Secondary hydrosalpinx in adolescents: a challenging decision-making process for surgical choice and future fertility preservation

Hydrosalpinx in pre-pubertal children and non-sexually active adolescents is a rare finding with several etiology and negative impact on future female fertility. The therapeutic approach in these specific populations is debated and it must consider its etiology and adult guidelines focused on fertility issues, which suggest laparoscopic salpingectomy. We described two adolescent cases (15 years asymptomatic and 13 years with abdominal pain) presenting a monolateral hydrosalpinx secondary to surgery for Hirschsprung’s disease and complicated appendicitis, respectively. Both patients underwent to uncomplicated robotic-assisted salpingectomy, with uneventful follow-up and preserved ovarian function. Robotic-assisted salpingectomy for hydrosalpinx secondary to previous surgical conditions is a safe and careful approach for adolescents in order to preserve ovarian vascularization, function and future fertility..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

La Pediatria Medica e Chirurgica - 42(2021), 2

Sprache:

Englisch ; Italienisch

Beteiligte Personen:

Angela Riccio [VerfasserIn]
Gabriele Lisi [VerfasserIn]
Maria Enrica Miscia [VerfasserIn]
Gilda Di Paolo [VerfasserIn]
Giuseppe Lauriti [VerfasserIn]
Pierluigi Lelli Chiesa [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
pediatrmedchir.org [kostenfrei]
Journal toc [kostenfrei]
Journal toc [kostenfrei]

Themen:

Adolescent
Fallopian
Hydrosalpinx
Pediatrics
Robot
Salpingectomy
Surgery

doi:

10.4081/pmc.2020.233

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ069734453