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Single Incision Laparoscopic Surgery for Leiomyoma in the Adolescent Patient: A Case Report
Y Y Gong1, V George2, J Appleton2
1Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
Journal of Pediatric and Adolescent Gynecology
|March 6, 2021
Summary
Single-incision laparoscopic surgery (SILS) offers a feasible approach for managing uterine fibroids in adolescents. This minimally invasive technique demonstrated satisfactory outcomes for complex gynecologic pathology in young patients.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Pediatric and Adolescent Gynecology
Background:
- Single-incision laparoscopic surgery (SILS) represents an advancement in minimal access surgery.
- Exploration of SILS for uterine pathology in pediatric and adolescent populations is ongoing.
Observation:
- A 19-year-old female presented with symptomatic pelvic pain due to rapidly enlarging uterine fibroids.
- Diagnostic imaging confirmed multiple uterine fibroids requiring surgical intervention.
Findings:
- Single incision laparoscopic myomectomy was successfully performed in a 19-year-old patient.
- The procedure yielded satisfactory clinical results for managing complex uterine pathology.
Implications:
- Complex uterine conditions in young patients can be effectively treated with minimally invasive surgical approaches.
- SILS shows promise as a future standard for laparoscopic surgery in reproductive health for adolescents.

