Brendan T Campbell1, Danielle M Austin2, Owen Kahn2, Melissa C McCann2, Trudy J Lerer3, Kyle Lee3, Shefali Thaker3, Katherine W Herbst3, Christine M Rader2. 1. Department of Pediatric Surgery, Connecticut Children's Medical Center and the University of Connecticut School of Medicine, Hartford, CT, USA. Electronic address: bcampbell@connecticutchildrens.org. 2. Department of Pediatric Surgery, Connecticut Children's Medical Center and the University of Connecticut School of Medicine, Hartford, CT, USA. 3. Department of Research, Connecticut Children's Medical Center, Hartford, CT, USA.
Abstract
INTRODUCTION: Current literature strongly recommends ovarian preservation for pediatric patients with ovarian torsion. The purpose of this study was to evaluate national trends in the surgical management of pediatric ovarian torsion and to compare outcomes between pediatric surgeons (PED) and gynecologists (GYN). METHODS: We queried Pediatric Health Information System (PHIS) data from 2007 to 2011 for patients <18years old with a diagnosis of ovarian torsion who underwent a surgical procedure. Patients with malignant disease were excluded. Outcomes were compared between pediatric surgeons and gynecologists. RESULTS: A total of 1151 patients were identified with a mean age of 10.7±4.1years with a bimodal distribution. Pediatric surgeons performed the majority of procedures (81%) and were more likely to use a laparoscopic approach (PED 27% vs. GYN 17%, p<.05). Pediatric surgeons were more likely to perform an oophorectomy (PED 38% vs. GYN 27%, p<.01), and more likely to administer antibiotics for this clean procedure (PED 61% vs. GYN 29%, p<.001). The overall reoperation rate was 5.1% and did not differ significantly by subspecialty (PED 4.4% vs. GYN 7.8%, p>.05). CONCLUSIONS: These data demonstrate a significant opportunity for pediatric surgeons and gynecologists to improve ovarian salvage rates and to reduce unnecessary antibiotic utilization for children with ovarian torsion.
INTRODUCTION: Current literature strongly recommends ovarian preservation for pediatric patients with ovarian torsion. The purpose of this study was to evaluate national trends in the surgical management of pediatric ovarian torsion and to compare outcomes between pediatric surgeons (PED) and gynecologists (GYN). METHODS: We queried Pediatric Health Information System (PHIS) data from 2007 to 2011 for patients <18years old with a diagnosis of ovarian torsion who underwent a surgical procedure. Patients with malignant disease were excluded. Outcomes were compared between pediatric surgeons and gynecologists. RESULTS: A total of 1151 patients were identified with a mean age of 10.7±4.1years with a bimodal distribution. Pediatric surgeons performed the majority of procedures (81%) and were more likely to use a laparoscopic approach (PED 27% vs. GYN 17%, p<.05). Pediatric surgeons were more likely to perform an oophorectomy (PED 38% vs. GYN 27%, p<.01), and more likely to administer antibiotics for this clean procedure (PED 61% vs. GYN 29%, p<.001). The overall reoperation rate was 5.1% and did not differ significantly by subspecialty (PED 4.4% vs. GYN 7.8%, p>.05). CONCLUSIONS: These data demonstrate a significant opportunity for pediatric surgeons and gynecologists to improve ovarian salvage rates and to reduce unnecessary antibiotic utilization for children with ovarian torsion.
Authors: Emily C Alberto; Jun Tashiro; Yinan Zheng; Anthony Sandler; Timothy Kane; Veronica Gomez-Lobo; Mikael Petrosyan Journal: Pediatr Surg Int Date: 2020-11-26 Impact factor: 1.827
Authors: Susan C Lipsett; Lalita Haines; Michael C Monuteaux; Katherine Hayes; Kenneth A Michelson Journal: J Pediatr Date: 2020-12-17 Impact factor: 4.406
Authors: R S Mandelbaum; M B Smith; C J Violette; S Matsuzaki; K Matsushima; M Klar; L D Roman; R J Paulson; K Matsuo Journal: BJOG Date: 2020-03-09 Impact factor: 6.531