title: Ovarian Cyst Aspiration in the Neonate: Minimally Invasive Surgery.
abstract: OBJECTIVE
  To review our experience with laparoscopic aspirations and minimally invasive surgeries for neonatal ovarian cysts and report the outcome of their follow-up.
  
  
  METHODS
  Twenty-one neonates diagnosed as having ovarian cysts were retrospectively reviewed at our hospital from 2006 through 2013.
  
  
  RESULTS
  Of 21 neonates, 8 showed simple cysts and 13 showed complex cysts in their ultrasound scan. Laparoscopic aspiration was performed for all neonates with simple cysts. Torsion was found in 7 of 13 neonates with complex cysts. Three neonates underwent detorsion, while 2 neonates underwent oophorectomy. Two neonates already showed autoligation, showing a cystic mass, which was removed. The remaining 6 neonates with a complex cyst underwent only aspiration because no torsion was found. Of 14 neonates who underwent only aspiration, 11 showed no cyst, while 3 neonates, having a cyst with a size of less than 2 cm, underwent follow-up. Of 3 neonates who underwent detorsion, 1 showed an ovary without cyst, while 2 showed neither cyst nor ovary.
  
  
  CONCLUSIONS
  Laparoscopically, neonatal ovarian cysts may be diagnosed and aspirated simultaneously, simply, and safely.
authors.affiliation: Division of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
authors.forename: Min Jeng
authors.initials: MJ
authors.lastname: Cho
authors.affiliation: Division of Pediatric Surgery, University of Ulsan College of Medicine & Asan Medical Center, Seoul, Korea. Electronic address: kimdy@amc.seoul.kr.
authors.forename: Dae Yeon
authors.initials: DY
authors.lastname: Kim
authors.affiliation: Division of Pediatric Surgery, University of Ulsan College of Medicine & Asan Medical Center, Seoul, Korea.
authors.forename: Seong Chul
authors.initials: SC
authors.lastname: Kim
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010048:Ovarian Cysts / Q000601:surgery*; D019152:Paracentesis / Q000379:methods*; D012189:Retrospective Studies
keywords: Laparoscopic aspiration; Neonatal; Ovarian cyst