Current trends in the surgical treatment of pediatric ovarian torsion: we can do better
| Autor: | Christine Rader, Kyle Lee, Trudy Lerer, Brendan T. Campbell, Melissa C. McCann, Danielle M. Austin, Owen Kahn, Shefali Thaker, Katherine W. Herbst |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Torsion Abnormality Adolescent Databases Factual Pediatric health Ovariectomy Unnecessary Procedures Pediatrics Gynecologic Surgical Procedures Medicine Humans National trends Ovarian Diseases Surgical treatment Child business.industry General surgery Ovarian torsion Infant Newborn Infant Mean age Pediatric Surgeon General Medicine medicine.disease United States Surgery Treatment Outcome Gynecology Child Preschool Pediatrics Perinatology and Child Health Female Laparoscopy business |
| Zdroj: | Journal of pediatric surgery. 50(8) |
| ISSN: | 1531-5037 |
| Popis: | 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).We queried Pediatric Health Information System (PHIS) data from 2007 to 2011 for patients18years 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.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).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. |
| Databáze: | OpenAIRE |
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