Ovarian cystectomy - Indications and Complications

Complications

 * 1) Hemorrhage
 * 2) Infection/abscess
 * 3) Too much damage to functional ovarian tissue or tube
 * 4)  Premature menopause
 * 5)  Decreased fertility
 * 6)  Ectopic pregnancy
 * 7) Spreading unanticipated malignancy
 * 8) Spillage of caustic/irritant material (18%)
 * 9) Recurrence of ovarian cyst
 * 10) Unintentionally leave behind necrotic tissue
 * 11) Ureteral injury
 * 12) Persistent pain
 * 13)  Ovarian remnant syndrome
 * 14)  Residual scarring
 * 15) Ovarian vein thrombosis

Prevention of Complications

 * 1) Hemorrhage
 * 2) close dead space
 * 3) avoid hilum
 * 4) Infection/abscess
 * 5) close dead space
 * 6) avoid necrotic tissue
 * 7) avoid extensive cautery (use pinpoint if needed)
 * 8) Too much damage to functional ovarian tissue or tube
 * 9)  Premature menopause
 * 10) identify any remaining normal germinal epithelium
 * 11) use instruments that limit lateral spread
 * 12) avoid hilum (compromising the blood supply)
 * 13)  Decreased fertility
 * 14)  Ectopic pregnancy
 * 15) Spreading unanticipated malignancy
 * 16) use bag
 * 17) avoid rupture
 * 18) decompress using suture around sucker
 * 19) Spillage of caustic/irritant material (18%)
 * 20) Recurrence of ovarian cyst
 * 21) suppress medically
 * 22) cystectomy not cautery
 * 23) Unintentionally leave behind necrotic tissue
 * 24) Ureteral injury
 * 25) Persistent pain
 * 26) Ovarian remnant syndrome
 * 27) Residual scarring
 * 28) Ovarian vein thrombosis
 * 29) avoid injury to ovarian vessels (IP ligament)