Have had 6 major laparotomies and now need to have ovarian cyst removed, have adhesions, will need another laparotomy?

Look for surgeon: Look for an advanced minimally invasive pelvic surgeon and see if they think they could use laparoscopic techniques. Also, an invasive radiologist can sometimes drain a cyst using ultrasound or ct guided. They would need to see reports or pictures of your previous surgeries. How big is the cyst. How long has it been there?

No simple answer : Unfortunately your abdomen has had multiple surgeries and another laparotomy may be needed. Over time the cyst may fix itself to avoid surgery. Your doctor will observe you for awhile.