Document Detail

Oophoropexy to prevent adnexal torsion: how, when, and for whom?
MedLine Citation:
PMID:  20226409     Owner:  NLM     Status:  MEDLINE    
STUDY OBJECTIVE: To assess the efficacy of oophoropexy in obviating recurrent torsion and its possible long-term effects.
DESIGN: Case series and review of the literature (Canadian Task Force classification III).
SETTING: University hospital.
PATIENTS: Women who underwent oophoropexy for recurrent torsion of normal adnexa between 2003 and 2008.
MEASUREMENTS AND MAIN RESULTS: Retrieved information included the indication for oophoropexy, surgical methods, recurrence, and follow-up. Seven women underwent oophoropexy during the study period because of recurrent torsion of normal adnexa. One additional patient had experienced 3 torsion events of cystic adnexa. Surgical methods included suturing of the ovary to the pelvic sidewall or to the round ligament and plication of the utero-ovarian ligaments. Recurrence occurred in 1 of 6 patients for whom follow-up was available. All 6 patients reported spontaneous menstruation, and 2 conceived spontaneously and gave birth. Ultrasound at long-term follow-up (9-58 months) demonstrated normal ovaries.
CONCLUSION: Oophoropexy seems to be efficacious in preventing recurrent torsion. It is our impression that plication of the utero-ovarian ligaments has advantages over other approaches insofar as surgical feasibility and anatomical conservation.
Noga Fuchs; Noam Smorgick; Yoseph Tovbin; Ido Ben Ami; Ron Maymon; Reuvit Halperin; Moty Pansky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  17     ISSN:  1553-4650     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-07-22     Revised Date:  2011-02-09    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  205-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 AAGL. Published by Elsevier Inc. All rights reserved.
Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Zerifin, Israel.
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MeSH Terms
Adnexal Diseases / etiology,  prevention & control*,  surgery*
Cohort Studies
Ovary / surgery*
Patient Selection
Recurrence / prevention & control
Retrospective Studies
Suture Techniques
Torsion Abnormality / etiology,  prevention & control*,  surgery*
Treatment Outcome
Young Adult
Comment In:
J Minim Invasive Gynecol. 2010 Nov-Dec;17(6):807   [PMID:  20955996 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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