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  • Print publication year: 2008
  • Online publication date: August 2010

9 - Pediatric and Adolescent Gynecologic Laparoscopy



This chapter focuses on the use of laparoscopy in treatment and diagnosis of patients with pelvic pain, adnexal masses, and pelvic inflammatory disease (PID). A discussion of incidental appendectomy in these patients will also be presented. The decision to perform incidental appendectomy is based on the premise that the appendix is a vestigial, functionless organ, with the potential only to contribute to pathological change. PID can have devastating consequences to adolescent females. With the advent of in vitro fertilization, surgeons should attempt to perform the most conservative surgery that is safely possible, in order to maintain the option of future childbearing. Diagnosis of endometriosis should not be delayed in adolescents. A delay may not only postpone symptomatic relief but also worsen the patient's future fertility and allow the disease to progress. Laparoscopy, as it applies to the pediatric and adolescent population, is a relative newcomer to the field.
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Infertility and Assisted Reproduction
  • Online ISBN: 9780511547287
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Agarwala, N, Liu, CY. Laparoscopic appendectomy. J Am Assoc Gynecol Laparosc 2003;10(2):166–8.
Almeida, OD, Val-Gallas, JM, Rizk, B. Appendectomy under local anesthesia following conscious pain mapping: a report of two cases. Hum Reprod 1998;13(3): 588–90.
AlSalilli, M, Vilos, GA. Prospective evaluation of laparoscopic appendectomy in women with chronic right lower quadrant pain. J Am Assoc Gynecol Laparosc 1995;2(2):139–42.
Brown, D. Sonographic differentiation of benign versus malignant adnexal masses. UpToDate, 2004.
Cope, JU, Askling, J, Gridley, G, et al. Appendectomy during childhood and adolescence and the subsequent risk of cancer in Sweden. Pediatrics 2003;111(6 Pt 1):1343–50.
Droegemueller, W. Infections of the upper genital tract. In: Stenchever, MA, Droegemueller, W, Herbst, AL, Mishell, DR Jr., eds. Comprehensive Gynecology. 4 edn. St. Louis: Mosby; 2001: 707–40.
Gidwani, GP. Chronic pelvic pain: steps to take before and after operative intervention. In: Pokorny, SF, ed. Pediatric and Adolescent Gynecology. New York: Chapman and Hall; 1996:41–53.
Hertzmann, P. Instrumentation for endoscopic surgery. In: Lobe, T, ed. Pediatric Laparoscopy and Thoracoscopy. Philedelphia: W.B. Saunders Company; 1994:6–16.
Kraemer, M, Ohmann, C, Leppert, R, Yang, Q. Macroscopic assessment of the appendix at diagnostic laparoscopy is reliable. Surgical Endoscopy 2000;14(7):625–33.
Laufer, MR, Goldstein, DP. Dysmenorrhea, pelvic pain, and the premenstrual syndrome. In: Emans, SJ, Laufer, MR, Goldstein, DP, eds. Pediatric and Adolescent Gynecology. Philedelphia: Lippincott- Raven; 1998:363–410.
Lyons, TL, Winer, WK, Woo, A. Appendectomy in patients undergoing laparoscopic surgery for pelvic pain. J Am Assoc Gynecol Laparosc 2001;8(4):542–4.
McVay, JR. The appendix in relation to neoplastic disease. Cancer 1964;17:929–37.
Mellemkjaer, L, Johansen, C, Linet, MS, Gridley, G, Olsen, JH. Cancer risk following appendectomy for acute appendicitis. Cancer Causes Control 1998;9(2):183–7.
Moertel, CG, Nobrega, FT, Elveback, LR, Wentz, JR. A prospective study of appendectomy and predisposition to cancer. Surg Gynecol Obstet 1974;138(4):549–53.
OMalley, VP, Finch, DR, Powley, PH. Wound sepsis after cholecystectomy. Influence of incidental appendectomy. J Clin Gastroenterol 1986;8(4):435–7.
Pittaway, . Appendectomy in the surgical treatment of endometriosis. Obstet Gynecol 1983;61(4):421–4.
Reese, KA, Reddy, S, Rock, JA. Endometriosis in an adolescent population: the Emory experience. J Pediatr Adolesc Gynecol 1996;9(9):125–8.
Sanfilippo, JS, Schroeder, B. Pelvic pain in children and adolescents. In: Carpenter, SEK, Rock, JA, eds. Pediatric and Adolescent Gynecology. 2nd edn. Philadelphia: Lippincott Williams and Wilkins; 2000:287–9.
Schroeder, B, Sanfilippo, JS. Chronic pelvic pain—medical and surgical approaches. In: Sanfilippo, JS, Muram, D, Dewhurst, CJ, Lee, PA, eds. Pediatric and Adolescent Gynecology. 2nd edn. Philadelphia: W.B. Saunders Company; 2001:640–9.
Schropp, K. History of pediatric laparoscopy and thoracoscopy. In: Lobe, T, ed. Pediatric Laparoscopy and Thoracoscopy. Philedelphia: W.B. Saunders Company; 1994:1–5.
Strom, PR, Turkleson, ML, Stone, HH. Safety of incidental appendectomy. Am J Surg 1983;145(6):819–22.
Templeman, C, Fallat, M, Blinchevsky, A, Hertweck, S. Noninflammatory ovarian masses in girls and young women. Obstet Gynecol 2000;96(2):229–33.
Whitehouse, H. Endometriosis invading the bladder removed from a patient who had never menstruated. Proc R Soc Med 19251926; 19:15.