open access

Vol 91, No 5 (2020)
Review paper
Published online: 2020-05-29
Get Citation

Ovarian preservation and prognosis in adnexal torsion surgery — a retrospective analysis

Xiulan Weng1, Xi Xie2, Chaobin Liu1, Xinru Hong2, Jingsong Yi1
DOI: 10.5603/GP.2020.0066
·
Pubmed: 32495934
·
Ginekol Pol 2020;91(5):277-280.
Affiliations
  1. Department of Gynaecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  2. Department of Obstetrics and Gynaecology, 900 Hospital of the Joint Logistics Team, Fuzhou, China

open access

Vol 91, No 5 (2020)
REVIEW PAPERS Gynecology
Published online: 2020-05-29

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.

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.

Get Citation

Keywords

appendix torsion; ovarian preservation; postoperative follow-up; surgical management

About this article
Title

Ovarian preservation and prognosis in adnexal torsion surgery — a retrospective analysis

Journal

Ginekologia Polska

Issue

Vol 91, No 5 (2020)

Article type

Review paper

Pages

277-280

Published online

2020-05-29

DOI

10.5603/GP.2020.0066

Pubmed

32495934

Bibliographic record

Ginekol Pol 2020;91(5):277-280.

Keywords

appendix torsion
ovarian preservation
postoperative follow-up
surgical management

Authors

Xiulan Weng
Xi Xie
Chaobin Liu
Xinru Hong
Jingsong Yi

References (14)
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  2. Fujishita A, Araki H, Yoshida S, et al. Outcome of conservative laparoscopic surgery for adnexal torsion through one-stage or two-stage operation. Journal of Obstetrics and Gynaecology Research. 2014; 41(3): 411–417.
  3. Moribata Y, Kido A, Yamaoka T, et al. MR imaging findings of ovarian torsion correlate with pathological hemorrhagic infarction. Journal of Obstetrics and Gynaecology Research. 2015; 41(9): 1433–1439.
  4. Yan X, Xianling Z, Ting Y. Comparison of clinical features of ovarian cyst torsion in postmenopausal and childbearing age patients . Chinese Journal of Women and Children Health Research. 2016; 27(11): 1399–1401.
  5. Childress K, Dietrich J. Pediatric Ovarian Torsion. Surgical Clinics of North America. 2017; 97(1): 209–221.
  6. Ashwal E, Krissi H, Hiersch L, et al. Presentation, Diagnosis, and Treatment of Ovarian Torsion in Premenarchal Girls. Journal of Pediatric and Adolescent Gynecology. 2015; 28(6): 526–529.
  7. Rastogi D, Yadav A, Hariprasad S, et al. Neonatal ovarian cyst with torsion – A case report. Current Medicine Research and Practice. 2015; 5(1): 26–28.
  8. Santos X, Cass D, Dietrich J. Outcome Following Detorsion of Torsed Adnexa in Children. Journal of Pediatric and Adolescent Gynecology. 2015; 28(3): 136–138.
  9. Chu K, Zhang Q, Sun N, et al. Conservative laparoscopic management of adnexal torsion based on a 17-year follow-up experience. Journal of International Medical Research. 2018; 46(4): 1685–1689.
  10. Spinelli C, Buti I, Pucci V, et al. Adnexal torsion in children and adolescents: new trends to conservative surgical approach – Our experience and review of literature. Gynecological Endocrinology. 2012; 29(1): 54–58.
  11. Parelkar SV, Mundada D, Sanghvi BV, et al. Should the ovary always be conserved in torsion? A tertiary care institute experience. J Pediatr Surg. 2014; 49: 465–8.
  12. Bin Z, Yan G, Jingjing Li. Report of 62 cases of ovarian cyst pedicled to preserve ovarian laparoscopic surgery[J] . Chinese Journal of Minimally Invasive Surgery. 2014; 7(14): 600–602.
  13. Spinelli C, Buti I, Pucci V, et al. Adnexal torsion in children and adolescents: new trends to conservative surgical approach – Our experience and review of literature. Gynecological Endocrinology. 2012; 29(1): 54–58.
  14. Kives S, Gascon S, Dobuc E, et al. Diagnosis and Management of Adnexal Torsion in Children,Adolescents, and Adults. J Obstet Gynaecol Can. 2017; 39(2).

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