Oophoropexy to Prevent Adnexal Torsion: How, When, and for Whom?

Noga Fuchs, Noam Smorgick, Yoseph Tovbin, Ido Ben Ami, Ron Maymon, Reuvit Halperin, Moty Pansky*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)205-208
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Issue number2
StatePublished - Mar 2010
Externally publishedYes


  • Oophoropexy
  • Plication
  • Recurrent adnexal torsion
  • Torsion of normal adnexa
  • Utero-ovarian ligament


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