文章基本信息

标题：Secondary hydrosalpinx in adolescents: a challenging decision-making process for surgical choice and future fertility preservation
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作者：Angela Riccio ; Gabriele Lisi ; Maria Enrica Miscia 等
期刊名称：La Pediatria Medica e Chirurgica
印刷版ISSN：0391-5387
出版年度：2020
卷号：42
期号：2
页码：34-38
DOI：10.4081/pmc.2020.233
出版社：PAGEPress Publications
摘要：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.
关键词：Adolescent;fallopian;hydrosalpinx;robot;salpingectomy