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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 8 No. 2 (2017)

Evaluation of post-operative outcome in different surgical management for benign adnexal mass in children

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2017
CONTENTSVolume 08Number 2July 2017
Editorial
Paediatric laparoscopy in Bangladesh: Current situation after over a decade of introduction
Md Jafrul Hannan
41
Review Articles
Scope of Paediatric urology in Bangladesh
Mohammed Shadrul Alam
66
Original Articles
Paediatric inguinal herniotomy with and without exploration of inguinal canal
S M Borhan Uddin, Md Abdul Wahed, Md Tahidur Rahman, Sakil Mohammad, Md Touhid Alam, Md Salahuddin
43
Dorsal double layer dartos flap in the Snodgrass technique of hypospadias repair: An experience in Dhaka Medical College Hospital
Sahadeb Kumar Das, Kaniz Hasina, Md Ashraf Ul Huq, Jaglul Gaffer Khan, S M Shafiqul Alam, Md Tawhidul Islam
47
Evaluation of post-operative outcome in different surgical management for benign adnexal mass in children
Sifat Zereen Khan, Kaniz Hasina, Jaglul Gaffer Khan, S M Shafiqul Alam
52
Superficial surgical site infections: A comparative study between elective and emergency gastrointestinal surgeries in children
Syed Abdul Adil, Md Mahbubul Alam, Partha Sarathy Majumder, Kaniz Hasina, Tahmina Hossain
58
An objective assessment of the results of hypospadias surgery
Md Abu Jafor, Sheikh Zahid Boksh, Md Samidur Rahman, Mafia Afshin Laz, A H M Abdul Hai
63
Case Reports
Endoscopy guided retrieval of gastric foreign body by mini laparotomy following peg principle in a toddler
Masfique Ahmed Bhuiyan, Kaniz Hasina, Nazmus Sakib Ferdous, Bipul Bhushon Das, S M Shafiqul Alam, Mohammed Moinul Huque, Sifat Zereen Khan
71
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Sifat Zereen KhanDepartment of Pediatric Surgery, Dhaka Medical College Hospital, Dhaka.
  • Kaniz HasinaProfessor, Dept. of Pediatric Surgery, Dhaka Medical College Hospital, Dhaka
  • Jaglul Gaffer KhanDept. of Pediatric Surgery, Dhaka Medical College Hospital, Dhaka.
  • S M Shafiqul AlamDept. of Anaesthesiology & ICU, Dhaka Medical College Hospital, Dhaka

Keywords

Benign adnexal mass Laparoscopic management of adnexal mass post-operative outcome Under 14 girls

Abstract

Background: An adnexal mass in pediatric age group is a rare entity. The differential diagnosis includes ovarian lesions, tubal or paratubal lesions, non-gynecologic lesions, and lesions related to infection or pregnancy. Presenting symptoms vary and may include acute abdominal pain, mass effect, and less commonly, precocious puberty and vaginal bleeding. Most of these lesions represent benign pathology, but malignant lesions are also a possibility, and appropriate surgical and postoperative management is essential. It is important for clinicians caring for these patients to understand the differential diagnosis of an adnexal mass, to facilitate correct management (whether surgical or nonsurgical) and necessary referrals where appropriate. Timely management can lessen initial morbidity & preserve fertility in future. Objective: The overall objective of this study is to evaluate post-operative outcome in different surgical management for benign adnexal mass in children. Materials and Methods: We are conducting a prospective observational study with the intention to observe the postoperative periods of 30 purposively selected patients having surgical management for adnexal mass in multiple centres in Dhaka city, over a period of 24 months from January, 2017 to December, 2018. Children upto 14 years of age with benign adnexal mass are planned to be selected as study subjects. After detailed history taking and thorough physical examination, all children are subjected to investigate for Blood for TC, DC, Hb%, CXR PA view, Urine R/M/E, Serum creatinine, USG of whole abdomen with pelvis special attention towards uterus and adnexae, αFP, βHCG, LDH, CA-125, CT scan of whole abdomen preoperatively. Information on post operative complications eg, post operative pain by age appropriate pain scale 0, 3rd and 8th POD, vomiting, wound infection, wound dehiscence and wound C/S report (if infection occurs) documented. Length of hospital stay is noted. Biopsy report of excised adnexal mass is reviewed. Informed written consent from parents or legal guardian is taken after describing the study objectives. Ethical clearance has been sought from the Ethical Committee of Dhaka Medical College and CMH, Dhaka. Results: Total 15 patients are studied till now. From this limited data we have observed that there has been apparently minimum difference among different surgical management for benign adnexal mass regarding postoperative outcome. Conclusion: This is an on-going study. Specific conclusion could not be drawn at this early stage.

Journal of Paediatric Surgeons of Bangladesh (2017) Vol. 8 (2): 52–57

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