KaydedilenlerDerginizi ekleyin

Dergiler / GORM:Gynecology Obstetrics & Reproductive Medicine / 2016 / Cilt: 22 - Sayı: 3

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

Gülnur GÖLLÜ
UFUK ATEŞ
Nil YAŞAM TAŞTEKİN
Ergun ERGÜN
Meltem BİNGÖL-KOLOĞLU
Aydın YAĞMURLU
Tanju AKTUĞ
Hüseyin DİNDAR
Ahmet Murat ÇAKMAK
Sayfa
144–148
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Besides, less pelvic adhesions compared to laparotomy in laparoscopy is important for further fertility.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:OBJECTIVE: Ovarian cysts and related torsions are the most common adnexial pathologies in childhood.
📊
Temel Bulgular & Veri: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.
💡
Sonuç & Katkı:Besides, less pelvic adhesions compared to laparotomy in laparoscopy is important for further fertility.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

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 withoutcyst. Dermoid cysts were found in three children and teratomas in two. Patients were discharged inpostoperative 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, andbetter cosmetic results. Besides, less pelvic adhesions compared to laparotomy in laparoscopy is important for further fertility.

🔖

Bu Makaleye Atıf Yap

GÖLLÜ, G., ATEŞ, U., TAŞTEKİN, N. Y., ERGÜN, E., BİNGÖL-KOLOĞLU, M., YAĞMURLU, A., AKTUĞ, T., DİNDAR, H., ÇAKMAK, A. M. (2016). Laparoscopy is the Gold Standard in Ovarian Pathologies in Childhood: Clinical Evaluation and Literature Review. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 22 - Sayı: 3, 144–148. https://ajindex.com/articles/190630

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (16)

  1. Panteli C, Minocha A, Kulkarni MS, Tsang T. The role of laparoscopy in the management of adnexal lesions in chil- dren. Surg Laparosc Endosc Percutan Tech 2009; 19(6): 514-7.
  2. Spinelli C, Pucci V, Strambi S, Piccolo RL, Martin A, Messineo A. Treatment of ovarian lesions in children and adolescents: a retrospective study of 130 cases. Pediatr Hematol Oncol 2015;32(3):199-206.
  3. Geimanaite L, Trainavicius K. Ovarian torsion in children: management and outcomes. J Pediatr Surg 2013;48(9): 1946-53.
  4. Bottomley C, Bourne T. Diagnosis and management of ovarian cyst accidents. Best Pract Res Clin Obstet Gynaecol 2009;23(5):711-24.
  5. Akkoyun I, Gülen S. Laparoscopic cystectomy for the treatment of benign ovarian cysts in children: an analysis of 21cases. J Pediatr Adolesc Gynecol 2012;25(6):364-6.
  6. Spinelli C, Di Giacomo M, Cei M, Mucci N. Functional ovarian lesions in children and adolescents: when to re- move them. Gynecol Endocrinol 2009;25(5):294-8.
  7. Broach AN, Mansuria SM, Sanfilppo JS. Pediatric and adolescent gynecologic laparoscopy. Clin Obstet Gynecol 2009;52(3):380-9.
  8. Oelsner G, Shashar D. Adnexal torsion. Clin Obstet Gynecol 2006;49(3):459-63.
  9. Poonai N, Poonai C, Lim R, Lynch T. Pediatric ovarian torsion: case series and review of the literature. Can J Surg 2013;56(2):103-8.
  10. Grabowski A, Korlacki W, Pasierbek M. Laparoscopy in elective and emergency management of ovarian pathology in children and adolescents. Wideochir Inne Tech Maloinwazyjne 2014;9(2):164-9.
  11. Templeman C, Fallat ME, Blinchevsky A, Hertweck SP. Noninflammatory ovarian masses in girls and young women. Obstet Gynecol 2000;96(2):229-33.
  12. Murawski M, Golebiewski A, Sroka M, Czuderna P. Laparoscopic management of giant ovarian cysts in ado- lescents. Wideochir Inne Tech Maloinwazyjne 2012;7(2):111-3.
  13. Rousseau V, Massicot R, Darwish AA, et al. Emergency management and conservative surgery of ovarian torsion in children: a report of 40 cases. J Pediatr Adolesc Gynecol 2008;21(4):201-6.
  14. Oelsner G, Cohen SB, Soriano D, Admon D, Mashiach S, Carp H. Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function. Hum Reprod 2003;18(12):2599-602.
  15. Kitporntheranunt M, Wong J, Siow A. Entangled bilateral adnexal torsion in a premenarchal girl: a laparoscopic ap- proach. Singapore Med J 2011;52(6):e124-7. Oltmann SC, Fischer A, Barber R, Huang R, Hicks B, Garcia N. Cannot exclude torsion a 15-year review. J Pediatr Surg 2009;44(6):1212-6.
  16. Spinelli C, Buti I, Pucci V, et al. Adnexal torsion in chil-