Ovarian Cyst Aspiration in the Neonate: Minimally Invasive Surgery - 05/07/15

Doi : 10.1016/j.jpag.2014.10.003

Min Jeng Cho, MD ¹, Dae Yeon Kim, MD ^2,^⁎ , Seong Chul Kim, MD ²
¹ Division of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
² Division of Pediatric Surgery, University of Ulsan College of Medicine & Asan Medical Center, Seoul, Korea

^∗Address correspondence to: Dae Yeon Kim, MD, Pediatric Surgery Department, University of Ulsan College of Medicine, Asan Medical Center, 388-1, Poongnap-Dong, Songpa-Ku, Seoul 138-736, South Korea; Phone: 82-2-3010-3961; fax: 82-2-474-9027

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Sunday 05 July 2015

Abstract

Study Objective

To review our experience with laparoscopic aspirations and minimally invasive surgeries for neonatal ovarian cysts and report the outcome of their follow-up.

Design

Twenty-one neonates diagnosed as having ovarian cysts were retrospectively reviewed at our hospital from 2006 through 2013.

Results

Of 21 neonates, 8 showed simple cysts and 13 showed complex cysts in their ultrasound scan. Laparoscopic aspiration was performed for all neonates with simple cysts. Torsion was found in 7 of 13 neonates with complex cysts. Three neonates underwent detorsion, while 2 neonates underwent oophorectomy. Two neonates already showed autoligation, showing a cystic mass, which was removed. The remaining 6 neonates with a complex cyst underwent only aspiration because no torsion was found. Of 14 neonates who underwent only aspiration, 11 showed no cyst, while 3 neonates, having a cyst with a size of less than 2 cm, underwent follow-up. Of 3 neonates who underwent detorsion, 1 showed an ovary without cyst, while 2 showed neither cyst nor ovary.