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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.

Laparoscopic Oophorectomy in a 3-Year-Old Child: A Rare and Delicate Procedure

Laparoscopic oophorectomy in a 3-year-old child is an exceptionally rare and challenging surgical procedure, typically performed in cases of ovarian tumors, cysts, or torsion. The minimally invasive approach offers significant advantages over traditional open surgery, including faster recovery, minimal scarring, and reduced postoperative pain.

Indications for Laparoscopic Oophorectomy in Young Children

In pediatric patients, oophorectomy is usually indicated for conditions such as:

• Ovarian torsion leading to necrosis
• Large or complex ovarian cysts causing pain or complications
• Germ cell tumors or other ovarian malignancies
• Nonfunctional or damaged ovaries

Early diagnosis through ultrasound and MRI is crucial for determining the necessity of surgical intervention while preserving as much ovarian function as possible.

Surgical Approach and Challenges

Performing laparoscopic surgery on a child as young as three requires specialized pediatric surgical expertise. The procedure involves:

1. Anesthesia and Port Placement – Given the small size of the patient, surgeons use tiny incisions to insert ports for the laparoscopic instruments.
2. Visualization and Dissection – A high-definition camera provides magnified views of the pelvic structures, allowing for precise dissection while minimizing damage to surrounding tissues.
3. Ovary Removal and Closure – If oophorectomy is necessary, the affected ovary is carefully extracted, and the area is closed with minimal trauma to preserve future reproductive health.

Postoperative Recovery and Long-Term Considerations

Children typically recover quickly from laparoscopic procedures, with most being discharged within a day or two. Postoperative care includes pain management, infection prevention, and monitoring for hormonal changes. In unilateral oophorectomy cases, the remaining ovary usually compensates for hormone production, reducing long-term endocrine effects.

For parents, understanding the implications of early oophorectomy is essential. Regular follow-ups with a pediatric endocrinologist and gynecologist ensure that the child’s growth and hormonal development remain on track.

Conclusion

Laparoscopic oophorectomy in a 3-year-old child is a delicate but highly effective procedure when performed by experienced pediatric surgeons. Advances in minimally invasive surgery have made it possible to treat ovarian conditions in young children with minimal risks and excellent recovery outcomes. Early detection, precise surgical techniques, and postoperative monitoring play a crucial role in ensuring the best possible prognosis for pediatric patients undergoing this procedure.

For more information please contact:
World Laparoscopy Hospital
Cyber City, Gurugram, NCR DELHI
 INDIA 122002
Phone & WhatsApp: +919811416838, + 91 9999677788