Oophoropexy for ovarian torsion: a new easier techniqueReportar como inadecuado




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Gynecological Surgery

, 14:7

First Online: 09 May 2017Received: 01 February 2017Accepted: 23 March 2017DOI: 10.1186-s10397-017-1001-9

Cite this article as: Hosny, T.A. Gynecol Surg 2017 14: 7. doi:10.1186-s10397-017-1001-9

Abstract

BackgroundOophoropexy 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.

ObjectiveWe 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.

PatientsSeven 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.

ResultsFollow 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.

ConclusionWe propose that this technique is easier, faster and more comfortable especially in ovarian torsion in pregnant women and torsion in hyperstimulated ovaries.

KeywordsOvarian torsion Oophoropexy Laparoscopy Ovarian hyperstimulation syndrome Trocar site closure needle Electronic supplementary materialThe online version of this article doi:10.1186-s10397-017-1001-9 contains supplementary material, which is available to authorized users.





Autor: Tamer A. Hosny

Fuente: https://link.springer.com/







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