TY - JOUR
T1 - Oophoropexy to Prevent Adnexal Torsion
T2 - How, When, and for Whom?
AU - Fuchs, Noga
AU - Smorgick, Noam
AU - Tovbin, Yoseph
AU - Ben Ami, Ido
AU - Maymon, Ron
AU - Halperin, Reuvit
AU - Pansky, Moty
PY - 2010/3
Y1 - 2010/3
N2 - 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.
AB - 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.
KW - Oophoropexy
KW - Plication
KW - Recurrent adnexal torsion
KW - Torsion of normal adnexa
KW - Utero-ovarian ligament
UR - http://www.scopus.com/inward/record.url?scp=77649245292&partnerID=8YFLogxK
U2 - 10.1016/j.jmig.2009.12.011
DO - 10.1016/j.jmig.2009.12.011
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AN - SCOPUS:77649245292
SN - 1553-4650
VL - 17
SP - 205
EP - 208
JO - Journal of Minimally Invasive Gynecology
JF - Journal of Minimally Invasive Gynecology
IS - 2
ER -