Single Incision Laparoscopic Surgery for Leiomyoma in the Adolescent Patient: A Case Report

J Pediatr Adolesc Gynecol. 2021 Aug;34(4):573-575. doi: 10.1016/j.jpag.2021.02.103. Epub 2021 Mar 3.

Abstract

Background: Single-incision laparoscopic surgery (SILS) is an exciting new modality in the field of minimal access surgery. This case illustrates the feasibility of single-incision laparoscopic surgery for uterine pathology in the pediatric and adolescent population.

Case: A 19-year-old girl presented with pelvic pain. Transabdominal pelvic ultrasound and magnetic resonance imaging revealed multiple fibroids with rapid enlargement over a year. In collaboration with the Minimally Invasive Gynecologic Surgery team, single incision laparoscopic myomectomy was performed with satisfactory results.

Summary and conclusion: Complex uterine pathology can be managed with minimally invasive surgery with excellent clinical outcomes. SILS is a rapidly developing field that may represent the future of laparoscopic surgery and can be used to treat reproductive pathology in the pediatric and adolescent population.

Keywords: Adolescent; Leiomyoma; Minimally invasive surgery; Myomectomy; Single incision laparoscopy.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Laparoscopy / methods
  • Leiomyoma / diagnostic imaging
  • Leiomyoma / pathology
  • Leiomyoma / surgery*
  • Ultrasonography
  • Uterine Myomectomy / methods*
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery*
  • Young Adult