Ovarian torsion: 10‐year perspective

White, Melissa; Stella, Julian

doi:10.1111/j.1742-6723.2005.00728.x

Cited by 151 publications

(129 citation statements)

References 24 publications

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“…Se ha observado, del punto de vista funcional, después de una destorsión, que estos ovarios muestran desarrollo folicular y respuesta adecuada frente a su estimulación farmacológica, con fertilización oocitaria en procedimientos posteriores de fertilización in vitro. En concordancia con lo expuesto, diversas revisiones demuestran que a pesar de existir un retraso en el diagnóstico y tratamiento, las tasas de preservación de la función ovárica pueden ser altas (38). Otro elemento a favor de la destorsión ovárica es que en la literatura médica no hay informes de un incremento en el riesgo de eventos tromboembóli-cos.…”

Section: Discussionunclassified

Manejo Laparoscópico De Quistes Ováricos Complicados O Persistentes Durante El Embarazo

Albornoz

et al. 2009

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: El incremento en el hallazgo de quistes anexiales durante el embarazo sería el mayor uso de técnicas de reproducción asistida con hiperestimulación ovárica controlada. La complicación más frecuente sigue siendo la torsión anexial. Objetivo: Revisar el manejo de quistes anexiales complicados o persistentes, durante el embarazo, con resolución laparoscópica. Método: Revisión retrospectiva de 9 pacientes consecutivas, ingresadas al Departamento de Obstetricia y Ginecología Clínica Las Condes. Resultados: La edad gestacional de ingreso fue entre 5+5 y 27 semanas. Cinco casos fueron producto de fertilización asistida y cuatro espontáneos. Ocho (85,6%) embarazadas, ingresaron por dolor abdominal agudo. Otro caso ingresó a cirugía electiva por quiste ovárico persistente. Los quistes tenían entre 6 y 13 cm. En 5 se realizó sólo destorsión ovárica, en 1 ooforectomía y en 1 quistectomía. Se realizó punción, destorsión y fijación a ligamento útero ovárico, bilateral, en la otra paciente. Se registró un caso de fiebre en el postoperatorio. El alta hospitalaria fue a las 48 horas en 6 (67%), a las 72 en 2 y a las 96 en 1. El estudio biópsico diferido en 3 pacientes demostró: 1 quiste seroso paratubario, 1 quiste luteínico parcialmente hemorrágico y 1 infarto anexial. Todos los embarazos evolucionaron normalmente. Conclusión: Nuestra experiencia confirma que en el embarazo la laparoscopía es una buena opción al requerir una cirugía por quiste anexial complicado o persistente. PALABRAS CLAVE: Torsión anexial, laparoscopia, hiperestimulación ovárica, embarazo SUMMARYBackground: Recent reviews show an increase in the finding of adnexal cysts during pregnancy. One reason could be the use of assisted reproductive techniques with controlled ovarian hyperstimulation. Objective: To review the experience in managing via laparoscopy complicated or persistent adnexal cysts during pregnancy. Method: Retrospective review of 9 consecutive patients, admitted at the Department of Obstetrics and Gynecology, Clinica Las Condes. Results: The gestational age was between 5+5 and 27 weeks. Five were the product of assisted fertilization and four spontaneous. Eight (85.6%) pregnant women were admitted by emergency room because of acute abdominal pain and another one went through elective surgery for persistent ovarian cyst. Preoperative diagnosis of the 8 patients admitted by emergency: adnexal cyst complicated with torsion in 6 (1 adnexal infarction) and 2 cases of acute abdomen. The cysts were between 6 and 13 cm. Type of surgery: in 5, only detorsion; ovarian oophorectomy in 1 and cystectomy in one. Puncture, detorsion and bilateral fixation of uterine ovarian ligament, in another patient. One case required conversion to laparotomy with adnexectomy. Postoperative fever was observed in one patient. Discharge was at 48 hrs

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Section: Discussionunclassified

Manejo Laparoscópico De Quistes Ováricos Complicados O Persistentes Durante El Embarazo

Albornoz

et al. 2009

Rev. chil. obstet. ginecol.

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“…Çoğu vakada torsiyona eşlik eden adneksiyel bir kitle bulunurken % 8-18 vakada ise patolojik bir kitle yoktur. Benign ovaryen patolojilerin çoğunluğunu ovaryen ve paraovaryen kistler oluşturur (2). Kistik teratomlar (% 60) ve kistadenomlar (% 30) torsiyonlarda en sık karşılaşılan iyi huylu tümörlerdendir (3).…”

Section: Introductionunclassified

Ovarian Torsion and Surgical Treatment: Five-year’s experience of a tertiary center

Günay

Yardımcı

Hocaoğlu

et al. 2018

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Amaç: Çalışmamızda son 5 yılda hastanemizde over torsiyonu tanısı ile opere ettiğimiz hastaların klinik ve laboratuvar bulguları ile uygulanan cerrahi tedavi yöntemlerinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler:Elektronik ortamda arşiv taraması yapılarak Ocak 2013 ile Ocak 2018 tarihleri arasında hastanemizin acil servis servisine başvuran ve over torsiyonu tanısı ile opere edilen hastaların demografik özelliklerinin yanı sıra klinik ve laboratuvar bulguları ile uygulanan cerrahi tedavi yaklaşımları kaydedildi ve bulguların analizi yapıldı. Bulgular:Kayıtlarına ulaşılan toplam 32 hastanın yaş ortalaması 27.2±10.5 olarak bulundu ve 9 (% 28.1) hasta virgo idi. Acil servise başvuran bütün hastalarda abdominal ve/veya pelvik ağrı mevcut olup, 15 (% 46.8) hastada bulantı, 7 (% 21.8) hastada kusma ve 2 (% 6.2) hastada ateş görüldü. Over torsiyonu saptanan 2 hastada gebelik mevcuttu. Olguların 19 (% 59.3)'unda torsiyon sağ tarafta iken 13 (% 40.7) olguda sol taraftaydı. Torsiyone olan kitlenin boyutu ortalama 92.5±46.3 mm olup olguların 15 (% 46.8)'inde ultrasonografik incelemede ovaryen akım saptanmadı. Hastaların 23 (% 71.9)'ünde laparoskopik yaklaşım uygulanırken 9 (% 28.1) hastada laparatomi tercih edildi. Sonuç:Over torsiyonu jinekolojik acil bir durum olup hastanın fizik muayene bulguları başta olmak üzere laboratuvar ve görüntüleme sonuçları ile değerlendirilerek erken müdahalesi torsiyone olmuş organların korunabilmesi ve fonksiyonlarını devam ettirebilmesi için kritik önemdedir. Cerrahi yaklaşımda da laparoskopi ön planda tercih edilmeli ve organ koruyucu yaklaşımlar tedavide ilk seçenek olmalıdır. Anahtar Kelimeler: Over torsiyonu, laparoskopik cerrahi, ultrasonAbstract Objective: In current study, we aimed to evaluate the clinical and laboratory findings and surgical methods in patients treated with a surgical approach for ovarian torsion in a period of five years in our institute. Materials and Methods:The demographic characteristics, clinical and laboratory findings of patients who admitted to emergeny unit of our hospital and underwent a surgery for a diagnosis of ovarian torsion in between January 2013 and January 2018 and surgical methods used were collected via digital patient database. The relevant data was assessed. Results:The mean age of the patient 32 patients who had eligible medical records was 27.2±10.5. Nine (28.1%) of 32 patients was virgo. All the patients had abdominal or pelvic pain. 15 (46.7%) patients had nausea, 7 (6.2%) had vomitting and 2 (6.2%) had fever. Two of patients were pregnant during diagnosis. 19 (59.35%) patients had righ-sided ovarian torsion and 13 (40.7%) had left-sided. The mean average diameter of the torsioned ovary was 92.5±46.3 mm. Ovarian blood flow was compromised in 15 (46.8%) patients in color doppler sonographic evaluation. Laparoscopic surgery was preferred for 23 (71.9%) patients and laparotomy for 9. Conclusion:The early intervention of a torsioned ovary, a gynecologic emergency, has a critical role to secure the affected organ and to preserve its fun...

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“…In 2005, White M et al 18 conducted a retrospective study over a period of ten years and found fifty two cases of ovarian torsion. The main clinical features of presentation were sudden pain in 83% cases and nausea and vomiting in 59% cases.…”

Section: Ovarian Torsionmentioning

confidence: 99%

“…In 2005, White M et al 18 conducted a retrospective study over a period of 10 years and found fifty two cases of surgically proven ovarian torsion. The mean age of presentation was 33.5 years with interquartile range from 28.7 years to 39.3 years.…”

Section: Ovarian Torsionmentioning

confidence: 99%