PECULIARITIES OF SURGICAL TREATMENT OF OVARIAN CYSTS IN NEWBORNS



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Abstract

The aim of the work is to improve the results of the surgical treatment of congenital ovarian cysts in newborns. Material and methods. From 1982 to 2017, 147 newborns with simple ovarian cysts were treated at the clinic. The main diagnostic method was clinical - ultrasound. Two groups of patients were compared: with access according to Pfannenstiel incision and paraumbilical access. The technology of surgical intervention with paraumbilical access is described in detail. Results. In comparative studies, the benefits of parumbilical access are fully in line with the requirements of modern “open” pediatric surgery for the removal of ovarian cysts (OC) in newborns. There was noted a unique feature of the torsion of simple congenital OK: the emerging ischemia of the cysts leads only to the development of aseptic necrosis without purulent-inflammatory changes in the cyst itself and the adhesive process around. Conclusion. Para-umbilical access during surgical removal of OC may be an alternative to laparoscopic when the latter can not be used. Bearing in mind the torsion of most simple OC to occur in the antenatal period, as well as the asymptomatic course of the disease in the neonatal period, we consider it necessary to operate children with this pathology in the first 2 days after birth.

About the authors

A. V. Leiga

Rostov State Medical University

Author for correspondence.
Email: noemail@neicon.ru
Россия

K. G. Volovik

Rostov State Medical University

Email: noemail@neicon.ru
Россия

G. I. Chepurnoy

Rostov State Medical University

Email: chepur@rambler.ru
Россия

M. G. Chepurnoy

Rostov State Medical University

Email: noemail@neicon.ru
Россия

M. V. Kovalev

Rostov State Medical University

Email: noemail@neicon.ru
Россия

Yu. V. Khoronko

Rostov State Medical University

Email: noemail@neicon.ru
Россия

References

  1. Исаков Ю.Ф., Дронов А.Ф. Детская хирургия. Национальное руководство. М., ГЭОТАР-Медиа; 2009: 307.
  2. Разин М.П., Минаев С.В., Турабов И.А. и др. Детская хирургия. Учебник. М., ГЭОТАР-Медиа; 2018: 682.
  3. Исаков Ю.Ф. (ред.) Хирургические болезни детского возраста. Т. I. М., ГЭОТАР-Медиа; 2006: 591-2.
  4. Croitoru D.P., Aaron L.E., Laberge J.M. et al. Management of complex ovarian cysts presenting in the first year of life. J. Pediatr. Surg. 1991; 12: 1366-8.
  5. Strickland J.L. Ovarian cysts in neonates, children and adolescents. Curr. Opin. Obstet. Gynecol. 2002; 5: 459-65.
  6. Демидов В.Н., Машинец Н.В., Кучеров Ю.И. Ультразвуковая диагностика перекрута и апоплексии кист яичника у плода. Акушерство и гинекология. 2011; 1: 81-3.
  7. Демидов В.Н., Машинец Н.В. Осложненное течение кист яичника у плода и их ультразвуковая диагностика. Акушерство и гинекология. 2012; 2: 85-9.
  8. Lin J.Y., Lee Z.F., Chang Y.T. Transumbilical management for neonatal ovarian cysts. J. Pediatr. Surg. 2007; 12: 2136-9.
  9. Sapin E., Bargy F., Levin F. et al.Management of ovarian cyst detected by prenatal ultrasounds. J. Pediatr. Surg. 1995; 1: 135.
  10. Colby Ch., Brindle М., Moss R.L. Minimally invasive laparotomy for treatment of neonatal ovarian cysts. J. Pediatr. Surg. 2001; 6: 868-9.
  11. Tseng D., Curran T.J., Silen M.L. Minimally invasive management of the prena-tally torsed ovarian cyst. J. Pediatr. Surg. 2002; 10: 1467-9.
  12. Ateş O., Karakaya E., Hakgüder G. et al. Laparoscopic excision of a giant ovarian cyst after ultrasound-guided drainage. J. Pediatr. Surg. 2006; 10: 9-11.
  13. Coccia M.E., Rizzello F., Bracco G.L. et al/ Seven-liter ovarian cyst in an aoles-cent treated by minimal access surgery: laparoscopy and open cystectomy. J. Pediatr. Surg. 2009; 6: 5-8.
  14. Schenkman L., Weiner T.M., Phillips J.D. Evolution of the surgical management of neonatal ovarian cysts: laparoscopic-assisted transumbilical extracorporeal ovarian cystectomy (LATEC). J. Laparoendosc. Adv. Surg. Tech. A. 2008; 4: 635-40.
  15. Van der Zee D., Seumeren I.G., Bax K.M. et al. Laparoscopic approach to surgical management of ovarian cysts in the newborn. J. Pediatr. Surg. 1995; 1: 42-3.
  16. Персианинов Л.С. Оперативная гинекология. М.; 1971: 90-3.
  17. Козлов Ю.А., Новожилов В.А., Подкаменев А.В. и др. Использование параум-биликального доступа в хирургическом лечении дуоденальной атрезии. Детская хирургия. 2013; 2: 18-22.
  18. Feigin E., Abir R., Fisch B. et al. Laparoscopic ovarian tissue preservation in young patients at risk for ovarian failure as a result of chemotherapy/irradiation for primary malignancy. J. Pediatr. Surg. 2007; 5: 862-4.
  19. Prasad S., Chui C.H. Laparoscopic-assisted transumbilical ovarian cystectomy in a neonate. JSLS. 2007; 1: 138-41.
  20. Tan K.C., Bianchi А. Circumumbilical incision for pyloromyotomy. Br. J. Surg. 1986; (73): 399-403.
  21. Aslam A., Wong С., Haworth J.M. et al. Autoamputation of ovarian cyst in an infant. J. Pediatr. Surg. 1995; 11: 1609-10.

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