Effectiveness of laparoscopic gonadectomy using abdominal wall lift method on Turner's syndrome patients with 45, X/46, XY mosaicism.
We present a Turner's syndrome patient with a 45, X/46, XY mosaicism who underwent a prophylactic laparoscopic gonadectomy using the abdominal wall lift method. The patient was a 14-year-old phenotypic girl who was referred for an examination of primary amenorrhea. She had already been found to have Turner's syndrome with 45, X/46, XY mosaicism. After an extensive discussion with the patient and her family regarding her high risk for developing a gonadoblastoma, a laparoscopic bilateral salpingo-oophorectomy using the abdominal wall-life method was performed. Laparoscopy using the abdominal wall lift method has an advantage over CO2 pneumoperitoneum method for patients with Turner's syndrome when it is difficult to intubate because of a webbed neck or a shortened trachea.
Nakano
H
H
Department of Obstetrics and Gynecology, Tokyo Metropolitan Police Hospital, Japan. hide-n@jg7.so-net.ne.jp
Kawashima
M
M
Okada
S
S
Igarashi
T
T
Nakata
M
M
Ogino
M
M
D000293:Adolescent; D000767:Anesthesia, Epidural; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009030:Mosaicism; D010052:Ovariectomy / Q000379:methods*; D010641:Phenotype; D012489:Salpingostomy / Q000379:methods*; D014424:Turner Syndrome / Q000235:genetics / Q000601:surgery*