Laparoscopic ovarian cystectomy in newborns


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective: To perform a comparative analysis of treatment of newborn girls with complex and simple ovarian cysts. Materials and methods: A retrospective analysis of treatment of 93 newborn girls with complex ovarian cysts and 32 newborn girls with simple ovarian cysts was performed within 13 years (2009-2021). The diagnosis was based on the results of diagnostic ultrasound examinations in the antenatal and postnatal periods. Analysis of cyst content and size was performed using ultrasound. Preoperative, intraoperative and postoperative evaluation was performed. Results: Emergency laparoscopic surgery was performed in newborns with simple ovarian cysts about 10 cm in diameter in 37% of cases of all simple ovarian cysts, and in 9% of cases of complex ovarian cysts due to the symptoms of intestinal obstruction. The age of newborns in both groups was 6 days (p=0.880). Elective surgeries was performed at the age of 42 days in the group with complex cysts and 48 The operative time was 30 minutes (p=0.164).Adhesions were found more frequently in the group with complex cysts (p=0.049 in emergency surgeries; р=0.153 in elective surgeries). Ovariocystectomy was performed in all cases of complex cysts. In patients with simple cysts, ovarian tissue was preserved. In both groups, smooth postoperative period lasted 2 days (p=0.072). Conclusion: Laparoscopy is a reliable and safe technique for treatment of ovarian cysts in newborns. However, it is necessary to define the best way to prevent torsion of ovarian cyst in utero. Puncture of fetal ovarian cyst can be one of the techniques.

Full Text

Restricted Access

About the authors

Olga G. Mokrushina

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; N.F.Filatov Children's City Clinical Hospital, Moscow Healthcare Department

Email: mokrushina@yandex.ru
Dr. Med. Sci., Vice Medical Director; Professor at Pediatric Surgery Department

Madina A. Chundokova

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; N.F.Filatov Children's City Clinical Hospital, Moscow Healthcare Department

pediatric surgeon at the Abdominal Department; Professor at the Pediatric Surgery Department

Vasily S. Shumikhin

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; N.F.Filatov Children's City Clinical Hospital, Moscow Healthcare Department

Head of the Department of Neonatal Surgery; Associate Professor at the Pediatric Surgery Department

Marina V. Levitskaya

N.F.Filatov Children's City Clinical Hospital, Moscow Healthcare Department

PhD, pediatric surgeon at the Neonatal Department

Nadezhda O. Erokhina

N.F.Filatov Children's City Clinical Hospital, Moscow Healthcare Department

pediatric surgeon at the Neonatal Department

Yulia V. Nagornaya

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; N.F.Filatov Children's City Clinical Hospital, Moscow Healthcare Department

pediatric surgeon at the Neonatal Department; Teaching assistant at the Pediatric Surgery Department

Svetlana V. Smirnova

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; N.F.Filatov Children's City Clinical Hospital, Moscow Healthcare Department

pediatric surgeon at the Neonatal Department; Teaching assistant at the Pediatric Surgery Department

Rashid V. Khalafov

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; N.F.Filatov Children's City Clinical Hospital, Moscow Healthcare Department

pediatric surgeon at the Neonatal Department; Teaching assistant at the Pediatric Surgery Department

References

  1. Wroblewska-Seniuk K., Jarzqbek-Bielecka G., Kqdzia W. Gynecological problems in newborns and infants. J. Clin. Med. 2021; 10(5): 1071. https://dx.doi.org/10.3390/jcm10051071.
  2. Bascietto F., Liberati M., Marrone L., Khalil A., Pagani G., Gustapane S. et al. Outcome of fetal ovarian cysts diagnosed on prenatal ultrasound examination: systematic review and meta-analysis. Ultrasound Obstet. Gynecol. 2017; 50(1): 20-31. https://dx.doi.org/10.1002/uog.16002.
  3. Rialon K.L., Akinkuotu A., Fahy A.S., Shelmerdine S., Traubici J., Priscilla Ch. Management of ovarian lesions diagnosed during infancy. J. Pediatr. Surg. 2019; 54: 955-8. https://dx.doi.org/10.1016/j.jpedsurg.2019.01.027.
  4. Иваницкая О.Н., Одегова Н.О., Андреева Е.Н. Кисты яичника у плодов. Особенности пренатальной диагностики и постнатальный исход. Российский вестник акушера-гинеколога. 2020; 20(1 ):73-80. https://dx.doi.org/10.17116/rosakush20202001173.
  5. Tyraskis A., Bakalis S., Scala C. et al. A retrospective multicenter study of the natural history of fetal ovarian cysts. J. Pediatr. Surg. 2018; 53(10): 2019-22. https://dx.doi.org/10.1016/j.jpedsurg.2018.02.049.
  6. Адамян Л.В., Колтунов И.Е., Сибирская Е.В., Шарков С.М., Короткова С.А., Моксякова Е.Г., Мовсесян Е.Х. Особенности дифференциальной диагностики опухолей яичников у девочек. Детская хирургия. 2018; 22(3):160-2. https://dx.doi.org/10.18821/1560-9510-2018-22-3-160-162.
  7. Diguisto C., N. Winer N., Benoist G., Laurichesse-Delmas H., Potin J., Binet A. et al. In-utero aspiration vs expectant management of anechoic fetal ovarian cysts: open randomized controlled trial. Ultrasound Obstet. Gynecol. 2018; 52(2): 159-64. https://dx.doi.org/10.1002/uog.18973.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2022 Bionika Media