Management of Ovarian Dermoid Cysts in the Pediatric and Adolescent Population - 07/08/11
Address correspondence to: Lisa Allen, MD, The Hospital for Sick Children, Department of Pediatric and Adolescent Gynecology, 555 University Avenue, Toronto, Ontario, M5G 1X8Abstract |
Study Objective |
To evaluate the surgical approach used in the management of ovarian dermoid cysts in the pediatric and adolescent population.
Design |
A descriptive retrospective chart review of all cases of ovarian dermoid cyst excision between January 2001 and January 2006.
Setting |
The Hospital for Sick Children, Toronto, Canada.
Participants |
Forty-one female children and adolescents who underwent operative management of an ovarian dermoid cyst.
Main Outcome Measures |
Surgical approach (laparoscopy vs laparotomy), intraoperative cyst rupture, length of hospital stay, and postoperative complications.
Results |
The mean age was 12.5 years. All cysts were unilateral. Twenty-three patients (56%) underwent laparoscopic cystectomy, 14 (34%) underwent cystectomy via laparotomy, and 4 (10%) oophorectomies were performed via laparotomy. Cyst size was significantly larger in the laparotomy group compared to the laparoscopy group (mean diameter 14.4cm vs 7.1cm, respectively, P < .001). A significantly higher rate of cyst rupture was experienced during laparoscopic cystectomy (100%), compared to excision via laparotomy (27.7%, P < .001). Length of hospital stay was significantly shorter in the laparoscopy group compared to the laparotomy group (median of 0 vs 3 days, respectively, P < .001). A single case in the laparoscopy group sustained a bladder injury and developed postoperative necrotizing fasciitis resulting in a prolonged hospitalization and recovery. There were no operative or postoperative complications related to cyst content spillage, regardless of the surgical approach.
Conclusion |
Laparoscopic cystectomy is a safe and effective method of managing ovarian dermoid cysts in the pediatric and adolescent patient population.
El texto completo de este artículo está disponible en PDF.Key Words : Adolescents, Children, Ovarian, Teratoma, Dermoid, Laparoscopy
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Vol 22 - N° 6
P. 360-364 - décembre 2009 Regresar al número
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