An ovarian cyst is a fluid - filled sac that forms on the ovary.

they are very common and do not usually

cause and symptoms. the main cause of the ovarian cysts is endocrine disorders.
Most ovarian cysts present little or no discomfort and are harmless. The majority disappears without
treament within a few months.
But in a rare case, your doctor may detect the complications:
cancerous cystic ovarian mass
ovarian torsion
ruptured cysts.
Cystectomy is a procedure that is employed to remove the persistent cyst. the surgery can be performed in
two ways based on the size and number of cysts, your overall health and the availability of treatment
options.
Laparoscopy (less invasive and close surgery)
Laparotomy (more invasive and open surgery)
In your case, we will choose to perform laparotomy. Because, while ultrsound shows very large tumor
size, over 20 mm.
We have scheduled your surgery for Next Monday.
About laparotomy, this procedure involves the following steps:
a single large cut will be made in your lower belly.
The cyst is taken out and sent to the lab for testing.
if it is cancerous, some of surrounding healthy tissues will be removed to ensure no cancer cells is left
inside the body.
the cut will be closed with the help of stitches and staples.
A sub-cuticle suture is going to to be used for skin repair.
In a laparotomy, you’ll have to stay in the hospital for a few days after surgery, maybe four days. Once the
effect of anaesthesia wears off, you will be shifted to the recovery room and will be taken care of as per
your doctor’s instructions.
Once you are discharged, you will have to take care of a few things which are advised to be avoided during
the recovery period, such as:
 Avoid lifting children or heavy weights.
 Remove any slippery mats or rugs and even slippers without a good grip. These may cause
accidental falls and you may get hurt.
  If you are facing difficulties in sitting, standing or walking around the house, get grab bars installed
in your house that will aid in walking.
 Do not touch the wound with dirty hands and always use the prescribed medicine for applying a
dressing. 
 Avoid taking any traditional herbs or alternative medicine prescriptions as they may either hinder
the effect of the medicines prescribed by your procedure or even react with them, which can be
harmful.
Certain risks and complications are associated with this surgery, which may be seen after the procedure.
 Fever and wound infection
 Body weakness
 Irregular menstrual cycles
 In the case of hysterectomy, you will not be able to bear children in future.
 Recurrence of the cyst.
 Bleeding from the surgical site.
 Abnormal vaginal bleeding or foul-smelling discharge.