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Objective:In this study, we aimed to analyze whether laparoscopy is a feasible and safe surgical option for ovarian pathologies in children.Method:Our study included 43 patients who were followed up and treated for ovarian pathology in our clinic between January 1, 2012, and January 1, 2022. The clinical information and data for the patients were reviewed retrospectively. The patients were divided into 2 groups: Laparoscopy and the laparotomy group. Demographic data of the patients, complaints at presentation, localization of the mass, laboratory hormone levels and surgical findings, histopathological diagnoses, treatment methods, and treatment results were evaluated.Results:In the study, 43 female patients with a mean age of 9.6 years (1 month-15 years) were evaluated. It was the most common on the right side (58%). The most common symptom was abdominal pain (70%). Thirteen (30%) patients had acute abdomen findings. For surgical intervention, laparoscopy was performed in 22 (51%) patients and laparotomy was performed in 19 (44%) patients. Unilateral oophorectomy or salpingo-oophorectomy was performed in 28 (65%) of the patients as surgical treatment. Twenty-three (53%) of the ovarian pathologies were neoplastic, and 20 (47%) patients were non-neoplastic. Pathological diagnoses of ovarian pathologies 19 (44%) patients had ovarian torsion and 14 (33%) patients had teratoma. The operation time was shorter in the laparoscopy group (p0.05). While 42 of 43 patients survived, one patient with immature teratoma died from tumor-associated metastasis.Conclusion:Although the majority of ovarian pathologies are benign, since malignant masses may occur, surgery should be performed as early as possible. In lesions that are thought to be benign, ovarian-sparing surgery should be performed as much as possible. Laparoscopy is a feasible and safe surgical option for ovarian pathologies even, in malignant patients. |
