Post-operative outcomes among pediatric and adolescent patients undergoing mini-laparotomy vs laparoscopy in the management of adnexal lesions.
- 2017
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. 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.