Laparoscopic ovarian cystectomy in newborns


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Resumo

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.

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Sobre autores

Olga 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 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 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 Levitskaya

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

PhD, pediatric surgeon at the Neonatal Department

Nadezhda Erokhina

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

pediatric surgeon at the Neonatal Department

Yulia 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 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 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

Bibliografia

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  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.
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