Single port laparoscopic-assisted ovarian cystectomy using optical forceps in neonates: a brief technical report
Abstract Background The management of neonatal ovarian cysts is often demanding. However, offering surgery as a definitive treatment for patients who lack easy access to healthcare for follow-up is reasonable. Minimally invasive, ovary-sparing surgery provides benefits, including shorter operative t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-07-01
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| Series: | Annals of Pediatric Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43159-022-00174-3 |
| _version_ | 1818488711672758272 |
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| author | Hanan Said Yasmine Shafik Mohammed Faiz Osama Bawazir Obada Alhallaq Asmaa Abdulmoez Yasser Al Dahshan |
| author_facet | Hanan Said Yasmine Shafik Mohammed Faiz Osama Bawazir Obada Alhallaq Asmaa Abdulmoez Yasser Al Dahshan |
| author_sort | Hanan Said |
| collection | DOAJ |
| description | Abstract Background The management of neonatal ovarian cysts is often demanding. However, offering surgery as a definitive treatment for patients who lack easy access to healthcare for follow-up is reasonable. Minimally invasive, ovary-sparing surgery provides benefits, including shorter operative times, hospital stay, and superior cosmesis. The novel modification described here renders added value because it utilizes readily available and reusable instruments, averts the need for multiple ports and large incisions, and is essentially time-saving. So, the aim of the study is to evaluate the safety and feasibility and describe the use of optical forceps during single-port laparoscopic-assisted (SPLA) ovarian cystectomy in a specific cohort of neonates with simple/complicated ovarian cysts. Results Neonates who required ovarian cystectomy/salpingo-oophorectomy, admitted from January 2015 to December 2019 and fulfilled the inclusion criteria, were treated with optical forceps during SPLA. After the surgery, we put in place a follow-up protocol to monitor complications and recurrences. Twenty-one neonates were included. The average gestational age was 37.2 ± 1.6 weeks, operative time was 43.2 ± 2.4 min, and length of hospital stay was 2.4 ± 0.5 days. In our experiment, there was no encounter with complications, recurrences, or ones that required conversion to laparotomy, nor did we require the use of extra ports. Conclusion SPLA procedures using optical forceps for managing neonatal cysts requiring surgery appear to be a safe and achievable option by allowing complete visualization of the cyst/lesion. It also has an excellent cosmetic result with a near-normal umbilicus scar. Further research is required to compare this method to open and laparoscopic standards. |
| first_indexed | 2024-12-10T16:54:42Z |
| format | Article |
| id | doaj.art-c2fdb1bf0b524367b3428d2aa011e5b5 |
| institution | Directory Open Access Journal |
| issn | 2090-5394 |
| language | English |
| last_indexed | 2024-12-10T16:54:42Z |
| publishDate | 2022-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Annals of Pediatric Surgery |
| spelling | doaj.art-c2fdb1bf0b524367b3428d2aa011e5b52022-12-22T01:40:46ZengSpringerOpenAnnals of Pediatric Surgery2090-53942022-07-011811510.1186/s43159-022-00174-3Single port laparoscopic-assisted ovarian cystectomy using optical forceps in neonates: a brief technical reportHanan Said0Yasmine Shafik1Mohammed Faiz2Osama Bawazir3Obada Alhallaq4Asmaa Abdulmoez5Yasser Al Dahshan6Department of Pediatric Surgery, International Medical CenterDepartment of Pediatric Surgery, International Medical CenterDepartment of Pediatric Surgery, International Medical CenterDepartment of Surgery, Faculty of Medicine, Umm Al-Qura UniversityDepartment of Pediatric Surgery, International Medical CenterNeonatal Unit, International Medical CenterDepartment of Anesthesiology, International Medical CenterAbstract Background The management of neonatal ovarian cysts is often demanding. However, offering surgery as a definitive treatment for patients who lack easy access to healthcare for follow-up is reasonable. Minimally invasive, ovary-sparing surgery provides benefits, including shorter operative times, hospital stay, and superior cosmesis. The novel modification described here renders added value because it utilizes readily available and reusable instruments, averts the need for multiple ports and large incisions, and is essentially time-saving. So, the aim of the study is to evaluate the safety and feasibility and describe the use of optical forceps during single-port laparoscopic-assisted (SPLA) ovarian cystectomy in a specific cohort of neonates with simple/complicated ovarian cysts. Results Neonates who required ovarian cystectomy/salpingo-oophorectomy, admitted from January 2015 to December 2019 and fulfilled the inclusion criteria, were treated with optical forceps during SPLA. After the surgery, we put in place a follow-up protocol to monitor complications and recurrences. Twenty-one neonates were included. The average gestational age was 37.2 ± 1.6 weeks, operative time was 43.2 ± 2.4 min, and length of hospital stay was 2.4 ± 0.5 days. In our experiment, there was no encounter with complications, recurrences, or ones that required conversion to laparotomy, nor did we require the use of extra ports. Conclusion SPLA procedures using optical forceps for managing neonatal cysts requiring surgery appear to be a safe and achievable option by allowing complete visualization of the cyst/lesion. It also has an excellent cosmetic result with a near-normal umbilicus scar. Further research is required to compare this method to open and laparoscopic standards.https://doi.org/10.1186/s43159-022-00174-3Optical forcepsNeonatesOvarian cystsLaparoscopy |
| spellingShingle | Hanan Said Yasmine Shafik Mohammed Faiz Osama Bawazir Obada Alhallaq Asmaa Abdulmoez Yasser Al Dahshan Single port laparoscopic-assisted ovarian cystectomy using optical forceps in neonates: a brief technical report Annals of Pediatric Surgery Optical forceps Neonates Ovarian cysts Laparoscopy |
| title | Single port laparoscopic-assisted ovarian cystectomy using optical forceps in neonates: a brief technical report |
| title_full | Single port laparoscopic-assisted ovarian cystectomy using optical forceps in neonates: a brief technical report |
| title_fullStr | Single port laparoscopic-assisted ovarian cystectomy using optical forceps in neonates: a brief technical report |
| title_full_unstemmed | Single port laparoscopic-assisted ovarian cystectomy using optical forceps in neonates: a brief technical report |
| title_short | Single port laparoscopic-assisted ovarian cystectomy using optical forceps in neonates: a brief technical report |
| title_sort | single port laparoscopic assisted ovarian cystectomy using optical forceps in neonates a brief technical report |
| topic | Optical forceps Neonates Ovarian cysts Laparoscopy |
| url | https://doi.org/10.1186/s43159-022-00174-3 |
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