title: Laparoscopic subtotal hysterectomy and bilateral adnexectomy in a child with congenital adrenal hyperplasia.
abstract: OBJECTIVE
  To report the results of a subtotal hysterectomy and bilateral adnexectomy in a child with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Gynecology department, Afula, Israel.
  
  
  METHODS
  An 11-year-old child with a female genotype and saltwasting type congenital adrenal hyperplasia who was being raised as a boy.
  
  
  METHODS
  Laparoscopic subtotal hysterectomy and bilateral salpingo-oophorectomy were performed.
  
  
  METHODS
  Surgical efficiency, operating time, recovery, and aesthetic result.
  
  
  RESULTS
  The procedure was performed without complications in 26 minutes, and the child was dismissed the following day. Three 5-mL abdominal incisions were required.
  
  
  CONCLUSIONS
  Laparoscopic subtotal hysterectomy and bilateral adnexectomy can be safely performed in children and is the procedure of choice in the rare cases in which it is indicated.
authors.affiliation: Department of Obstetrics and Gynecology, HaEmek Medical Center, Afula, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Weiss
authors.forename: M
authors.initials: M
authors.lastname: Bustan
authors.forename: Y
authors.initials: Y
authors.lastname: Rakover
authors.forename: E
authors.initials: E
authors.lastname: Shalev
mesh_terms: D000312:Adrenal Hyperplasia, Congenital / Q000235:genetics / Q000523:psychology / Q000601:surgery*; D002648:Child; D005260:Female; D005838:Genotype; D006801:Humans; D007044:Hysterectomy; D008297:Male; D010052:Ovariectomy