Surgical indications in antenatally diagnosed ovarian cysts

Brandt, Mary L.; Luks, François I.; Filiatrault, D; Garel, Laurent; Desjardins, Jean G.; Youssef, Sami

doi:10.1016/0022-3468(91)90502-k

Cited by 159 publications

(117 citation statements)

References 35 publications

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“…Preoperatively US or CT may also be useful to diagnosed these masses. With these radiologic images it is possible to show where the cyst arising from, thus help the surgeon preoperatively [5,9]. US is the most efficient procedure for detection of this pathology.…”

Section: Discussionmentioning

confidence: 99%

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

Özkisacik¹,

Yazıcı²,

Çulhacı³

et al. 2010

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Aim: Mesenteric cysts are rare abdominal masses which cause vomiting and distention and may be complicated with volvulus, bleeding, torsion and rupture, gastrointestinal perforation and even urinary obstruction. We present a patient with a mesenteric cyst causing gastrointestinal obstruction which treated surgically. Case: A 3 years old male patient was admitted to our hospital with symptoms of vomiting, constipation and abdominal distention. Plain abdominal anteroposterior X-ray study showed air-fluid levels and abdominal ultrasonography revealed a cystic mass of 15 × 8 cms. Abdominal computerized tomographic examination with and without contrast material revealed a giant cystic mass with septations together with secondary findings of intestinal obstruction. Exploratory laparotomy via midline incision was made. A cystic mass containing a clear fluid was observed. The mass was obstructing the ileal passage. The cyst together with 10 cms. of ileum were removed and an ileo-ileostomy was made. Pathological examination was consistent with mesenteric cyst. He was discharged to full recovery with a symptom-free postoperative tenth day. The child is doing well at 1 year after surgery. Discussion: Mesenteric cysts, although they are rare, can be easily diagnosed modern diagnostic imaging methods and treated surgically.

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Section: Discussionmentioning

confidence: 99%

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

Özkisacik¹,

Yazıcı²,

Çulhacı³

et al. 2010

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“…The exact frequency is difficult to establish. Torsion occurred prenatally in 38% of the cases in Brandt's series 9 .…”

Section: The 'Daughter Cyst Sign': a Sonographic Clue To The Diagnosimentioning

confidence: 94%

“…Using these criteria, Brandt et al 9 found that 92% of newborns who underwent surgery for suspected torsion of the ovary presented prenatal ultrasound characteristics of a complicated cyst. Furthermore, there are no features that would predict the occurrence of this complication 10 .…”

Section: The 'Daughter Cyst Sign': a Sonographic Clue To The Diagnosimentioning

confidence: 99%

The ‘daughter cyst sign’: a sonographic clue to the diagnosis of fetal ovarian cyst

Quarello

Gorincour

Merrot

et al. 2003

Ultrasound in Obstet & Gyne

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“…2 A 1991 review of this topic revealed 257 reported cases of antenatally diagnosed ovarian cysts. 3 In general, simple cysts of less than 4-5 cm in diameter tend to resolve spontaneously within the first 4-5 months of postnatal life and, therefore, typically do not require surgical treatment. Surgery has been recommended for simple cysts greater than 4 cm in diameter, which have a high rate of future ovarian torsion and necrosis, and for complex cysts, which often have already undergone torsion.…”

mentioning

confidence: 99%

“…Surgery has been recommended for simple cysts greater than 4 cm in diameter, which have a high rate of future ovarian torsion and necrosis, and for complex cysts, which often have already undergone torsion. 3,4 Neonatal ovarian torsion and infarction can lead to adhesions to the bowel and complications, which include intestinal obstruction [5][6][7][8] compression of the urinary tract, compression of the vena cava, cyst rupture, 9 and bilateral ovarian loss. 10 Complex cysts may be distinguished on ultrasound by: a fluid-debris ("fluid-fluid") level, a cystic appearance with a retracting clot, septations with or without internal echoes, or by a solid appearance.…”

mentioning

confidence: 99%

Evolution of the Surgical Management of Neonatal Ovarian Cysts: Laparoscopic-Assisted Transumbilical Extracorporeal Ovarian Cystectomy (LATEC)

Weiner

Phillips

2008

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Purpose: Since its first detailed description in 1995, the laparoscopic management of neonatal ovarian cysts has typically required multiple incisions, specialized equipment, and advanced laparoscopic skills. After some initial frustration with neonatal laparoscopy, we developed a simplified single-incision laparoscopic-assisted transumbilical extracorporeal cystectomy (LATEC). This paper reviews our experience with this technique and compares outcomes to those of our other surgically managed neonatal ovarian cyst patients. Materials and Methods:A retrospective record review of 20 patients treated surgically between 1992 and 2006. Student's t-tests were used for comparisons (P Ͻ 0.05 was significant). Results: Means were: age, 11 days; weight, 3.7 kg; and cyst diameter, 5.0 cm. Nineteen patients were diagnosed prenatally, at the mean gestational age of 33 weeks. Twelve of 20 (60%) had torsed cysts (1 bilateral). Three of 13 torsed cysts (23%) were less than 4 cm diameter (range, 2.9-3.5). Laparotomies were transverse lower abdominal incisions. Laparoscopic operations used 2 (3 patients) or 3 incisions (2 patients). LATEC involved transumbilical laparoscopy, complete cyst aspiration, and then cyst evisceration through the umbilicus for either ovarian cystectomy (simple cysts) or salpingo-oophorectomy (torsed cysts). Laparoscopic patients had similar time to feeds, length of stay, and postoperative narcotic requirements, when compared to laparotomy patients (P ϭ nonsignificant). LATEC patients had shorter surgical times, more rapid advancement to full enteral feedings, shorter length of hospital stay, and equal ovarian preservation, when compared to laparoscopy. Cosmetic results with LATEC were outstanding. Conclusions: Both laparoscopic and "open" approaches have acceptable perioperative morbidity and rapid recovery. LATEC is a relatively simple procedure, which combines laparoscopy and traditional extracorporeal surgery, and may be successfully performed by experienced pediatric surgeons and with a single incision. 635

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Surgical indications in antenatally diagnosed ovarian cysts

Cited by 159 publications

References 35 publications

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

A Giant Mesenteric Cyst: A Rare Entity in Childhood Surgical Spectrum

The ‘daughter cyst sign’: a sonographic clue to the diagnosis of fetal ovarian cyst

Evolution of the Surgical Management of Neonatal Ovarian Cysts: Laparoscopic-Assisted Transumbilical Extracorporeal Ovarian Cystectomy (LATEC)

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