## Laparoscopic Surgery Offers Relief for Woman with Giant Endometrioma
Endometriosis, a gynecological condition affecting roughly 10% of women of reproductive age globally, is often associated with severe pain and can contribute to infertility. Recently, surgeons successfully treated a patient whose quality of life was dramatically impacted by an unusually large ovarian endometrioma.
The patient presented with persistent pelvic pressure, chronic constipation, and debilitating pain. Dr. Bansal, the physician overseeing the case, explained that the size of the endometrioma – a cyst formed by endometrial tissue outside the uterus – was the primary cause of her severe symptoms. “Large ovarian endometriomas are rare, but when they occur, they can put significant pressure on surrounding organs, leading to pain and gastrointestinal issues.Surgery is often necessary to alleviate these symptoms,” he stated.
The treatment involved a complex laparoscopic cystectomy, a minimally invasive procedure focused on carefully removing the cyst while preserving healthy ovarian tissue. The surgical team meticulously planned the operation, utilizing advanced tools and a step-by-step approach. Initially, they aspirated the thick, dark fluid within the cyst to reduce its size and minimize the risk of spillage. This maneuver created crucial visibility and working space, allowing them to carefully separate the cyst capsule from the ovary.
Dr. Bansal emphasized the technical challenges of the procedure. “Given the patient’s age and desire to preserve her fertility, we opted for a conservative surgery. Performing minimally invasive laparoscopic surgery on a 15 cm cyst is technically demanding. We anticipated a restricted working area, the potential for damage to nearby organs like the bowel and bladder, and the critical need to prevent the cyst’s contents from spreading.”
During the surgery, the team discovered the cyst had adhered to the patient’s bowel and omentum.Cautious dissection was performed to isolate the cyst intact. The strategic aspiration of the “chocolate” liquid before removal proved vital for safety and improved surgical access. The team successfully removed the entire endometrioma laparoscopically, avoiding the need for a more invasive open surgery. The patient’s bowels had also become constricted, contributing to her constipation, and adhesions made navigating the anatomy difficult, but these challenges were overcome with advanced laparoscopic tools and the methodical surgical approach.
Following the surgery, the patient experienced a rapid recovery. Her pain subsided, bowel function normalized, and she was able to walk within a day and discharged within two days. Pathology confirmed the cyst was benign, and postoperative hormonal therapy was initiated to reduce the risk of recurrence.
“the patient recovered remarkably well,” Dr. Bansal concluded. “This case demonstrates the effectiveness of advanced laparoscopic surgery in treating even large endometriomas, offering significant relief and improving the quality of life for patients suffering from this debilitating condition.”
*Disclaimer: This article is for informational purposes only and does not constitute medical advice. Please consult with a healthcare professional for any health concerns or before making any decisions related to your health or treatment.*
