Re-torsion of the ovaries
Research output: Contribution to journal › Review › Research › peer-review
The increasing use of de-torsion of the ovaries may result in re-torsion. This review addresses risk of re-torsion and describes preventive strategies to avoid re-torsion in pre-menarcheal girls, and fertile and pregnant women. We clinically reviewed PubMed, Embase, Trip and Cochrane databases. The main outcome measures were re-torsion and viability of ovary with fixation measures. A total of 38 publications including 71 girls, 363 fertile women, and 69 pregnant women were found to be relevant. All studies were case reports or case series, sometimes with non-randomized controls. The studies show considerable heterogeneity in design, population, management and outcome. Only four studies included more than 50 cases. In pregnancy the risk of re-torsion was as high as 19.5-37.5%; among fertile women it was 28.6%. Most articles concluded that fixation of the ovaries to the pelvic sidewall or plication of the ovarian ligament after torsion may prevent re-torsion. In one case a girl experienced re-torsion after ovariopexy. Based on observational studies it seems that de-torsion and fixation of the ovary is a safe procedure that usually ensures maintenance of ovarian function and reduces the risk of recurrence, especially when there are no ovarian cysts or adnexal masses.
Original language | English |
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Journal | Acta Obstetricia et Gynecologica Scandinavica |
Volume | 94 |
Issue number | 3 |
Pages (from-to) | 236-244 |
Number of pages | 9 |
ISSN | 0001-6349 |
DOIs | |
Publication status | Published - Mar 2015 |
- Adnexal Diseases, Adult, Female, Gynecologic Surgical Procedures, Humans, Ovarian Cysts, Ovary, Pregnancy, Pregnancy Complications, Risk Factors, Torsion Abnormality, Young Adult
Research areas
ID: 156085558