Laparoscopic Oophorectomy in 3 year Old Child

Laparoscopy is a well-established diagnostic and therapeutic modality for adult gynecologic surgery. We have sought to assess the feasibility of the laparoscopic approach to a particular gynecologic procedure, oophorectomy, in the pediatric population. This patient underwent laparoscopic oophorectomy. The indication for oophorectomy, in this case, was ovarian torsion in association with a benign teratoma, and that occurred prenatally. The patient had a teratoma with significant solid components. Oophorectomy was successfully completed laparoscopically in the patient. Postoperative recovery was prompt, with time to discharge on the same days. From this experience, we conclude that laparoscopic oophorectomy can be successfully accomplished in infants and children. It is technically an easy procedure and has the benefits of excellent visualization of the entire lower abdomen and pelvis including the contralateral ovary, rapid postoperative recovery, and good cosmetic results.