Shift towards minimally invasive surgery of adnexal pathologies in children: A predictive model study.

OBJECTIVE

The purpose of this article is to investigate these difficulties and to provide a modernized and comprehensive understanding of the diagnosis, management, and long-term outcomes of adnexal masses in pediatrics.

SUBJECTS AND METHODS

This study retrospectively reviewed the medical records of 428 patients who were diagnosed with adnexal pathologies and underwent Surgery.

RESULTS

In pre-adolescents, the duration of symptoms shows a statistically significant positive correlation with lesion size (p=0.006, r=0.621). The duration of symptoms shows a statistically significant positive correlation with lesion size (p<0.001, r=0.460). The formula is a mathematical model developed to predict the size of a lesion (a cyst or mass) in centimeters, based on the duration of the patient's symptoms in months. For mass size, the optimal cut-off was found to be 4.5 cm. This value yielded a higher AUC of 0.85 (95% CI:0.74-0.96), with a sensitivity of 94% and a specificity of 55%.

CONCLUSIONS

This study on adnexal pathologies in children indicates a shift towards minimally invasive laparoscopic surgery. A novel model predicting lesion size based on symptom duration was developed, and surgical intervention thresholds were established.