Laparoscopic Management of Ovarian Cysts in Adolescents and Outcomes at SVIMS.

Abstract

Background:

Treatment for ovarian cysts depends on the characteristics of the cysts, whether symptoms are present, and whether surgery is necessary to identify the type of adnexal mass. Laparoscopic surgery has gained acceptance as the gold standard for treating adnexal masses in gynecologic surgery in recent years, and several adult series have thoroughly established its benefits.

Materials and methods:

It’s a retrospective study, adolescent age group women who underwent laparoscopic surgery  in the department of obstetrics and gynaecology at SVIMS were the study population. It was conducted over a one year period from 2022 july to 2024 july. Patients with suspected pregnancy, suspected pelvic inflammatory disease, married and above 20 years of age were excluded from the study.

Results:

A total of 31 adolescents were included in the analysis. The age of the study participants ranged from 13 to 19 years, with a Mean age of 17.258±1.7121 years. The preoperative USG showed a simple ovarian cyst in 29% of cases, a Haemorrhagic cyst in 16.1%  cases, and a paraovarian cyst in 12.9% of cases.  The most common histopathological findings in our study are serous cystadenoma( 19.4%), Haemorrhagic cyst(16.1%), and Ovarian cyst with torsion(12.9%). 64.5% of the patients underwent cystectomy,  Puncture + cystectomy(12.9%), Cystectomy + oophorectomy(9.7%), Cystectomy with detorsion(3.2%), Cystectomy with salpingectomy(3.2%), Detorsion + cystectomy(3.2%) and Oophorectomy(3.2%).

Conclusion:

Surgical laparoscopy offers benefits such as less blood loss, less tissue damage, less perioperative pain, fewer hospital stays, and lower total healthcare costs.