Related Experiment Video
Updated: May 14, 2026
11:29
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Single-incision pediatric endosurgery for ovarian pathology
Martin Lacher1, Joachim F Kuebler, Govardhana R Yannam
1Division of Pediatric Surgery, Department of Surgery, Children's of Alabama, University of Alabama at Birmingham, Birmingham, Alabama. lacher.martin@mh-hannover.de
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|February 14, 2013
Summary
Single-incision pediatric endosurgery (SIPES) is a safe and effective minimally invasive surgical option for treating ovarian and adnexal pathology in young patients. This technique offers cosmetic benefits and a shorter hospital stay compared to traditional laparoscopy.
Area of Science:
- Pediatric Surgery
- Gynecologic Oncology
- Minimally Invasive Surgery
Background:
- Single-incision endosurgery (SIPES) is underutilized for pediatric ovarian and adnexal conditions.
- Gynecologists pioneered the technique, but its application in neonates, children, and adolescents remains limited.
Purpose of the Study:
- To evaluate the initial experience and outcomes of single-incision pediatric endosurgery (SIPES) for ovarian and adnexal pathology in pediatric patients.
- To discuss the advantages and disadvantages of SIPES in this population.
Main Methods:
- A retrospective review of pediatric patients who underwent SIPES for ovarian or adnexal pathology between January 2010 and January 2012.
- Data collected included patient demographics, operative details, complications, hospital stay, and outcomes.
Main Results:
- Nineteen girls underwent SIPES for various conditions including cysts, torsion, and tumors.
- Median operative time was 42 minutes, with no conversions to conventional laparoscopy or open surgery.
- 79% of patients were discharged within 24 hours, and there were no peri- or postoperative complications.
Conclusions:
- Single-incision pediatric endosurgery (SIPES) is a viable and effective alternative to conventional laparoscopy for treating pediatric adnexal pathology.
- The single umbilical incision used in SIPES allows for easier extraction of specimens while maintaining cosmetic results.