Surgical management of ovarian masses in children and adolescents: experience of an academic institution in France
Topic overview
This 8-year retrospective study of 88 pediatric patients demonstrates that laparoscopic management of ovarian masses offers significant advantages over open surgery, including smaller incisions, shorter operative times, and reduced hospital stays. Laparoscopy is recommended for benign lesions and torsion, with selective conversion to open surgery for suspected malignancy.
Key takeaways
- Laparoscopy is safe and effective for benign ovarian masses in pediatric patients, with shorter operative time and hospital stay versus open surgery.
- Laparoscopic approach is appropriate for smaller tumors (mean 54mm) and ovarian torsion, with minimal complications and low recurrence (5.7%).
- For suspected malignant ovarian masses, laparoscopy aids diagnosis and staging but conversion to open surgery is warranted if malignancy confirmed.
- Tumor size is a key factor: laparoscopy suited for lesions <120mm; larger masses may require open approach for safe resection.
- Conservative ovarian-sparing surgery via laparoscopy preserves fertility in adolescents with benign lesions and acceptable long-term outcomes.
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How to cite: GlobalCastMD. Surgical management of ovarian masses in children and adolescents: experience of an academic institution in France. GlobalCastMD Medical Library. 2024-06-06. https://dev.library.globalcastmd.com/article/8710?via_space=staycurrentmd
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