Cimador Marcello, Sireci Fabiola, Di Pace Maria Rita, De Grazia Enrico
Pediatric Surgical Unit, Department of Mother and Child Care, Università di Palermo, 90100 Palermo, Italy.
J Pediatr Adolesc Gynecol. 2010 Jun;23(3):168-71. doi: 10.1016/j.jpag.2009.11.007. Epub 2010 Feb 11.
Management of ovarian cysts in infants is controversial; it can be conservative or surgical, and the management is determined by the cyst's size and sonographic features.
A surgical approach using a 10-mm umbilically placed operative laparoscope was taken in 3 female infants with antenatally diagnosed large, simple ovarian cysts. The contents of the cysts were partially aspirated and the cyst walls were stripped off the remaining ovarian parenchyma. No intraoperative or postoperative complications were recorded.
The one-trocar video-assisted stripping technique for large ovarian cysts in infants appears to be an ovarian-tissue-preserving procedure, and it sidesteps the disadvantages of large scars and formation of adhesions.
