Paediatric Gynaecological Laparoscopy

Laparoscopy in Children and Adolescents

Minimally invasive approaches have become the standard of care for abdominal surgery across all age groups, including the paediatric population. At Palmotićeva Gynaecology Clinic, we employ state-of-the-art 3D laparoscopic technology that provides exceptional visualisation of the surgical field and enables precise surgery even in our youngest patients.

Indications for Paediatric Laparoscopy

• Ovarian cysts — the most common indication; dermoid cysts, cystadenomas, endometriotic cysts
• Ovarian and fallopian tube torsion — an emergency requiring rapid diagnosis and laparoscopic detorsion to preserve fertility
• Ovarian tumours — laparoscopy enables both diagnosis and tissue sampling for suspicious masses
• Congenital anomalies of the genital tract — diagnosis and surgical correction of anomalies (4–7% of girls)
• Unexplained abdominal pain — precise visualisation for differential diagnosis

Advantages of the Laparoscopic Approach in Children

• Applicable at every age — from neonates to adolescents
• Significantly less postoperative pain compared to open surgery
• Faster recovery — shorter hospital stay
• Superior cosmetic outcome — minimal scarring
• Maximum preservation of healthy ovarian tissue — crucial for future fertility

Dr Đorđe Petković's Clinical Experience

Dr Đorđe Petković brings extensive clinical experience in paediatric laparoscopy gained at the Institute for Mother and Child Healthcare of Serbia "Dr Vukan Čupić" — the largest children's hospital in the country. He brings this expertise to the Palmotićeva Clinic, where every young patient receives an individually tailored approach.

3D Laparoscopic Technology

Thanks to modern 3D laparoscopic systems, the surgeon has three-dimensional visualisation of the abdominal cavity, enabling:

• More precise instrument manipulation in a small operative space
• Better identification of anatomical structures
• Fewer complications and shorter operative times

Procedure and Recovery

The operation is performed under general anaesthesia through 2–3 small incisions (5–10 mm). The cyst is carefully separated from healthy ovarian tissue, placed in an EndoBag, and removed from the abdominal cavity without contamination. The patient is typically discharged the same or next day, with full mobility within 3–5 days.