title: Single incision laparoscopic surgery for pediatric adnexal pathology.
abstract: OBJECTIVE
  Minimally invasive surgery is commonly used to treat gynecologic disease. Literature in the adult population supports that single incision laparoscopic surgery (SIL) is feasible and safe for the treatment of adnexal disease; however, there is little evidence for SIL in the pediatric population.
  
  
  METHODS
  A retrospective review of patients with gynecologic disease who underwent SIL from August 2009 to April 2012 was performed. All demographic data, clinical history, radiologic studies, indications for and type of operation, operative time and complications, and pathology were recorded.
  
  
  RESULTS
  Thirty-four patients with a mean age of 12.5 years (range 3.6-17.4 years) underwent SIL for adnexal pathology. Operative interventions included cystectomy (56%), salpingo oopherectomy (26.5%), detorsion (8.8%), adnexal biopsy (5.9%), and oophoropexy (2.9%). Forty-four percent of the patients also underwent appendectomy. The mean operative time was 42.8 minutes. There was 1 wound infection (2.9%) and 2 patients (5.9%) required additional ports.
  
  
  CONCLUSIONS
  Single incision laparoscopy provides a safe and effective approach to diagnostic laparoscopy with the ability to carry out operative interventions in multiple quadrants without adding additional ports. Single incision laparoscopy may be particularly effective in young women with abdominal pain requiring operative intervention.
authors: All Children's Hospital/Johns Hopkins Medicine, Division of Pediatric Surgery, 601 5th Street South, Suite 306, St. Petersburg, FL 33705.
authors: Cristen
authors: C
authors: Litz
authors: All Children's Hospital/Johns Hopkins Medicine, Division of Pediatric Surgery, 601 5th Street South, Suite 306, St. Petersburg, FL 33705.
authors: Paul D
authors: PD
authors: Danielson
authors: All Children's Hospital/Johns Hopkins Medicine, Division of Pediatric Surgery, 601 5th Street South, Suite 306, St. Petersburg, FL 33705. Electronic address: Nicole.Chandler@allkids.org.
authors: Nicole M
authors: NM
authors: Chandler
mesh_terms: D000291:Adnexal Diseases / Q000601:surgery*; D000293:Adolescent; D001062:Appendectomy; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D061646:Operative Time; D010048:Ovarian Cysts / Q000601:surgery; D010052:Ovariectomy; D012189:Retrospective Studies; D058994:Salpingectomy
keywords: Adnexal mass; Adolescent; Children; Single incision laparoscopy