The laparoscopic approach to uterine adnexal torsion in childhood.
Seven girls with adnexal torsion (of varying degrees) were treated laparoscopically during a 6-month period. All had associated adnexal pathology. Six had simple follicular cysts (> 4 cm in diameter), and one had a 10-cm dermoid cyst. Detorsion with resection of the cyst and preservation of ovarian tissue was performed in all cases. No intraoperative or postoperative complications were encountered. Video-assisted minimally invasive surgery is suitable for the treatment of adnexal pathology in children; the hospitalization period is short, the cosmetic results are excellent, and the return to normal activity is rapid.
Cohen
Z
Z
Department of Pediatric Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion, University of the Negev, Beer-Sheva, Israel.
Shinhar
D
D
Kopernik
G
G
Mares
A J
AJ
D000291:Adnexal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000293:Adolescent; D002648:Child; D003884:Dermoid Cyst / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005497:Follicular Cyst / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D014102:Torsion Abnormality; D016896:Treatment Outcome; D014463:Ultrasonography