Advertisement
Case Report| Volume 34, ISSUE 4, P573-575, August 2021

Single Incision Laparoscopic Surgery for Leiomyoma in the Adolescent Patient: A Case Report

Published:March 02, 2021DOI:https://doi.org/10.1016/j.jpag.2021.02.103

      ABSTRACT

      Background

      Single-incision laparoscopic surgery (SILS) is an exciting new modality in the field of minimal access surgery. This case illustrates the feasibility of single-incision laparoscopic surgery for uterine pathology in the pediatric and adolescent population.

      Case

      A 19-year-old girl presented with pelvic pain. Transabdominal pelvic ultrasound and magnetic resonance imaging revealed multiple fibroids with rapid enlargement over a year. In collaboration with the Minimally Invasive Gynecologic Surgery team, single incision laparoscopic myomectomy was performed with satisfactory results.

      Summary and Conclusion

      Complex uterine pathology can be managed with minimally invasive surgery with excellent clinical outcomes. SILS is a rapidly developing field that may represent the future of laparoscopic surgery and can be used to treat reproductive pathology in the pediatric and adolescent population.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric and Adolescent Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Moroni R.M.
        • Vieira C.S.
        • Ferriani R.A.
        • et al.
        Presentation and treatment of uterine leiomyoma in adolescence: a systematic review.
        BMC Womens Health. 2015; 15: 4
      1. ACOG: ACOG practice bulletin. Alternatives to hysterectomy in the management of leiomyomas.
        Obstet Gynecol. 2008; 112: 387
        • Jackson T.R.
        • Einarsson J.I.
        Single-incision laparoscopic myomectomy.
        J Min Access Surg. 2011; 7: 83
        • Kliethermes C.
        • Blazek K.
        • Ali K.
        • et al.
        Postoperative pain after single-site versus multiport hysterectomy.
        JSLS. 2017; 21: 4
        • McWilliams M.M.
        • Chennathukuzhi V.M.
        Recent advances in uterine fibroid etiology.
        Semin Reprod Med. 2017; 35: 181
        • Litz C.
        • Danielson P.
        • Chandler N.
        Single incision laparoscopic surgery for pediatric adnexal pathology.
        J Ped Surg. 2014; 49: 1156
        • Fader A.N.
        • Escobar P.E.
        Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report.
        Gynecol Oncol. 2009; 114: 157
        • Denning N.L.
        • Kallis M.P.
        • Prince J.M.
        Pediatric robotic surgery.
        Surg Clin North Am. 2020; 100: 431
        • Radosa M.P.
        • Owsianowski Z.
        • Mothes A.
        • et al.
        Long-term risk of fibroid recurrence after laparoscopic myomectomy.
        Eur J Obstet Gynecol Reprod Biol. 2014; 180: 35