MODERN ASPECTS OF TREATMENT AND MONITORING OF NEWBORNS WITH OVARIAN CYSTS

Аннотация

Due to more frequent ultrasound examination of pregnant women and newborns, the frequency of diagnosed ovarian cysts in the fetus and newborn has increased. Objective. To determine modern aspects of treatment and observation of newborns with ovarian cysts. Materials and methods. The study included 68 pregnant women and their newborn girls with diagnosed ovarian cysts. Results. The average gestational age of detection of ovarian cysts in the fetus was 31.4±3.2 weeks. Surgical treatment of newborns was performed in 31 (45.5%) cases, in 9 cases - by laparoscopy, in 22 cases - by laparotomy with paraumbilical circular incision or lower midline incision. In 83.8% of cases, organ-preserving surgery was performed. Conservative tactics and observation were carried out in 37 cases (54.4%), in the dynamics of observation of these children, spontaneous regression was observed in 35 cases within 3-12 months. Conclusions. Depending on the properties of ovarian cysts ("simple" or "complex" cysts , liquid or solid, suspicion of malignancy or lack of suspicion), the presence or absence of symptoms, and taking into account the size of the formation, treatment can be surgical or conservative-observational. In surgical treatment, an organ-preserving method should be used if possible, since preserving ovarian tissue is important for maintaining fertility and further full sexual development of the girl. The lack of a unified approach to the treatment of ovarian cysts in newborns in the world requires further research.