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Post-operative outcomes among pediatric and adolescent patients undergoing mini-laparotomy vs laparoscopy in the management of adnexal lesions.

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Citation: Journal of Pediatric & Adolescent Gynecology. 30(6):632-635, 2017 DecPMID: 28669786Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Pediatric and AdolescentForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Adnexal Diseases/su [Surgery] | *Laparoscopy/mt [Methods] | *Laparotomy/mt [Methods] | *Minimally Invasive Surgical Procedures/mt [Methods] | Adolescent | Adult | Child | Cohort Studies | Female | Humans | Laparoscopy/ae [Adverse Effects] | Laparotomy/ae [Adverse Effects] | Length of Stay/sn [Statistics & Numerical Data] | Minimally Invasive Surgical Procedures/ae [Adverse Effects] | Operative Time | Pain Measurement | Retrospective Studies | Treatment Outcome | Young AdultYear: 2017 Local holdings: Available online through MWHC library: 2002 - presentISSN:

1083-3188

Name of journal: Journal of pediatric and adolescent gynecologyAbstract: 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.Copyright � 2017. Published by Elsevier Inc.DESIGN: Retrospective Cohort.MAIN OUTCOME MEASURES: Comparison of operative times, size of lesions, pain scores, patient length of stay after mini-laparotomy versus laparoscopy.PARTICIPANTS: Patients ages 6 -21 who underwent surgical management for benign adnexal lesions.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.SETTING: Tertiary care children's hospital.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.All authors: DeSale S, Foley C, Gomez-Lobo V, Taylor J, Trotman GFiscal year: FY2017Digital Object Identifier:

https://dx.doi.org/10.1016/j.jpag.2017.06.009

Date added to catalog: 2017-07-10

Holdings ( 1 )
Title notes ( 10 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	28669786	Available		28669786

Available online through MWHC library: 2002 - present

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.

DESIGN: Retrospective Cohort.

MAIN OUTCOME MEASURES: Comparison of operative times, size of lesions, pain scores, patient length of stay after mini-laparotomy versus laparoscopy.

PARTICIPANTS: Patients ages 6 -21 who underwent surgical management for benign adnexal lesions.

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.

SETTING: Tertiary care children's hospital.

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.

English