Management of Adnexal Masses in Children and Adolescent Populations: Advocating for Ovarian Conservation
Journal Title: Surgical Research – Open Journal - Year 2016, Vol 2, Issue 2
Abstract
When a young girl or adolescent presents to the Emergency Department with acute lower abdominal pain, it is not uncommon for a general surgeon to be consulted, as appendicitis is always top of the differential diagnosis. The management dilemma occurs when imaging reveals an adnexal mass in the setting of an acute abdomen. Historically, surgical management recommendations were for laparotomy with unilateral salpingo-oophorectomy, in an effort to avoid incomplete excision of cancer.1-3 Laparoscopy has since replaced laparotomy as the surgical method of choice, however ovarian conservation procedures are often not considered unless a gynecologist is present. This goal of this article is to address the importance of ovarian conservation in adnexal masses in children and adolescents.
Authors and Affiliations
Lisa Beth Spiryda
Keywords
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- EP ID EP558150
- DOI 10.17140/SROJ-2-113
- Views 177
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