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2017 ; 14
(1
): 7
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Oophoropexy for ovarian torsion: a new easier technique
#MMPMID28603475
Hosny TA
Gynecol Surg
2017[]; 14
(1
): 7
PMID28603475
show ga
BACKGROUND: Oophoropexy for ovarian torsion is easy to be done by many tools
either suturing to the lateral pelvic wall, plication of the ovarian ligament or
even fixation to the back of the uterus, but it is little bit difficult to do it
for pregnant women with less manipulation. OBJECTIVE: We propose that using
trocar site closure needle can be easier and faster technique to do this. To
assess the feasibility of using the trocar site closure needle to do oophoropexy
in ovarian torsion and its possible applicability. PATIENTS: Seven patients
presented with ovarian torsion; four of them were pregnant at 7, 15, 19 and 20
weeks of gestation, two patients with ovarian hyperstimulation in IVF cycles and
one adolescent patient with hemorrhagic cyst. They were diagnosed by clinical
presentation and ultrasound with Doppler analysis, and confirmed by laparoscopy
where they underwent detorsion and fixation of the ovary using the trocar site
closure needle. RESULTS: Follow up of all the cases after one week showed
improvement of the symptoms and normal Doppler flow of the target ovary then
after three weeks by ultrasonography which revealed normal Doppler flow in the
previously torsioned ovary. Two pregnant women underwent cesarean delivery where
the operated ovary was observed during the delivery and was normal in shape and
freely mobile with no adhesions. CONCLUSION: We propose that this technique is
easier, faster and more comfortable especially in ovarian torsion in pregnant
women and torsion in hyperstimulated ovaries.
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