Shift towards minimally invasive surgery of adnexal pathologies in children: A predictive model study

B. Karaaslan

Department of Pediatric Surgery, Başakşehir Çam and Sakura Training Hospital, Istanbul, Turkey. psbkaraaslan@yahoo.com

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• Pediatrics
• Surgery

OBJECTIVE: The purpose of this article is to investigate these difficulties and to provide a modernized and comprehensive understanding of the diagnosis, management, and long-term outcomes of adnexal masses in pediatrics.

SUBJECTS AND METHODS: This study retrospectively reviewed the medical records of 428 patients who were diagnosed with adnexal pathologies and underwent Surgery.

RESULTS: In pre-adolescents, the duration of symptoms shows a statistically significant positive correlation with lesion size (p=0.006, r=0.621). The duration of symptoms shows a statistically significant positive correlation with lesion size (p<0.001, r=0.460). The formula is a mathematical model developed to predict the size of a lesion (a cyst or mass) in centimeters, based on the duration of the patient’s symptoms in months. For mass size, the optimal cut-off was found to be 4.5 cm. This value yielded a higher AUC of 0.85 (95% CI:0.74-0.96), with a sensitivity of 94% and a specificity of 55%.

CONCLUSIONS: This study on adnexal pathologies in children indicates a shift towards minimally invasive laparoscopic surgery. A novel model predicting lesion size based on symptom duration was developed, and surgical intervention thresholds were established.

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