One-Trocar, Video-Assisted Stripping Technique for Use in the Treatment of Large Ovarian Cysts in Infants

Cimador, Marcello; Sireci, Fabiola; Pace, Maria Rita Di; Grazia, Enrico De

doi:10.1016/j.jpag.2009.11.007

Cited by 6 publications

(2 citation statements)

References 13 publications

(19 reference statements)

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“…In the pubertal age group functional cysts represent the vast majority of the lesions, which are commonly associated with dysfunctional ovulation generally caused by anomalous ovulation or corpus luteum persistence (3) .…”

Section: Introductionmentioning

confidence: 99%

When to operate on ovarian cysts in children?

Tessiatore¹,

Guanà²,

Mussa³

et al. 2012

Journal of Pediatric Endocrinology and Metabolism

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Background:Ovarian cysts are rare conditions in the pediatric age group. They are characterized by different clinical presentations and by the need to establish adequate type and timing of treatment in order to prevent complications, such as ovarian necrosis after torsion and infertility. The diagnostic approach should differentiate benign occasional fi ndings, such as follicular cysts, from neoplastic lesions, and functional cysts which can occur either isolated or in the context of McCune-Albright syndrome. Our aim was to review all the patients affected by ovarian pathologies seen in our department in the past 5 years, in order to establish a protocol for the correct management of these conditions. Methods: In the past 5 years we studied 133 patients diagnosed with ovarian lesion. We subdivided the patients into three groups according to age: group A (age < 6 months: 66 cases); group B (pre-pubertal patients, age 7 months to 10 years: 10 cases); and group C (pubertal patients, age 11 -14 years: 57 cases). We collected historical and clinical data and assigned specifi c cut-off values in order to perform statistical analysis (Fisher ' s exact test) comparing the three groups. Results: Ultrasound examination proved to be indispensable in the early detection of ovarian lesions and for identifying the correct treatment. Cyst size, and moreover appearance with ultrasound, were important considerations when selecting the most appropriate therapeutic approach. The larger lesions were found in group B, giving symptoms that required hospitalization (pelvic pain, nausea and vomiting) and leading to increased incidence of postoperative complications. Laparoscopic surgery appeared to be safe and effective for the treatment of ovarian pathologies. Conclusion: The management of ovarian lesions in children must be based on a minimally invasive approach, based on

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Section: Introductionmentioning

confidence: 99%

When to operate on ovarian cysts in children?

Tessiatore¹,

Guanà²,

Mussa³

et al. 2012

Journal of Pediatric Endocrinology and Metabolism

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“…Близость расположения яичников к пупочной области явилась объектом интереса хирургов, использующих однопортовый лапароскопический доступ [45][46][47][48][49][50]. Использование таких инновационных техник, как транспариетальная аспирация содержимого кист и последующее извлечение опустошенных от содержимого кист через расширенный умбиликальный доступ, позволяет хирургу быстро и комфортно отделить патологические ткани от яичника.…”

Section: овариальная кистэктомияunclassified

Single-port endoscopic surgery in newborns and infants

Kozlov¹,

Novozhilov²,

Kovalkov³

et al. 2016

Endosk. khir.

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матренинская детская клиническая больница», Иркутск; 2 ГБоу «Иркутская государственная медицинская академия последипломного образования» минздрава россии; 3 ГБоу «Иркутский государственный медицинский университет» минздрава россии; 4 мБуз «детская городская клиническая больница», Кемерово; 5 Краевая детская больница, Красноярск; 6 университет Иоганна Гутенберга, майнц, Германия Ключевые слова: лапароскопия, новорожденные, дети грудного возраста, единый лапароскопический доступ, однопортовая детская эндохирургия.

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