Transumbilical laparoendoscopic single-site gonadectomy for Turner's syndrome with Y-chromosome mosaicism
| Autor: | Kentaro Mizuno, Kenjiro Kohri, Hidenori Nishio, Yoshiyuki Kojima, Keiichi Tozawa, Yutaro Hayashi, Haruo Mizuno |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Ovariectomy Urology Turner Syndrome Y chromosome Streak gonads Cicatrix Single site medicine Humans Minimally Invasive Surgical Procedures Therapeutic Laparoscopy Disorders of sex development Child Minimally invasive procedures Chromosome Aberrations Chromosomes Human Y Umbilicus Mosaicism business.industry Endoscopy medicine.disease Turner's syndrome Pediatric urology Surgery Treatment Outcome Pediatrics Perinatology and Child Health Female Laparoscopy business |
| Zdroj: | Journal of Pediatric Urology. 8:e39-e42 |
| ISSN: | 1477-5131 |
| DOI: | 10.1016/j.jpurol.2012.02.010 |
| Popis: | Laparoendoscopic single-site surgery (LESS), a minimally invasive procedure, is gaining widespread acknowledgment in pediatric urology. We report the case of a 7-year-old girl with Turner's syndrome with 45,XO/46,XY mosaicism, for whom bilateral prophylactic gonadectomy using LESS was performed. Histopathological findings revealed bilateral streak gonads. The surgical and cosmetic outcome was excellent. Diagnostic and therapeutic laparoscopy is essential for accurate clinical management of patients with disorders of sex development. Although this is only a single case report, it supports the theory that LESS is an exceedingly practical and superior technique for such children, since it provides excellent magnification, as well as allowing normal psychological development owing to the concealed scar. Further studies and long-term follow-up are required to evaluate the benefits and limitations of applying LESS in pediatrics. |
| Databáze: | OpenAIRE |
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