The Alexis Laparoscopic System as Minimally Invasive Surgical Technique in Operative Management of Huge Cystic Ovarian Tumors in Children and Young Adolescents: A Case Report

BACKGROUNDThe use of the Alexis wound protector-retractor (AWPR) could further improve the laparoscopic techniques for safely removing huge ovarian tumors in children.CASEA 15-year-old patient presented to our emergency department with a history of weeks of persistent abdominal pain. Clinical examin...

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Bibliographic Details
Published in:Journal of pediatric and adolescent gynecology 2023, Vol.36 (6), p.560-562
Main Authors: Tzortzopoulou, Adelais, Kordasz, Marcin, Häcker, Frank-Martin, Krebs, Thomas
Format: Report
Language:English
Online Access:Get full text
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Summary:BACKGROUNDThe use of the Alexis wound protector-retractor (AWPR) could further improve the laparoscopic techniques for safely removing huge ovarian tumors in children.CASEA 15-year-old patient presented to our emergency department with a history of weeks of persistent abdominal pain. Clinical examination and magnetic resonance imaging demonstrated a 25 × 21 × 21 cm cystic mass arising from the left ovary. An en block unilateral oophorectomy and salpingectomy with the use of a medium-sized AWPR was performed without complications. The patient was discharged on the second postoperative day.CONCLUSIONThe AWPR is a safe and effective tool in treating such children and adolescents with huge ovarian tumors, preserving fertility, minimizing the postoperative pain and hospital stay, and providing an excellent cosmetic outcome.
ISSN:1873-4332
DOI:10.1016/j.jpag.2023.06.008