MedStar Authors catalog › Details for: Post-operative outcomes among pediatric and adolescent patients undergoing mini-laparotomy vs laparoscopy in the management of adnexal lesions.
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Post-operative outcomes among pediatric and adolescent patients undergoing mini-laparotomy vs laparoscopy in the management of adnexal lesions.

by Trotman, Gylynthia; Taylor, Janelle; Gomez-Lobo, Veronica; DeSale, Sameer.
Citation: Journal of Pediatric & Adolescent Gynecology. 30(6):632-635, 2017 Dec.Journal: Journal of pediatric and adolescent gynecology.Published: 2017ISSN: 1083-3188.Full author list: Trotman G; Foley C; Taylor J; DeSale S; Gomez-Lobo V.UI/PMID: 28669786.Subject(s): *Adnexal Diseases/su [Surgery] | Adolescent | Adult | Child | Cohort Studies | Female | Humans | Laparoscopy/ae [Adverse Effects] | *Laparoscopy/mt [Methods] | Laparotomy/ae [Adverse Effects] | *Laparotomy/mt [Methods] | Length of Stay/sn [Statistics & Numerical Data] | Minimally Invasive Surgical Procedures/ae [Adverse Effects] | *Minimally Invasive Surgical Procedures/mt [Methods] | Operative Time | Pain Measurement | Retrospective Studies | Treatment Outcome | Young AdultInstitution(s): MedStar Washington Hospital Center | MedStar Health Research InstituteDepartment(s): Obstetrics and Gynecology/Pediatric and AdolescentActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1016/j.jpag.2017.06.009 (Click here) Abbreviated citation: J Pediatr Adolesc Gynecol. 30(6):632-635, 2017 Dec.Local Holdings: Available online through MWHC library: 2002 - present.Abstract: STUDY OBJECTIVE: To compare institutional experience in the postoperative recovery in children and adolescents undergoing laparoscopy versus mini-laparotomy in the management of benign adnexal cystic lesions.Abstract: DESIGN: Retrospective Cohort.Abstract: SETTING: Tertiary care children's hospital.Abstract: PARTICIPANTS: Patients ages 6 -21 who underwent surgical management for benign adnexal lesions.Abstract: MAIN OUTCOME MEASURES: Comparison of operative times, size of lesions, pain scores, patient length of stay after mini-laparotomy versus laparoscopy.Abstract: RESULTS: 44 patients were identified. Of those, 59% (n =26) had a laparoscopic procedure and 41% (n =18) underwent mini-laparotomy. Patients who underwent mini-laparotomy were more likely to have a larger adnexal mass than those in the laparoscopy group with a median size of 15.5 cm versus 6.0 respectively (p <.001). Post-operative length of stay and recovery were comparable in both groups.Abstract: CONCLUSION: Mini-laparotomy offers a minimally invasive option for the management of benign adnexal lesions in the pediatric and adolescent age group with comparable recovery to laparoscopy. The mini-laparotomy approach should be considered when laparoscopy is limited.Abstract: Copyright � 2017. Published by Elsevier Inc.

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