Laparoscopic surgery in 12 cases of adnexal disease occurring in girls aged 15 years or younger.
OBJECTIVE
To evaluate the treatment by laparoscopic surgery of adnexal disease occurring in young girls.


METHODS
Retrospective analysis (Canadian Task Force classification II-1).


METHODS
Department of gynecology at a general hospital.


METHODS
Twelve consecutive girls aged 15 years or younger.


METHODS
Laparoscopic surgery.


RESULTS
Seven patients had dermoid cysts, and three of these were associated with adnexal torsion. Two patients had ruptured lutein cysts with ovarian bleeding, and one of them was pregnant. Torsion of the tube with paraovarian cyst, torsion of normal ovary, and serous cystadenoma were noted in one patient each. Although the underlying diseases varied, the chief symptom in each of these patients was lower abdominal pain. Because the symptom is nonspecific, the clinical features were confusing, especially in emergency cases; in two patients with adnexal torsion with dermoid cysts and one patient with adnexal torsion of a normal ovary, there was substantial delay in diagnosis, and salpingo-oophorectomy was required as a result.


CONCLUSIONS
Even in young girls, laparoscopic surgery can be performed in an acceptable manner using regular instruments designed for adults.
Takeda
Akihiro
A
Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan. reef@syd.odn.ne.jp
Manabe
Shuichi
S
Hosono
Satoyo
S
Nakamura
Hiromi
H
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D002648:Child; D018284:Cystadenocarcinoma, Serous / Q000601:surgery; D003884:Dermoid Cyst / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D014102:Torsion Abnormality