11933 Comparison of the Surgical Treatment of Pediatric Adnexal Masses By Gynecologic Surgeons Versus Pediatric Surgeons, a Systematic Review.

Autor: Marchand, GJ, Massoud, A, Ulibarri, H, Arroyo, A, Blanco, M, Gonzalez Herrera, D, Hamilton, B, Ruffley, K
Zdroj: Journal of Minimally Invasive Gynecology; 2024 Supplement, Vol. 31 Issue 11, pS120-S120, 1p
Abstrakt: Adnexal masses in pediatric patients are an uncommon pathology, and treatment often raises the question of whether Gynecologic surgeons (those graduating OBGYN residencies and associated fellowships) or Pediatric and general surgeons (those graduating general surgery or other non-obgyn residencies and fellowships) are better suited to perform the procedure. To compare gynecologic surgeons and pediatric surgeons regarding the surgical management of ovarian lesions, whether through laparotomy or laparoscopic procedures. We searched all major databases for relative studies comparing gynecologic surgeons and pediatric or general surgeons. We performed a systematic review of all available information. Pediatric and adolescent patients suffering from ovarian lesions. Pediatric and adolescent patients suffering from ovarian lesions. Surgical intervention by gynecologic surgeons vs. pediatric or general surgeons. We found that the gynecologic surgeons had lower incidences of complications and recurrence rates than the pediatric surgeons. Additionally, the gynecologic surgeons had a larger number of ovarian-sparing surgeries and fewer laparoscopies converted to laparotomies. Also, hospital stay was shorter with gynecologic surgeons. The incidence of accidental tumor spillage was also higher among pediatric and general surgeons than it was with the gynecologic surgeons. Gynecologic surgeons are superior to pediatric surgeons surgical management of pediatric and adolescent female patients with ovarian masses. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index