Faculty Collaboration Database

Laparoscopic diagnosis and management of ovarian torsion in the newborn. JSLS 1999;3(2):141-3

Date

08/12/1999

Pubmed ID

10444015

Pubmed Central ID

PMC3015323

Scopus ID

2-s2.0-0033109605 (requires institutional sign-in at Scopus site)   21 Citations

Abstract

BACKGROUND AND OBJECTIVES: The application of laparoscopic techniques in the surgical management of neonatal ovarian cysts is proving valuable both as a diagnostic tool and a potential therapeutic intervention. We report the successful management of a prenatally diagnosed ovarian cyst in a newborn female and provide operative evidence for the presumptive etiology of the cyst.

METHODS AND RESULTS: A prenatally diagnosed ovarian cyst was managed using 5 mm laparoscopic instruments in a newborn female. The prenatal ultrasonographic and operative findings are consistent with in utero adnexal torsion with subsequent autoamputation and cystic degeneration of the ovary. The orphaned ovarian cyst was removed from the infant's abdominal cavity by enlarging the camera port incision.

DISCUSSION: The application of laparoendoscopic procedures in infants and children continues to evolve with the availability, of microinstrumentation and increasing experience among pediatric surgeons. This approach may prove valuable in the diagnosis and management of prenatally diagnosed ovarian cysts. In addition, further insight into the etiology of congenital ovarian cysts may be obtained. The safety and efficacy of this approach in these infants remains to be fully evaluated.

Author List

Decker PA, Chammas J, Sato TT

Author

Thomas Sato MD Emeritus Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Female
Fetal Diseases
Humans
Infant, Newborn
Ovarian Cysts
Ovarian Diseases
Pregnancy
Torsion Abnormality
Ultrasonography, Prenatal