دورية أكاديمية

Role of laparoscopy in the management of neonatal ovarian cysts.

التفاصيل البيبلوغرافية
العنوان: Role of laparoscopy in the management of neonatal ovarian cysts.
المؤلفون: Pujar VC; Department of Pediatric Surgery, KLE University, Belgaum, Karnataka., Joshi SS; Department of Pediatric Surgery, KLE University, Belgaum, Karnataka., Pujar YV; Department of Obstetrics and Gynecology, KLE University, Belgaum, Karnataka., Dhumale HA; Department of Obstetrics and Gynecology, KLE University, Belgaum, Karnataka.
المصدر: Journal of neonatal surgery [J Neonatal Surg] 2014 Apr 01; Vol. 3 (2), pp. 16. Date of Electronic Publication: 2014 Apr 01 (Print Publication: 2014).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: EL-MED-Pub Publishers Country of Publication: Pakistan NLM ID: 101606704 Publication Model: eCollection Cited Medium: Print ISSN: 2226-0439 (Print) Linking ISSN: 22260439 NLM ISO Abbreviation: J Neonatal Surg Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Lahore, Pakistan : EL-MED-Pub Publishers
مستخلص: Aim: Ovarian cysts in the newborn period are simple cysts which resolve on their own. Complications like torsion leading to loss of ovarian units are well documented. Surgical treatment should always be performed in a way to protect the ovaries and to ensure future fertility. The aim of this study was to study the safety and efficacy of laparoscopic management of neonatal ovarian cysts.
Materials and Methods: Neonates with ovarian cysts over last 6 years were retrospectively studied. Thirty seven ovarian cysts were detected antenatally and 32 of them persisted postnatally. All babies were asymptomatic. Nine babies with cyst size more than 5cms underwent laparoscopic deroofing, fenestration or cystectomy; the rest 23 babies were managed conservatively. Sonographic monitoring was done at monthly interval for change in contents, echogenicity of walls and features of torsion. Follow up was done with USG at 3 and 6 months and MRI after 1 year.
Results: No procedure related complications were seen in the laparoscopy group and no loss of ovarian units were seen in 1 year follow-up. In the observation group, cysts resolved in 3- 12 months period. Three babies developed complications and 4(17%) ovarian units were lost.
Conclusion: Ovarian cysts are the most frequent among intra-abdominal cysts in newborns. Neonatal ovarian cysts are known to resolve spontaneously. Laparoscopic management of these cysts is safe and efficacious even in neonatal age and should be the treatment of choice when indicated.
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فهرسة مساهمة: Keywords: Laparoscopy; Neonate; Ovarian cyst
تواريخ الأحداث: Date Created: 20150530 Date Completed: 20150529 Latest Revision: 20201001
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC4420319
PMID: 26023487
قاعدة البيانات: MEDLINE