Laparoscopic Single-site Surgery Versus Conventional Entry in Ovarian Cystectomy

Inclusion Criteria: * The patients are aged 18 to 45 years with BMI \< 35 kg/m2 and that they exhibit a surgical indication for a presumed benign ovarian pathology (PBOP) according to RCOG Guideline no. 62. 2011: * simple ovarian cysts \>7cm and \<15cm. * Persistent simple cyst for more than 3 months. * Symptomatic patients with complicated cyst (e.g. hemorrhagic cyst, torsion, etc) Exclusion Criteria: * • Previous midline laparotomies as suspected massive adhesions affecting intraoperative maneuvers and time. * Chronic pelvic pain, endometriosis or pelvic inflammatory diseases will be excluded to avoid pelvic adhesions and bias in the quantification of postoperative pain. * Do not possess a native umbilicus giving difficult access to single port. * The 'risk of malignancy index' (RMI) should be used to exclude those women at greater risk of malignancy. Using an RMI cut-off of 200, a sensitivity of 70% and specificity of 90% can be achieved. if features suggestive of malignancy are encountered, a gynecological oncologist should be consulted regarding further evaluation and staging. * Benign teratomas for the difficulty of extraction after removal that affects the intraoperative maneuvers and time. * Contraindication to any laparoscopy like any medical condition worsened by pneumoperitoneum or the Trendelenburg position. * Contraindication to general anesthesia as all laparoscopic procedures are done under GA. * Contraindication to non-steroidal anti-inflammatories, paracetamol, or tramadol.