Laparoscopic Surgery to Remove a Large Ovarian Tumor – Preserving Fertility for a Young Patient

The patient came to the hospital with persistent dull abdominal pain lasting for several months, which worsened during movement or physical activity,

significantly affecting her daily life.

Upon gynecological examination and ultrasound, doctors detected a right ovarian mass measuring approximately 10 cm. Laparoscopic surgery was indicated to remove the tumor while preserving the surrounding healthy ovarian tissue.

A complex but safe and effective surgery

The surgery lasted about one hour. With the support of advanced laparoscopic technology, the surgical team carefully dissected and completely removed the tumor without damaging adjacent tissues.

Certain patient-related factors, such as weight, or age, can sometimes increase the complexity of anesthesia management and laparoscopic procedures. In this case, thanks to the seamless coordination between the Anesthesiology–Intensive Care team and the Obstetrics–Gynecology surgeons, along with careful preoperative planning, the surgery was completed safely and successfully. There was no need to conduct open surgery and, as a result, the patient recovered quickly.

After surgery, she was monitored for one day at the hospital. Her condition was stable, the pain subsided, and she was able to return to normal activities shortly after.

Early detection – the key to fertility preservation

According to Dr. Cao Thi Thuy Ha, Deputy Head of the Department of Obstetrics and Gynecology, who directly performed the surgery:

“Ovarian tumors are among the most common gynecological conditions in women, especially those of reproductive age. Many cysts develop silently without clear symptoms, so patients may not notice them until the tumor becomes large or complications occur.”

“If detected early, the condition can be treated with laparoscopic surgery – a minimally invasive approach that causes less pain, shortens hospital stay, and allows faster recovery. Conversely, when the tumor grows large or complications arise, the risk of having to remove the ovary is very high.”

Potential complications of untreated ovarian tumors include:

• Torsion of the cyst: often occurs during pregnancy or postpartum and requires emergency surgery.
• Rupture: causes internal bleeding, which can be life-threatening.
• Infection: leads to adhesions between the tumor and nearby organs.
• Compression: when the mass presses on the rectum, bladder, or major veins.
• Malignant transformation.

Doctors’ advice for women:

• Have regular gynecological check-ups to detect abnormalities early.
• Seek medical attention if experiencing menstrual irregularities, pelvic or lower back pain, or abdominal bloating.
• Maintain a healthy lifestyle and optimal weight to reduce hormonal imbalance and gynecological disease risks.

The Department of Obstetrics and Gynecology at Hanoi French Hospital is a trusted destination for women of all ages, offering comprehensive care – from consultation and treatment to advanced surgery. Patients are treated by a team of experienced doctors trained in both Vietnam and France, supported by state-of-the-art medical equipment meeting international standards.

The department particularly focuses on minimally invasive and fertility-preserving surgical techniques, helping patients recover quickly and return to normal life – fulfilling their role as mothers in the most complete way.