Berna Seckin1, Tulin Ozdener, Omer Lutfi Tapisiz, Sertac Batioğlu. 1. Department of Reproductive Endocrinology and Endoscopic Surgery, Zekai Tahir Burak Women's Health Research and Education Hospital, Ankara, Turkey. bernaseckin1@hotmail.com
Abstract
STUDY OBJECTIVE: To investigate the laparoscopic management of ovarian cysts in adolescents and young adults. DESIGN: A retrospective chart review study. SETTING: Zekai Tahir Burak Women's Health Research and Education Hospital. PARTICIPANTS: A total of 282 females aged 25 years or younger underwent laparoscopic surgery for a presumed benign ovarian cyst. Patients were grouped as adolescents (ages 12-19, n = 79) or young adults (ages 20-25, n = 203). MAIN OUTCOME MEASURES: Surgical approach, operative findings and the correlation of intraoperative diagnosis with the definitive pathological reports. RESULTS: The mean age of the patients was 21.2 years. At laparoscopic surgery, 89 patients (31.6%) had endometriomas, 47 (16.7%) had dermoid cysts, and 37 (13.1%) had paraovarian cysts. Ninety-seven patients (34.4%) had simple ovarian cysts. Pathological reports revealed that young adults were more likely to have endometriomas (34.0% vs 7.6%, P < 0.01), but dermoid cysts and simple ovarian cysts were more frequent (20.3% vs 15.3%, P < 0.01 and 60.7% vs 40.9%, P < 0.01, respectively).in adolescents. Eleven of the cases (3.9%) were found to have mucinous cystadenomas and fourteen (5.0%) to have serous cystadenomas. Four cysts were malignant (1.4%). Cystectomy was performed in 205 cases (72.7%), fenestration of cyst wall was performed in 53 cases (18.8%), and aspiration was applied in 22 cases (7.8%). The types of operation were not significantly different among adolescents and young adults (P > 0.05). The operative diagnosis was highly correlated with the final pathological reports (kappa value= 0.901, P < 0.001). There were no operative and postoperative complications in our series. CONCLUSION: With a careful preoperative screening, the laparoscopic surgery of ovarian cyst is an efficient and safe treatment for adolescents and young adults.
STUDY OBJECTIVE: To investigate the laparoscopic management of ovarian cysts in adolescents and young adults. DESIGN: A retrospective chart review study. SETTING: Zekai Tahir Burak Women's Health Research and Education Hospital. PARTICIPANTS: A total of 282 females aged 25 years or younger underwent laparoscopic surgery for a presumed benign ovarian cyst. Patients were grouped as adolescents (ages 12-19, n = 79) or young adults (ages 20-25, n = 203). MAIN OUTCOME MEASURES: Surgical approach, operative findings and the correlation of intraoperative diagnosis with the definitive pathological reports. RESULTS: The mean age of the patients was 21.2 years. At laparoscopic surgery, 89 patients (31.6%) had endometriomas, 47 (16.7%) had dermoid cysts, and 37 (13.1%) had paraovarian cysts. Ninety-seven patients (34.4%) had simple ovarian cysts. Pathological reports revealed that young adults were more likely to have endometriomas (34.0% vs 7.6%, P < 0.01), but dermoid cysts and simple ovarian cysts were more frequent (20.3% vs 15.3%, P < 0.01 and 60.7% vs 40.9%, P < 0.01, respectively).in adolescents. Eleven of the cases (3.9%) were found to have mucinous cystadenomas and fourteen (5.0%) to have serous cystadenomas. Four cysts were malignant (1.4%). Cystectomy was performed in 205 cases (72.7%), fenestration of cyst wall was performed in 53 cases (18.8%), and aspiration was applied in 22 cases (7.8%). The types of operation were not significantly different among adolescents and young adults (P > 0.05). The operative diagnosis was highly correlated with the final pathological reports (kappa value= 0.901, P < 0.001). There were no operative and postoperative complications in our series. CONCLUSION: With a careful preoperative screening, the laparoscopic surgery of ovarian cyst is an efficient and safe treatment for adolescents and young adults.
Authors: Hassan S Abduljabbar; Yasir A Bukhari; Estabrq G Al Hachim; Ghazal S Alshour; Afnan A Amer; Mohammed M Shaikhoon; Mohammed I Khojah Journal: Saudi Med J Date: 2015-07 Impact factor: 1.484
Authors: Nithya D G Ratnavelu; Andrew P Brown; Susan Mallett; Rob J P M Scholten; Amit Patel; Christina Founta; Khadra Galaal; Paul Cross; Raj Naik Journal: Cochrane Database Syst Rev Date: 2016-03-01