Laparoscopy in children and adolescents

Wolfman, Wendy; Kreutner, Karen

doi:10.1016/s0197-0070(84)80128-x

Cited by 35 publications

(3 citation statements)

References 11 publications

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“…The disease spectrum of pediatric acute abdominal pain is completely different compared to that of adults, but older children and adolescents are good candidates for laparoscopy (EL 4 [118,287]). The value of specific procedures in pediatric surgery, such as laparoscopic appendectomy, is still under intensive debate.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy for abdominal emergencies

et al. 2005

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Section: Discussionmentioning

confidence: 99%

Laparoscopy for abdominal emergencies

et al. 2005

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“…Nevertheless, CPP and severe dysmenorrhea (unresponsive to medical treatment) are the most common reported symptoms leading to a diagnosis of endometriosis in adolescents, as indicated by earlier studies (14, 27, 49, 51, 61, 65). Other types of pain such as dyspareunia, dyschezia and intestinal cramping are less common (Tab.…”

Section: Clinical Presentation: Symptoms and Signsmentioning

confidence: 79%

Adolescent Endometriosis: Review of Clinical Presentation and Long-Term Issues

Audebert

2014

Journal of Endometriosis and Pelvic Pain Disorders

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Endometriosis may affect adolescent girls. The scientific literature on endometriosis in adolescents is limited, and many aspects are still uncertain despite a growing number of related reports. The prevalence of endometriosis in adolescents is unknown, but in selected groups of patients undergoing laparoscopy, it has been found to be higher than 50%. The physiopathology of adolescent endometriosis has not been specifically shown. However, the presence of a family history and associated genital malformations are more frequently identified in adolescents with endometriosis. The clinical presentation of the disease in adolescents has been assessed by numerous prospective and retrospective studies, and the risk factors for the development of endometriosis are well-known. The recommended diagnostic strategy is actually well-characterized, even if an early diagnosis is hardly ever made. The therapeutic management is also more consensual, but not definitive because of a lack of prospective studies evaluating either short- or long-term results and the impact on the natural history of the disease. Finally, the long-term sequelae are still a burden, and many questions are unanswered, despite new insights provided by a few recent reports evaluating the progression of the disease and its effects on subsequent fertility. Further studies are needed to better assess these issues.

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“…The chronic debilitation associated with this disease makes its management in these young people of prime importance. Although laparoscopy has been shown to be safe, minimally invasive and enables a definitive diagnosis and treatment of endometriosis in adolescents [6], the decision to subject these young people to surgery is often delayed and preceded by a prolonged period of unsuccessful symptomatic treatment. Surgical treatment, however, is associated with recurrence, and this seems to depend on who operates.…”

Section: Discussionmentioning

confidence: 99%

Teenagers, adolescents, endometriosis and recurrence: a retrospective analysis of recurrence following primary operative laparoscopy

2008

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In this paper, we aim to describe the clinical features and treatment outcome following the laparoscopic treatment of endometriosis in teenagers and adolescents. This is a retrospective review of girls aged 21 and below who underwent operative laparoscopy for endometriosis. We identified two groups: (1) the EMAT group, being those who underwent their primary laparoscopic surgery under the Endometriosis and Minimal Access Therapy team (EMAT), and (2) the non-EMAT group, consisting of those referred to the EMAT team with recurrent symptoms following primary operative laparoscopy by other gynaecologists. Symptom recurrence and the need for re-operation was compared between the two groups. Twenty-eight girls, age range 15-21 years, were identified. All had pelvic pain unresponsive to the pill and non-steroidal anti-inflammatory drugs (NSAIDs). Most disease was atypical, with the uterosacral ligaments and ovarian fossae being the most common sites. The re-operation rate per surgical team at 24 months was 14.2% for the EMAT group vs. 42.8% for the non-EMAT group. All recurrences in the non-EMAT group coincided with the location of primary disease. Disease recurrence occurred most commonly in the uterosacral ligaments. Endometriosis in teenagers is mainly atypical and, in our series, commonly affects the uterosacral ligaments. Disease in this location is deeply infiltrating and is usually not amenable to electrocoagulation. We advocate disease resection to minimise recurrence.

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Laparoscopy in children and adolescents

Cited by 35 publications

References 11 publications

Laparoscopy for abdominal emergencies

Laparoscopy for abdominal emergencies

Adolescent Endometriosis: Review of Clinical Presentation and Long-Term Issues

Teenagers, adolescents, endometriosis and recurrence: a retrospective analysis of recurrence following primary operative laparoscopy

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