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Homemade Glove Retrieval Bag in Laparoscopic Complete Excision of Benign Ovarian Teratoma with Ovarian Tissue Preservation in Children: A Case Series
Institution:1. Department of Surgery, Faculty of Medicine, Section of Pediatric Surgery, Tanta University, Tanta, Egypt;2. Department of Surgery, Surgical Oncology Unit, Faculty of Medicine, Tanta University, Tanta, Egypt
Abstract:Study ObjectiveTo present our experience of laparoscopic resection of pediatric benign ovarian teratomas with gonadal preservation, using a homemade glove retrieval bag.Design, Setting, Participants, Interventions, and Main Outcome MeasuresReview of all girls with benign ovarian teratomas who were managed with laparoscopic ovarian-sparing surgery (OSS) at our hospital between January 2013 and December 2018.ResultsEleven patients were included for analysis with a mean age of 6.1 years. Ten patients received elective surgery, whereas 1 patient received emergency surgery because of ovarian torsion. Main indication for OSS was the existence of a dissection plane between tumor margins and healthy ovarian tissue. Postoperative outcome and follow-up were uneventful with a median follow-up of 30.1 months (range; 12-60 months).ConclusionLaparoscopic OSS can be safely performed for these tumors. Laparoscopic magnification with energy devices are excellent tools in such procedures. The homemade glove bag can be used to retrieve the tumor effectively in countries with limited resources.
Keywords:Laparoscopic resection  Ovarian teratoma  Children  Homemade glove retrieval bag  Gonadal preservation
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