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Dermoid cysts are formed from eggs which despite not being fertilized by sperm, begin to pathologically divide and develop into masses which may possess characteristic human tissues such as fat, bone and hair. Most ovarian cysts are asymptomatic, however they may cause pain and other symptoms if they are particularly large, rupture, undergo torsion or become infected and hence may need surgical removal. Since the ovaries are responsible for producing the ovum (egg), by removing the ovaries, permanent infertility occurs and patients will never be able to conceive.
A variety of deleterious effects on a woman’s long term health including an increased risk of: premature death, cardiovascular disease, cognitive impairment or dementia, Parkinson’s disease, osteoporosis and bone fractures, a decline in psychological well-being and a decline in sexual function. In order to try and mitigate some of these deleterious effects of a bilateral oophorectomy, Hormone Replacement Therapy (HRT) is usually prescribed, especially in young patients. Our family is now complete, and neither child would be here if it wasn’t for your skill as a surgeon. Mr Trehan is the only doctor who has ever listened to me and understood the cause of my symptoms.
I have seen many doctors over the past 15 years many of them have shown limited compassion, empathy and understanding for endometriosis.
I would like to express our sincere thanks and gratitude for the treatment we received under your care. Thank you so much for everything you did for me in performing the incredible operation earlier this year. Despite all the awards you have won for being such an outstanding and innovative surgeon, the biggest thing for me is that you have never lost sight of your patients! We have been trying for 3 Years and this is the first possible month after my operation that it was possible to fall pregnant and I did. It quickly became apparent that all I had heard about you from some of your patients, and peers is correct. It has been my first day back at work and I have been inundated with people telling me how much happier I look. I am so thankful that I was able to be treated by my consultant of choice & In my opinion the best gynae surgeon in the country!
I would like to thank you for the genuine concern, commitment and dedicated care you always gave me. My quality of life has improved drastically and I can only thank you once more for what you have done for me. Once again I would like to thank you for your expert care and attention and to let you know that everything is well with me. Ovarian cysts are commonly observed in women of childbearing ages and are characterized as fluid filled sacs that get formed over the ovary, during maturation of one or more ovarian follicles.
There is ability of certain ovarian cells to get differentiated into various types of cells and occasionally, when cyst gets formed in such cells it is referred as dermoid cysts. These can be the cause of trouble in case, cysts get enlarged as then these may lead to pain. PCOS is extremely common and occurs in around 4 to 7% women of reproductive ages and is known to be associated with high risk of endometrial cancer.
These are non cancerous cysts that are usually filled with liquid and are usually formed on the outer surface of ovaries and are referred as cyst adenomas. These cysts are formed in women with endometriosis, where tissue from uterine inner lining start growing on ovaries, fallopian tubes and other organs present outside of the uterus. Such endrometriomas affect women in reproductive years and can result in chronic pain during menstruation and sexual intercourse.


These cysts are formed either on the fallopian tubes or along the sides of ovaries and usually mimic the usual cysts of the ovaries. Are you tired of seeing that paunch coming out right from under your snug t-shirts or paunch.
Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. After the follicle ruptures and releases the egg (ovum), a corpus luteum forms which releases hormones. They may be either “serous” (containing a clear water like fluid) or “mucinous” (containing a thick, viscous fluid). During this procedure, the cyst is specifically separated from the ovary and then removed from the pelvic cavity. Trehan has demonstrated that no matter how large the ovarian cyst, the ovarian cyst itself can always be removed whilst leaving the ovaries themselves in tact. Further, even after natural menopause, the ovaries produce significant quantities of the male hormones androstenedione and testosterone which are converted to oestrogen in the female body, and these hormones are important for a woman’s health. Unlike natural menopause, these changes caused by a bilateral oophorectomy are abrupt and dramatic due to the sudden loss in ovarian hormones. However, studies have shown that long term HRT use significantly increases the risk of cardiovascular disease, strokes, deep vein thrombosis (DVT – clots in the legs) resulting in pulmonary embolism (potentially fatal clots which migrate to the lungs) and breast cancer. Trehan’s opinion, under no circumstances should a woman’s ovaries be removed in order to treat ovarian cysts; even if a cyst is present only on one ovary, future problems with the remaining ovary can result in the above problems.
Trehan during the laparoscopic removal of large (greater than 10cm in diameter) dermoid cysts on both ovaries in the same patient (ie.
Trehan which described a case in which he removed of a large ovarian cyst during pregnancy can also be viewed by clicking here. Trehan performs all benign gynaecological procedures, including cystectomies via laparoscopic (keyhole) surgery as it is associated with less post-operative pain and complications, a quicker recovery and a far superior cosmetic appearance when compared to laparotomy (open surgery). Me and my fiancee will always remember you fondly as the man who gave us the best wedding present imaginable. You understand what it’s like to live with the condition, you are always there for your patients and you have our best interests at heart.
I know it is early days yet, but I wanted to say a huge thank you for you to have made it possible.
My husband and I again thank you sincerely for your expertise and skill operating and advising us about my endometriosis. You have that rare combination of expertise and genuine concern for your patient’s well being. You are a true star & will always be a special person to have had an impact on my life. After suffering for so many years, I am now looking forward to being pain free and can get on with my life. I always had complete confidence in you and never ever felt like just another number or statistic. I have been feeling so much better and my quality of life has improved with my ability to work every day throughout the month.
I am now managing to work 30 hours per week which would have been unthinkable only a short time ago. Ovarian follicles contain eggs within them and normally release them in fallopian tube for reproduction to begin.


Though, most of the cysts are non cancerous (benign) that sheds away on its own without any treatment, but at times cysts can be malignant or cancerous that need to be timely treated. These get shrunk or disappear on their own during menstruation or within a span of few months. These cysts usually include cells of teeth, hair and other growing tissues and usually are small in size and develop without any observable symptoms. These cysts are similar to those that form on skin tissues and may contain fat and occasionally hair, cartilage and bone. These are formed due to hormonal imbalances and are associated with polycystic ovary syndrome (PCOS).
The ovary with many of such cysts present on its outer surface appears twice larger than the usual size and is known as polycystic appearing ovary. Women with endrometriomas show problem with fertility as 80% of all pelvic endometriosis occurs in one or both of the ovaries. These paraovarian cysts have to be monitored closely as they may grow big in size and can become potentially troublesome..
If a mature egg is not released or if the sac reseals after releasing the egg, the sac can swell up with fluid, forming a functional ovarian cyst. However, in some instances, the follicle may fail to rupture and continues growing, thereby forming a follicular cyst. In some instances, fluid may abnormally accumulate within the corpus luteum, forming a cyst.
During the removal of a dermoid cyst, particular care must be taken in order to prevent material leaking into the pelvic cavity and they are hence placed into a bag prior to removal from the pelvic cavity. By completely separating the cyst from the ovarian tissue and reconstructing the ovarian tissue, the cyst can be completely removed whilst normal ovarian hormone and egg production can be retained. Your understanding, knowledge and genuine belief in me and my symptoms gave me reassurance finally. But, in case of cysts formation, those ovarian follicles are no more able to release eggs into the fallopian tubes, resulting in lowered chances of reproduction. Therefore, cysts need to be examined thoroughly and for those with recurrent cysts formation, hormonal therapy can be employed to shrink them away and prevent formation of newer cysts. It is usually formed in normal women and women having endocrine disorders and is diagnosed with help of an ultrasound. Trehan has demonstrated that all ovarian cysts can be successfully removed via laparoscopic (keyhole) surgery no matter how large they are, even if the patient is pregnant. Trehan’s patients can be confident that their operation will be completed by keyhole means as Mr. Trehan’s conversion to laparotomy rate is amongst the lowest in the medical literature, as are his major complication rates, reoperation rates and readmission rates.
Further, over 90% of Mr Trehan’s patients are able to leave the hospital after just an overnight stay in hospital.



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