title: Ovarian-Sparing Surgery in Pediatric Benign Ovarian Tumors.
abstract: OBJECTIVE
  To evaluate outcomes of children after ovarian-sparing surgery (OSS) for non-neoplastic and benign neoplastic ovarian lesions.
  
  
  METHODS
  Retrospective cohort study from January 2003 to January 2012.
  
  
  METHODS
  Single, high-volume, tertiary care hospital.
  
  
  METHODS
  Children 18 years of age and younger.
  
  
  METHODS
  None.
  
  
  METHODS
  Postoperative complications and tumor recurrence after OSS.
  
  
  RESULTS
  One hundred nine patients underwent OSS with a median age of 13.3 years (interquartile range [IQR], 11.4-15.1 years). Eighty-two patients were treated laparoscopically with 4 conversions to an open procedure. Postoperative complications included surgical site infections in 7 patients (6%). Pathology most commonly revealed functional ovarian cysts (n = 57) and mature teratomas (n = 37). Ninety-four patients (86%) were followed for a median of 10.4 months (IQR, 0.72-30.8 months). Fifty-five patients (60%) had subsequent imaging surveillance a median of 7.6 months postoperatively (IQR, 3.9-13 months). Ten patients (10%) developed a second ipsilateral lesion within a median time of 11 months (IQR, 7.7-24 months), of whom 5 girls had repeated surgery for mass enlargement or persistent abdominal pain at a median time of 10.5 months (IQR, 8.0-12.65 months). Fifty-eight patients (63%) began or resumed menses at their most recent follow-up. Three girls became pregnant after OSS at a median follow-up of 5 years (range, 2.4-6.7 years).
  
  
  CONCLUSIONS
  Benign ovarian lesions in children can be treated successfully with OSS with low recurrence and repeat surgery rates.
authors.affiliation: Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: Paulette I
authors.initials: PI
authors.lastname: Abbas
authors.affiliation: Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Dietrich
authors.affiliation: Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Francis
authors.affiliation: Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: Mary L
authors.initials: ML
authors.lastname: Brandt
authors.affiliation: Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: Darrell L
authors.initials: DL
authors.lastname: Cass
authors.affiliation: Division of Pediatric Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas. Electronic address: melopez@texaschildrens.org.
authors.forename: Monica E
authors.initials: ME
authors.lastname: Lopez
mesh_terms: D000293:Adolescent; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D059351:Organ Sparing Treatments / Q000009:adverse effects / Q000379:methods*; D010051:Ovarian Neoplasms / Q000601:surgery*; D010053:Ovary / Q000473:pathology / Q000601:surgery*; D010372:Pediatrics; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Adolescent gynecology; Fertility; Ovarian-sparing surgery; Pediatric ovarian tumors; Pediatric surgery