F11 Ovarian Surgery

Abstract

Often findings of antenatal ultrasound or neonatal examinations done as part of an evaluation of congenital anomalies necessitate surgery.

• The majority of findings are simple follicular cysts associated with high maternal steroid production.

• When reasonably small (<7 cm) torsion is unlikely, regression occurs rapidly, serial ultrasound examination to monitor disappearance is sufficient.

• Intrauterine fetal cyst aspiration has been tried and yielded good results.

• If larger than 5 cm, the cyst should be removed to relieve pressure and its consequent pain, to prevent torsion and to rule out large cystic teratoma.

• An attempt should be made to preserve normal and functioning ovarian tissue, even if necrotic.

• A laparoscopic approach is the ideal approach for diagnosis and treatment.

• Percutaneous aspiration should not be tried.