Ovarian torsion surgery
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Ovarian torsion Microchapters |
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Diagnosis |
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Treatment |
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Ovarian torsion surgery On the Web |
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American Roentgen Ray Society Images of Ovarian torsion surgery |
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Risk calculators and risk factors for Ovarian torsion surgery |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Surgery
Early Conservative Management
If there is no evidence of vascular compromise, or peritonitis then laparoscopy can be used to uncoil the torsed ovary.
Salpingo-oophorectomy
If there is evidence of vascular compromise, or peritonitis, the salpingo-oophorectomy may be required. Unfortunately, the visual characteristics of the ovaries such as size, color, and edema may not accurately reflect the extent of injury. Therefore, most studies support a strategy of early conservative management, which is successful in 88% of cases.
Treatment to Reduce the Risk of Recurrent Torsion
Among young women in whom there is a long ligament, laparoscopic triplication of the utero-ovarian ligament has been utilized to reduce the risk of recurrent torsion. Patients with polycystic ovarian disease are also at risk of recurrence.
References