Ovarian preservation and prognosis in adnexal torsion surgery — a retrospective analysis
Abstract
Objectives: This study aims to analyze the conditions of ovarian preservation during adnexal torsion surgery, and safety
of ovarian preservation.
Material and methods: A retrospective analysis of 130 patients, who underwent surgery for ovarian benign tumor pedicle
torsion in Fujian Provincial Maternal and Child Health Hospital from June 2013 to June 2018, was conducted. This study
analyses the possible risk factors affecting the operation method using multiple logistic regression and analyses the complications
and the recovery of ovarian function after the treatment of the ovarian preservation.
Results: Among these patients, 58 received ovarian cystectomy, while 72 received ovariectomy. There was no significant
difference in terms of age, preoperative blood, operation time and surgical bleeding volume between the two groups
(p > 0.05). However, there was a significant difference in preoperative adnexal blood flow, abdominal pain to the surgical
interval, and a collection of torsion cycles (p < 0.05). There was an increased risk of ovarian resection in patients whose blood
flow of the annex disappeared, whose time of abdominal pain was long, and whose number of twists were significant. For
the preservation group, there were no increases in postoperative complications.
Conclusions: According to clinical indicators, such as preoperative adnexal blood flow, abdominal pain to the interval of
surgery and the number of torsion cycles, it was determined whether it was feasible to keep the ovary. Retaining the ovary
is safe, effective and feasible in adnexal torsion.
Keywords: appendix torsionovarian preservationpostoperative follow-upsurgical management
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