., Waters, N., Cooper, N., Talati, C., Mallick, R., Rabas, S., ... & Saridogan, E. (2019). Evidence-based guideline on laparoscopy in pregnancy: commissioned by the British Society for Gynaecological Endoscopy (BSGE) endorsed by the Royal College of Obstetricians & Gynaecologists (RCOG). Facts, views & vision in ObGyn, 11(1), 5.

Nama, A., Kochar, S., Suthar, N., Kumar, A., & Solanki, K. (2020). Accuracy of Karman endometrial aspiration in comparison to conventional D and C in women with AUB at tertiary care hospital in North West Rajasthan. Journal of Family Medicine and Primary Care, 9(7), 3496-3501.

Eisenberg, N., Volodarsky-Perel, A., Brochu, I., Tremblay, C., Gorak, E., Hudon, E., ... & Rivard, C. (2021). Short-and long-term complications of intraoperative benign ovarian cyst spillage: a systematic review and meta-analysis. Journal of Minimally Invasive Gynecology, 28(5), 957-970.

Richards, T., Baikady, R. R., Clevenger, B., Butcher, A., Abeysiri, S., Chau, M., ... & Klein, A. (2021). Preoperative intravenous iron for anaemia in elective major open abdominal surgery: the PREVENTT RCT. Health Technology Assessment (Winchester, England), 25(11), 1.

Wang, X., & Li, Y. (2021). Comparison of perioperative outcomes of single-port laparoscopy, three-port laparoscopy and conventional laparotomy in removing giant ovarian cysts larger than 15 cm. BMC surgery, 21, 1-9.

Hizkiyahu, R., Yahav, L., Yakovi, S., Davidesko, S., Abecassis, A., & Weintraub, A. Y. (2020). Short-and long-term outcomes of intraoperative spillage during laparoscopic removal of benign ovarian cysts. Surgical Endoscopy, 34, 3883-3887.

Bisch, S. P., Jago, C. A., Kalogera, E., Ganshorn, H., Meyer, L. A., Ramirez, P. T., ... & Nelson, G. (2021). Outcomes of enhanced recovery after surgery (ERAS) in gynecologic oncology–A systematic review and meta-analysis. Gynecologic oncology, 161(1), 46-55.

Weston, E., Noel, M., Douglas, K., Terrones, K., Grumbine, F., Stone, R., & Levinson, K. (2020). The impact of an enhanced recovery after minimally invasive surgery program on opioid use in gynecologic oncology patients undergoing hysterectomy. Gynecologic oncology, 157(2), 469-475.

La Verde, M., Riemma, G., Tropea, A., Biondi, A., & Cianci, S. (2022). Ultra-minimally invasive surgery in gynecological patients: A review of the literature. Updates in surgery, 74(3), 843-855.

Hizkiyahu, R., Yahav, L., Yakovi, S., Davidesko, S., Abecassis, A., & Weintraub, A. Y. (2020). Short-and long-term outcomes of intraoperative spillage during laparoscopic removal of benign ovarian cysts. Surgical Endoscopy, 34, 3883-3887.

Tsiampa, E., Spartalis, E., Tsourouflis, G., Dimitroulis, D., & Nikiteas, N. (2021). Impact on ovarian reserve after minimally invasive single‐port laparoscopic ovarian cystectomy in patients with benign ovarian cysts: a systematic review and Meta‐analysis. International Journal of Clinical Practice, 75(12), e14875.

Patel, T. L., & Chouhan, G. (2023). Clinical study on ectopic pregnancy. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 12(2), 382-387.

Eisenberg, N., Volodarsky-Perel, A., Brochu, I., Tremblay, C., Gorak, E., Hudon, E., ... & Rivard, C. (2021). Short-and long-term complications of intraoperative benign ovarian cyst spillage: a systematic review and meta-analysis. Journal of Minimally Invasive Gynecology, 28(5), 957-970.

Bartels, H. C., Rogers, A. C., Janda, M., Obermair, A., & Brennan, D. J. (2020). Quality of life following minimally invasive hysterectomy compared to abdominal hysterectomy: A metanalysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 252, 206-212.

Kasaven, L. S., Jones, B. P., Ghaem-Maghami, S., Verbakel, J. Y. J., El-Bahrawy, M., Saso, S., & Yazbek, J. (2022). Study protocol for a randomised controlled trial on the use of intraoperative ultrasound-guided laparoscopic ovarian cystectomy (UGLOC) as a method of fertility preservation in the management of benign ovarian cysts. BMJ open, 12(7), e060409.

Orri, M., Côté, S. M., Tremblay, R. E., & Doyle, O. (2019). Impact of an early childhood intervention on the home environment, and subsequent effects on child cognitive and emotional development: A secondary analysis. PloS one, 14(7), e0219133.

Levytska, K., Yu, Z., Wally, M., Odum, S., Hsu, J. R., Seymour, R., ... & Watling, B. (2022). Enhanced recovery after surgery (ERAS) protocol is associated with lower post-operative opioid use and a reduced office burden after minimally invasive surgery. Gynecologic Oncology, 166(3), 471-475.

Zhang, C., Duan, K., Fang, F., Wu, L., Xu, Q., Delgado, S., ... & Guan, X. (2021). Comparison of transvaginal and transumbilical laparoscopic single-site surgery for ovarian cysts. JSLS: Journal of the Society of Laparoscopic & Robotic Surgeons, 25(2).

Casarin, J., Laganà, A. S., Uccella, S., Cromi, A., Pinelli, C., Gisone, B., ... & Ghezzi, F. (2020). Surgical treatment of large adnexal masses: a retrospective analysis of 330 consecutive cases. Minimally Invasive Therapy & Allied Technologies, 29(6), 366-374.

Lin, Y., Liu, M., Ye, H., He, J., & Chen, J. (2020). Laparoendoscopic single-site surgery compared with conventional laparoscopic surgery for benign ovarian masses: a systematic review and meta-analysis. BMJ open, 10(2), e032331.

Alliende, R. I., Carrasco, Á. M., Levancini, M., Kovoor, E., Guzmán-Rojas, R. A., & Miranda-Mendoza, I. (2021). 5,926 hysterectomies: complications described by Clavien–Dindo classification. Journal of Obstetrics and Gynaecology, 41(7), 1102-1106.

Hossain, Q., Yasmin, F., Biswas, T. R., & Asha, N. B. (2024). Integration of Big Data Analytics in Management Information Systems for Business Intelligence. Saudi J Bus Manag Stud, 9(9), 192-203.

Hussain, M. D., Rahman, M. H., & Ali, N. M. (2024). Investigation of Gauss-Seidel Method for Load Flow Analysis in Smart Grids. Sch J Eng Tech, 5, 169-178.

Haque, M. A., Islam, M. I., & Hasan, H. (2024). Successful Surgical Creation and Management of an Arteriovenous Fistula: A Case Report. Asia Pacific Journal of Surgical Advances, 1(1), 34-38.

Hasan, H., Rahman, M. H. ., Haque, M. A., Rahman, M. S. ., Ali, M. S. ., & Sultana, S. . (2024). Nutritional Management in Patients with Chronic Kidney Disease: A Focus on Renal Diet. Asia Pacific Journal of Medical Innovations, 1(1), 34-40.

Islam, M. K. (2020). Proportion of Post-Operative Wound Infection and Associated Factors of Patients Attending General Surgery Wards in Rajshahi Medical College Hospital. Asia Pacific Journal of Nursing Research, 1(1), 21-28.

Biswas, B., Chowdhury, A. S., Akter, S., Fatema, K., Reem, C. S. A., Tuhin, E., & Hasan, H. (2024). Knowledge and attitude about COVID-19 and importance of diet: A cross-sectional study among Bangladeshi people. Bangladesh Journal of Food and Nutrition, 1(1), 04-12.

Rahman, M. H., Rahman, S. S., & Akter, S. (2024). Enhancing Nutritional Security in Bangladesh: Innovations and Challenges. Bangladesh Journal of Food and Nutrition, 1(1), 01-03.

Karadağ, C., Demircan, S., Turgut, A., & Çalışkan, E. (2020). Effects of laparoscopic cystectomy on ovarian reserve in patients with endometrioma and dermoid cyst. Turkish journal of obstetrics and gynecology, 17(1), 15.

Bartels, H. C., Rogers, A. C., Janda, M., Obermair, A., & Brennan, D. J. (2020). Quality of life following minimally invasive hysterectomy compared to abdominal hysterectomy: A metanalysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 252, 206-212.

Mccann, W. D., Hou, X. Y., Stolic, S., & Ireland, M. J. (2023, October). Predictors of psychological distress among post-operative cardiac patients: A narrative review. In Healthcare (Vol. 11, No. 20, p. 2721). MDPI.

Downloads

Published

2024-10-31

Issue

Section

Articles

How to Cite

Borna, D. N. A., Khatun, D. M. M. ., Nasrin Lina, K. S. ., & Khatun, W. (2024). Role of Minimally Invasive Surgery in Managing Ovarian Cysts: A Study of Postoperative Recovery. IAR Journal of Medicine and Surgery Research, 5(5), 32-40. https://doi.org/10.70818/iarjmsr.2024.v05i05.0139

Similar Articles

11-20 of 78

You may also start an advanced similarity search for this article.