Dr. Raman Garg, Senior Surgical Gastroenterologist and Advanced Laparoscopic Surgeon at Bombay Gastro & Cancer Institute, Bathinda, successfully performed laparoscopic removal of a giant 25×20 cm ovarian cyst in a 33-year-old female, demonstrating that even very large abdominal masses can be managed safely through minimally invasive surgery in carefully selected patients.
Patient Presentation
A 33-year-old mentally challenged female presented with recurrent abdominal pain and progressive abdominal distension. MRI of the abdomen revealed a giant complex left ovarian cyst measuring approximately 25×20 cm. Serum CA-125 was within the normal range, suggesting a low probability of ovarian malignancy.
After thorough counselling of the patient's family regarding the diagnosis, treatment options, possible need for conversion to open surgery, and potential intraoperative findings, informed consent was obtained.
Advanced Laparoscopic Surgical Management
Dr. Raman Garg performed a Laparoscopic Left Oophorectomy using advanced minimally invasive surgical techniques. Despite the enormous size of the cyst, the procedure was completed laparoscopically with meticulous dissection and careful handling to minimise the risk of cyst rupture and spillage, while maintaining oncological principles throughout the operation.
Histopathology
Histopathological examination confirmed the lesion to be a Benign Mucinous Cystadenoma of the Ovary, with no evidence of malignancy.
Postoperative Recovery
- Early mobilisation
- Oral diet resumed without difficulty
- Minimal postoperative pain
- No postoperative complications
- Discharged on the second postoperative day in satisfactory condition
Why This Case Is Significant
Giant ovarian cysts measuring 25 cm or larger are uncommon and can mimic other abdominal conditions. Traditionally managed through large abdominal incisions, this case demonstrates that laparoscopic surgery for giant ovarian cysts is feasible when performed by an experienced minimally invasive surgeon.
Benefits of laparoscopic management:
- Smaller incisions & less postoperative pain
- Reduced blood loss
- Faster recovery & shorter hospital stay
- Early return to normal activities
- Better cosmetic outcome
Case Summary
| Operating Surgeon | Dr. Raman Garg |
|---|---|
| Hospital | Bombay Gastro & Cancer Institute, Bathinda |
| Patient | 33-year-old Female |
| Diagnosis | Giant Complex Left Ovarian Cyst (25×20 cm) |
| Procedure | Laparoscopic Left Oophorectomy |
| Histopathology | Benign Mucinous Cystadenoma |
| Outcome | Uneventful recovery, discharged on Day 2 |
Patient identity has been withheld to maintain confidentiality. This case is shared for educational purposes only.
