The 11 -year -old girl was unbearable. She checked the ovary three and a half times!Okay to occur in these people ...

Author:Xiamen Daily Time:2022.09.02

The little girl was unbearable. The doctor had an emergency surgery and found that the ovary reversed several times. After treatment, the little girl retained the ovaries and was discharged smoothly recently.

The child was a 11 -year -old girl. Due to the pain in the right lower abdomen, he was transferred to Xiamen Children's Hospital in the local hospital. The hospital opens the green channel to quickly improve the relevant inspection. Imaging examination shows that the girl's ovarian cyst is reversed. Doctors surgery for emergency. Director Yao Wei, an affiliated Pediatric Hospital of Fudan University, used minimally invasive surgery for laparoscopic inspection, and found that there were a lot of bloody liquid in the abdominal cavity of the girl. The right ovary was black and purple and reversed three and a half times. The doctor reset it and eliminates the cyst. Although the girl's right ovarian blood supply was not obvious, the doctor still retained the ovaries for her to preserve her ovarian function to the greatest extent.

Children's ovarian reversal is a rare acute abdomen for pediatrics, accounting for about 2.7%of the cause of abdominal pain in children. It is better to occur in adolescent girls around 10 years old. attack. Therefore, if adolescent girls have continuous lower abdomen pain, they need to be alert to whether there is a possibility of ovarian torsion.

Children's ovarian reversal can be treated with minimally invasive surgical treatment, but the surgical method is very different from adults. Adult surgery or gynecology has a case of necrosis of adult ovarian to reversing. The ovaries are mainly removed by surgery. However, even if the ovaries have been necrotic, the ovaries can still be used to retain the ovarian surgical method to maximize the affected ovarian. In 2017, the Canadian Pediatrics and Youth Obstetrics and Gynecology Committee (CanpaGo) published the "Guidelines for Treatment of Turnives for Children, Youth, and Adult Annex". Surgery, even if the black -purple "necrotic" ovaries are presented, it should be retained as much as possible. Studies have shown that this surgical method retains the success rate of ovarian 98.6%.

In recent years, there have been nearly 50 cases of tumor treatment of tumor hospitals in children's hospitals. The hospital actively opens green channels to carry out minimally invasive surgery in the shortest time. It adopts international mainstream surgery to retain the affected ovarian nests and maximizes the patient's ovarian function. Follow -up found that although most cases have narrowed the ovaries on the side of the affected side, the morphology and endocrine function basically retained, and some cases can even produce follicles, which has achieved satisfactory therapeutic effects.

(Xiamen Daily reporter Chu Yan Correspondent Jiang Junxue)

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