MANAGEMENT OF OVARIAN CYSTS IN NEWBORNS

Due to more frequent ultrasound examinations of pregnant women and newborns, the frequency of detection of ovarian cysts in the fetus and newborn has increased. The aim of the study was to optimize the treatment and monitoring of newborns with ovarian cysts. The study included 68 pregnant women and their newborn girls with diagnosed ovarian cysts. Depending on the properties of ovarian cysts (“simple” or “complex” cysts, liquid or solid, suspicion of malignancy or no suspicion), the presence or absence of symptoms, and also taking into account the size of the formation, treatment can be surgical or conservative-observational. Surgical treatment of newborns was performed in 31 (45.5%) cases, in 9 cases - laparoscopically, in 22 cases - laparotomy with a paraumbilical circular incision or an inferomedial incision. In 83.8% of cases, organ-preserving operations were performed. Conservative tactics and observation were carried out in 37 cases (54.4%); in the dynamics of observation of these children, spontaneous regression was observed in 35 cases within 3-12 months. During surgical treatment, whenever possible, an organ-preserving method should be used, since preservation of ovarian tissue is important for preserving fertility and further full sexual development of the girl. The lack of a uniform approach to the treatment of ovarian cysts in newborns requires further research.