Surgical management of ovarian dermoid cysts in children and adolescents

Abstract

Introduction: The ovarian dermoid cysts are one of the most common neoplastic ovarian injuries found both in children and teenagers. For the girls with small ovarian diseases organ preserving operation it's extremely important for a proper functioning of puberty and future fertility. Purpose and Objectives: The aim of study was to present the reasons for making these surgeries in all the cases of ovarian dermoid cysts in order to ensure fertility and menstruation every month. Methods and materials: A prospective and retrospective analysis of all the ovarian cysts both in children and teenagers aged between 8 and 18, from the year 2000 through 2012 admitted in the Institute of Mother and Child Care, the department of operative gynecology was performed. Results: The ovarian dermoid cysts were localized mostly in the right side having a percentage of 64.7 vs. 35.3 for the left side. Cysts outermost dimension were 79.6±7.2 mm (95% CI:64.30-94.82) and minimum were - 65.1±6.5 mm (95% C l:51.21 -79.04), from 56 to 156 mm. Laparatomy was the surgery that was mostly used - 14/17 (82.4%), and laparoscopy was done only in 3/17 (17.6% ) cases. All of the organ preserving operations were statistically more common (p<0.001) over ovariectomy and were 14/17 (82.4%) vs. 3/17 (17.6%). Conclusions: It is vital to have a proper surgical approach for all the children and teenagers with ovarian cysts for maintaining a good sexual growth and fertility in the near future. These surgeries are the best method for this group of patients