Laparoscopy is the Gold Standard in Ovarian Pathologies in Childhood: Clinical Evaluation and Literature Review

Authors

  • Gülnur Göllü Ankara University School of Medicine Department of Pediatric Surgery, Ankara http://orcid.org/0000-0001-8163-2226
  • Ufuk Ateş Ankara University School of Medicine Department of Pediatric Surgery, Ankara
  • Nil Yaşam Taştekin Ankara University School of Medicine Department of Pediatric Surgery, Ankara
  • Ergun Ergün Ankara University School of Medicine Department of Pediatric Surgery, Ankara
  • Meltem Bingöl Koloğlu Ankara University School of Medicine Department of Pediatric Surgery, Ankara
  • Aydın Yağmurlu Ankara University School of Medicine Department of Pediatric Surgery, Ankara
  • Tanju Aktuğ Ankara University School of Medicine Department of Pediatric Surgery, Ankara
  • Hüseyin Dindar Ankara University School of Medicine Department of Pediatric Surgery, Ankara
  • Ahmet Murat Çakmak Ankara University School of Medicine Department of Pediatric Surgery, Ankara

DOI:

https://doi.org/10.21613/GORM.2016.626

Keywords:

Children, Cyst, Laparoscopy, Ovary, Torsion

Abstract

OBJECTIVE:Ovarian cysts and related torsions are the most common adnexial pathologies in childhood. Diagnostic laparoscopy is the gold standard approach for differential diagnosis. It is aimed to evaluate the data of patients who had surgery for ovarian pathology.
STUDY DESIGN: Fifty-three girls of ten years are included the study. Demographic data, medical history, physical examination, laboratory and radiologic investigations, surgical procedure, histopathology, complications and follow up periods are recorded.
RESULTS: The median age of children was 13. Excluding the patients who were diagnosed in intrauterine period (n=4), all of the patients had abdominal pain (92%). Laparoscopic cystectomy (56.7%), detorsion and cystectomy (16.9%) and oopherectomy (16.9%) were performed in patients with cysts. Diagnostic laparoscopy (3,8%) and laparoscopic detorsion (5.7%) were performed in patients without cyst. Dermoid cysts were found in three children and teratomas in two. Patients were discharged in postoperative second day.
CONCLUSION: Diagnostic laparoscopy is the gold standard approach for differential diagnosis. Laparoscopic approach should be chosen because of shorter hospital stay, shorter healing period, and better cosmetic results. Besides, less pelvic adhesions compared to laparotomy in laparoscopy is important for further fertility.

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Published

2016-12-28

How to Cite

1.
Göllü G, Ateş U, Taştekin NY, Ergün E, Koloğlu MB, Yağmurlu A, Aktuğ T, Dindar H, Çakmak AM. Laparoscopy is the Gold Standard in Ovarian Pathologies in Childhood: Clinical Evaluation and Literature Review. Gynecol Obstet Reprod Med [Internet]. 2016Dec.28 [cited 2022Aug.14];22(3):144-8. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/626

Issue

Section

Reproductive Medicine: Endocrinology and Infertility