Ovarian torsion surgery

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Ovarian torsion Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

Early Conservative Management

If there is no evidence of vascular compromise, or peritonitis then laparoscopy can be used to uncoil the torsed ovary.

Salpingo-oophorectomy

If there is evidence of vascular compromise, or peritonitis, the salpingo-oophorectomy may be required. Unfortunately, the visual characteristics of the ovaries such as size, color, and edema may not accurately reflect the extent of injury. Therefore, most studies support a strategy of early conservative management, which is successful in 88% of cases.

Treatment to Reduce the Risk of Recurrent Torsion

Among young women in whom there is a long ligament, laparoscopic triplication of the utero-ovarian ligament has been utilized to reduce the risk of recurrent torsion. Patients with polycystic ovarian disease are also at risk of recurrence.

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