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
Related Articles
- EP ID EP558150
- DOI 10.17140/SROJ-2-113
- Views 183
- Downloads 0
Management of Adnexal Masses in Children and Adolescent Populations: Advocating for Ovarian Conservation
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....
Surgery in the Era of Molecular Medicine: Review of Gastroenteropanreatic Neuroendocrine Tumours
The management of gastroenteropancreatic neuroendocrine tumours (GEP-NETs) has evolved rapidly in the last two decades. Therefore, it is important that surgeons practicing in molecular medicine era have a clear understan...
Lysine Pill-Induced Esophageal Perforation
Pill-induced esophagitis is being increasingly recognized, but remains largely underreported. Most patients suffer from self-limited pain but complications like esophageal hemorrhage, stricture, perforation and even deat...
Ileal Interposition with Gastric Bipartition and a Weight-Adjusted Sleeve Gastrectomy: A New Model of Metabolic Surgery
Background: Metabolic surgery for the treatment of type 2 diabetes patients, with body mass index (BMI) less than 35 kg/m2 has been found to be increasing every year. Duodenoileal interposition with sleeve gastrectomy a...
Single-Step Primary Reconstruction After Complex Fronto-Orbital Brown Tumor Resection Using Computed-Designed Peek Implant
The authors describe a patient with secondary hyperparathyroidism (HPT) who had development of a brown tumors (BTs) of the superior orbit and frontal calvarium with subsequent visual impairment. One-step surgery involvin...