Feasibility of Percutaneous Ultrasound Guided Drainage as a Primary Treatment of Large Functional Ovarian Cysts in Neonates: A Retrospective Analysis. | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 17, Issue 4, October 2024, Page 363-367 PDF (319.98 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ASJS.2024.321203.1161 | ||||
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| Authors | ||||
| Tamer Ashraf Wafa* ; Momen Mansour Abdelglil; Mahmoud Elsayed Elhadidi; Ahmed Mohamed Sharaf; Adnan Mohammed El-Ghazaly; Mohammed Adel Ibrahim; Mohammed Aly El Adalany; Mohamed Elsaed Elzohiri | ||||
| Pediatric Surgery Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt | ||||
| Abstract | ||||
| Background/Purpose: Functional ovarian cysts are commonly detected in neonates. When cysts exceed 5 cm in diameter, there is an increased risk of complications, such as ovarian torsion, intra-cystic hemorrhage and rupture. The standard treatment approach has been surgical often resulting in oophorectomy. Recently, percutaneous ultrasound (US)-guided aspiration has emerged as a therapeutic alternative. This study aims to evaluate its efficacy as a reliable treatment for large functional cysts. Patients and methods: This retrospective study included 15 cases of congenital functional ovarian cysts. Each cyst was punctured trans-abdominally under general anesthesia. All patients were followed up clinically and by abdomino-pelvic ultrasound after one week. In case of reaccumulating to a diameter more than 50 mm, repeated aspiration was attempted. Data were analyzed for demographics, lesion characteristics, technical complications, recurrence, ultrasound examination findings on follow up. Results: The average cyst diameter was 65 mm (SD = 1.49 mm) and a range of 50-100 mm. Within two weeks post-procedure, 13.3% (n = 2) of cases resolved completely, while 86.7% (n = 13) experienced reaccumulating but below 50 mm in diameter. Only one case needed respiration. By six months of age, all cases (100%) were fully resolved without any surgical intervention. Conclusion: Percutaneous ultrasound-guided drainage is an effective minimally invasive treatment for large neonatal functional ovarian cysts, demonstrating a high rate of cure and obviating the need for surgical intervention. | ||||
| Keywords | ||||
| Neonate; ovary; Cyst aspiration; torsion prevention; minimally invasive procedure | ||||
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