Abstract

Aim: Aim of our study is to evaluate the feasibility and outcomes of laparoscopic management of neonatal ovarian cyst.

Materials & Methods: Retrospective analysis of 12 baby girls with ovarian cysts who had been treated by laparoscopic assisted procedure in the period from 2011 to 2016 was done. All ovarian cysts were diagnosed prenatally. Variables analyzed were Sonographic findings, intra operative findings, intra operative time, blood loss and histo-pathological examination report. Follow up was done with ultrasonography at 1 and 6 month interval.

Results: All patients were successfully treated with laparoscopy without conversion to open surgery. Ovary was preserved in 9 cases. In two patients, ovary was detached from the tubes and found to be lying free in the peritoneal cavity, and in one patient it was necrosed and adherent to the liver. Mean weight of the babies was 2.9 kg, mean cyst diameter was 7.1 cm, mean intraoperative time was 44 min, and the average blood loss was 4 ml. Two cases had drain placement. All babies were started on feeds on same day and discharged on 2nd post-operative day expect one newborn who had prolonged ileus. No intra operative complications encountered.

Conclusion: Laparoscopic management of ovarian cysts is safe and feasible in neonatal age group provided we have adequate expertise, infrastructure and anesthetic support.