title: [Surgical treatment of perinatal ovarian cysts].
abstract: BACKGROUND
  Actually, the perinatal ovarian cysts are increasingly being diagnosed by prenatal and neonatal ultrasound.
  
  
  OBJECTIVE
  We reported our experience in the surgical management of perinatal ovarian cysts. Patients and methods. We have reviewed the clinical charts of 10 female newborns diagnosed of ovarian cysts who underwent surgical management in our hospital from 1989 to 2009.
  
  
  RESULTS
  The ovarian cysts were diagnosed antenatally in 8 cases and period neonatal in 2 cases. The clinical presentation was asymptomatic abdominal mass in 7 cases. Ultrasound confirmed the ovarian mass in 8 patients. CT scan and MRI were necessary for confirm suspected diagnosis in two patients. Ultrasonography showed 7 complex cysts and 3 simple cysts. Surgery of the complicated cysts revealed ovarian torsion in 5 cases and 1 hemorragic cyst. At surgery, 5 patients underwent salpingooophorectomy, 2 patients needed oophorectomy and in 3 cases only cystectomy were necessary.
  
  
  CONCLUSIONS
  The ovarian torsion is the most common complication and the cause of loss of the ovary. The neonatal ovarian cysts greater than 5 centimetres, symptomatic cysts, complex cysts and cysts persisting for more than 6 months need surgical intervention.
authors.affiliation: Servicio de Cirugía Pediátrica, Complejo Hospitalario Universitario de Santiago de Compostela. azucena.lirio.armas.alvarez@sergas.es
authors.forename: A L
authors.initials: AL
authors.lastname: Armas Alvarez
authors.forename: P
authors.initials: P
authors.lastname: Taboada Santomil
authors.forename: J M
authors.initials: JM
authors.lastname: Pradillos Serna
authors.forename: L L
authors.initials: LL
authors.lastname: Rivera Chavez
authors.forename: R
authors.initials: R
authors.lastname: Méndez Gallart
authors.forename: E
authors.initials: E
authors.lastname: Estévez Martínez
authors.forename: P
authors.initials: P
authors.lastname: Rodríguez Barca
authors.forename: A
authors.initials: A
authors.lastname: Bautista Casasnovas
authors.forename: R
authors.initials: R
authors.lastname: Varela Cives
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010048:Ovarian Cysts / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies