Abstract
Introduction Neonatal ovarian simple cyst management from the pediatric surgical aspect is unclear
on cyst size, follow-up, and preferred surgical approach. Therefore, this topic was
selected for the 2022 Consensus Session meeting of the European Paediatric Surgeons'
Association (EUPSA).
Methods The literature was reviewed on a predefined set of questions relating to the management
of the neonatal ovarian simple cysts by a panel of 7 EUPSA members, on current evidence-based
opinion and practice outlined. Each question (1) outcomes of fetal interventions in
neonates after birth and consensus on size/timing of intervention, (2) consensus on
the type of interventions, and (3) complications in neonatal ovarian cysts and follow-up
recommendations in nonoperated/operated cysts, was presented with available evidence
to congress session participants. The management approach was agreed by participants
and comments were accounted to formulate the consensus statement.
Results There is still limited data on potential benefits and complications of prenatal ultrasound-guided
aspiration; however, neonates after such procedures should be followed for 6 months.
Neonates with simple ovarian cysts larger than 4 cm should be offered surgical interventions
within the 2 weeks of life with complete laparoscopic cyst aspiration and fenestration
with bipolar instruments being the preferred approach. Ultrasound follow-up after
surgical intervention after 3 months and with the conservative approach after every
3 to 4 months until 1 year.
Conclusion A peer-reviewed consensus statement for the management of neonatal ovarian simple
cyst was formulated based on current evidence and peer practice. The EUPSA recognizes
that the statement can be useful for pediatric surgeons in decision making for this
pathology.
Keywords
consensus statement - neonate - simple ovarian cyst - surgical management - conservative
treatment
