Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children?

Enrico De Grazia, Marcello Cimador, Gianfranco Scalfari, Pietro Impellizzeri, Daniela Villari, Fabrizio Zimbaro, Francesco Arena, Carmelo Romeo

Risultato della ricerca: Article

5 Citazioni (Scopus)

Abstract

Background: Stripping of the cystic wall is performed by gynecologists to treat large ovarian cysts. Information in the pediatric population is poor. We prospectively evaluated the pathologic specimens of large ovarian cyst to determine whether the stripping technique is a tissue-sparing procedure even in this age. Methods: We evaluated 5 patients. Samples were taken from the intermediate part of the cystic wall and from the layer covering the cyst during excision. The presence of ovarian tissue adjacent to the cyst wall, and the morphological features of the surrounding tissue were both evaluated. Pelvic ultrasound follow-up was also performed. Results: Patients' mean age was 4.5 years (7 days to 12 years). All cysts were removed because all were symptomatic. The mean diameter was 86.6 mm (74-100 mm). Cysts were follicular in 2 cases, serous in other two, and endometriotic in 1 case. Adjacent ovarian tissue was present in 1 of 5 specimens and was approximately 1 to 2 mm in thickness. The layer adjacent to the cystic wall always appeared as normal ovarian tissue. Ultrasound scans at follow-up revealed presence of ovarian tissue. Conclusion: The stripping procedure for large ovarian cyst excision allows to spare the adjacent normal ovarian tissue even in pediatric age because ovarian tissue is rarely excised with the cyst wall during the procedure.
Lingua originaleEnglish
pagine (da-a)1353-1357
Numero di pagine4
RivistaJournal of Pediatric Surgery
Volume43
Stato di pubblicazionePublished - 2008

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Ovarian Cysts
Cysts
Follicular Cyst
Pediatrics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cita questo

De Grazia, E., Cimador, M., Scalfari, G., Impellizzeri, P., Villari, D., Zimbaro, F., ... Romeo, C. (2008). Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children? Journal of Pediatric Surgery, 43, 1353-1357.

Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children? / De Grazia, Enrico; Cimador, Marcello; Scalfari, Gianfranco; Impellizzeri, Pietro; Villari, Daniela; Zimbaro, Fabrizio; Arena, Francesco; Romeo, Carmelo.

In: Journal of Pediatric Surgery, Vol. 43, 2008, pag. 1353-1357.

Risultato della ricerca: Article

De Grazia, E, Cimador, M, Scalfari, G, Impellizzeri, P, Villari, D, Zimbaro, F, Arena, F & Romeo, C 2008, 'Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children?', Journal of Pediatric Surgery, vol. 43, pagg. 1353-1357.
De Grazia, Enrico ; Cimador, Marcello ; Scalfari, Gianfranco ; Impellizzeri, Pietro ; Villari, Daniela ; Zimbaro, Fabrizio ; Arena, Francesco ; Romeo, Carmelo. / Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children?. In: Journal of Pediatric Surgery. 2008 ; Vol. 43. pagg. 1353-1357.
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abstract = "Background: Stripping of the cystic wall is performed by gynecologists to treat large ovarian cysts. Information in the pediatric population is poor. We prospectively evaluated the pathologic specimens of large ovarian cyst to determine whether the stripping technique is a tissue-sparing procedure even in this age. Methods: We evaluated 5 patients. Samples were taken from the intermediate part of the cystic wall and from the layer covering the cyst during excision. The presence of ovarian tissue adjacent to the cyst wall, and the morphological features of the surrounding tissue were both evaluated. Pelvic ultrasound follow-up was also performed. Results: Patients' mean age was 4.5 years (7 days to 12 years). All cysts were removed because all were symptomatic. The mean diameter was 86.6 mm (74-100 mm). Cysts were follicular in 2 cases, serous in other two, and endometriotic in 1 case. Adjacent ovarian tissue was present in 1 of 5 specimens and was approximately 1 to 2 mm in thickness. The layer adjacent to the cystic wall always appeared as normal ovarian tissue. Ultrasound scans at follow-up revealed presence of ovarian tissue. Conclusion: The stripping procedure for large ovarian cyst excision allows to spare the adjacent normal ovarian tissue even in pediatric age because ovarian tissue is rarely excised with the cyst wall during the procedure.",
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T1 - Is the stripping technique a tissue-sparing procedure in large simple ovarian cysts in children?

AU - De Grazia, Enrico

AU - Cimador, Marcello

AU - Scalfari, Gianfranco

AU - Impellizzeri, Pietro

AU - Villari, Daniela

AU - Zimbaro, Fabrizio

AU - Arena, Francesco

AU - Romeo, Carmelo

PY - 2008

Y1 - 2008

N2 - Background: Stripping of the cystic wall is performed by gynecologists to treat large ovarian cysts. Information in the pediatric population is poor. We prospectively evaluated the pathologic specimens of large ovarian cyst to determine whether the stripping technique is a tissue-sparing procedure even in this age. Methods: We evaluated 5 patients. Samples were taken from the intermediate part of the cystic wall and from the layer covering the cyst during excision. The presence of ovarian tissue adjacent to the cyst wall, and the morphological features of the surrounding tissue were both evaluated. Pelvic ultrasound follow-up was also performed. Results: Patients' mean age was 4.5 years (7 days to 12 years). All cysts were removed because all were symptomatic. The mean diameter was 86.6 mm (74-100 mm). Cysts were follicular in 2 cases, serous in other two, and endometriotic in 1 case. Adjacent ovarian tissue was present in 1 of 5 specimens and was approximately 1 to 2 mm in thickness. The layer adjacent to the cystic wall always appeared as normal ovarian tissue. Ultrasound scans at follow-up revealed presence of ovarian tissue. Conclusion: The stripping procedure for large ovarian cyst excision allows to spare the adjacent normal ovarian tissue even in pediatric age because ovarian tissue is rarely excised with the cyst wall during the procedure.

AB - Background: Stripping of the cystic wall is performed by gynecologists to treat large ovarian cysts. Information in the pediatric population is poor. We prospectively evaluated the pathologic specimens of large ovarian cyst to determine whether the stripping technique is a tissue-sparing procedure even in this age. Methods: We evaluated 5 patients. Samples were taken from the intermediate part of the cystic wall and from the layer covering the cyst during excision. The presence of ovarian tissue adjacent to the cyst wall, and the morphological features of the surrounding tissue were both evaluated. Pelvic ultrasound follow-up was also performed. Results: Patients' mean age was 4.5 years (7 days to 12 years). All cysts were removed because all were symptomatic. The mean diameter was 86.6 mm (74-100 mm). Cysts were follicular in 2 cases, serous in other two, and endometriotic in 1 case. Adjacent ovarian tissue was present in 1 of 5 specimens and was approximately 1 to 2 mm in thickness. The layer adjacent to the cystic wall always appeared as normal ovarian tissue. Ultrasound scans at follow-up revealed presence of ovarian tissue. Conclusion: The stripping procedure for large ovarian cyst excision allows to spare the adjacent normal ovarian tissue even in pediatric age because ovarian tissue is rarely excised with the cyst wall during the procedure.

UR - http://hdl.handle.net/10447/42098

M3 - Article

VL - 43

SP - 1353

EP - 1357

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

ER -