Laparoscopic Management of Ovarian Cysts

  • Juan Carlos de Agustín-Asensio
  • David Peláez-Mata


Ovarian cysts can be diagnosed in the fetal period, most of them in the third trimester of pregnancy. The incidence of presentation is of 1:2500 at referral centers. Three to five percent of children have small incidental ovarian cysts detected on ultrasound (US) [1]. It can be detected from the fetal period until adolescence. It is considered a pathological cyst when it has a diameter greater than 2 cm. However, it does not have the same meaning at one age or another. In neonates the pathological diagnoses usually are follicular cysts, intrauterine torsions, and, exceptionally, teratomas. In older girls, they are usually follicular cysts whose transcendence depends on the acquired size. When the cyst is accompanied by a solid component, we should suspect malignancy (teratomas or stromal tumors). In prepubertal girls with an ovarian mass or cyst, they should be operated if they are symptomatic or have poorly defined radiological signs. In adolescents, ovarian cysts must be related to the clinical history of menstruation and their sexual relations (Fig. 66.1).


  1. 1.
    Millar DM, Blake JM, Stringer DA, et al. Prepubertal ovarian cyst formation: 5 years’ experience. Obstet Gynecol. 1993;81:434–7.PubMedGoogle Scholar
  2. 2.
    Tyraskis A, Bakalis S, Scala C, Syngelaki A, Giuliani S, Davenport M, David AL, Nicolaides K, Eaton S, De Coppi P. A retrospective multicenter study of the natural history of fetal ovarian cysts. J Pediatr Surg. 2018;53(10):2019–22. pii: S0022-3468(18)30103-9. Scholar
  3. 3.
    González N, Ruiz de Temiño M, Riazuelo G, Elías J, Esteban JA. Prenatal ultrasound in the diagnose of ovarian cysts. Cir Pediatr. 1999;12:22–5.PubMedGoogle Scholar
  4. 4.
    Moreno R, Savirón R, Corona C, LermA D, Corbacho T. Diagnóstico prenatal de 10 quistes de ovario fetal: manejo postnatal. Rev Chil Obstet Ginecol. 2013;78(1):19–25.CrossRefGoogle Scholar
  5. 5.
    Karakuş OZ, Ateş O, Hakgüder G, Olguner M, Akgür FM. Complex fetal ovarian cysts cause problems even after regression. Eur J Pediatr Surg. 2014;24(4):337–40.PubMedGoogle Scholar
  6. 6.
    Pienkowski C, Cartault A, Carfagna L, Ernoult P, Vial J, Lemasson F, Le Mandat A, Galinier P, Tauber M. Ovarian cysts in prepubertal girls. Endocr Dev. 2012;22:101–11.CrossRefGoogle Scholar
  7. 7.
    Bolli P, Schädelin S, Holland-Cunz S, Zimmermann P. Ovarian torsion in children: development of a predictive score. Medicine (Baltimore). 2017;96(43):e8299.CrossRefGoogle Scholar
  8. 8.
    Papanikolaou A, Michala L. Autonomous ovarian cysts in prepubertal girls. How aggressive should we be? A review of the literature. J Pediatr Adolesc Gynecol. 2015;28(5):292–6.CrossRefGoogle Scholar
  9. 9.
    Papic JC, Billmire DF, Rescorla FJ, Finnell SM, Leys CM. Management of neonatal ovarian cysts and its effect on ovarian preservation. J Pediatr Surg. 2014;49(6):990–3; discussion 993–4.CrossRefGoogle Scholar
  10. 10.
    Palmara V, Sturlese E, Romeo C, Arena F, De Dominici R, Villari D, Impellizzeri P, Santoro G. Morphological study of the residual ovarian tissue removed by laparoscopy or laparotomy in adolescents with benign ovarian cysts. J Pediatr Surg. 2012;47(3):577–80.CrossRefGoogle Scholar
  11. 11.
    Seckin B, Ozdener T, Tapisiz OL, Batioğlu S. Laparoscopic treatment of ovarian cysts in adolescents and young adults. J Pediatr Adolesc Gynecol. 2011;24(5):300–3.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Juan Carlos de Agustín-Asensio
    • 1
  • David Peláez-Mata
    • 1
  1. 1.Department of Pediatric SurgeryHospital General Universitario Gregorio MarañónMadridSpain

Personalised recommendations