Gynecology & Obstetrics

Gynecology & Obstetrics
Open Access

ISSN: 2161-0932


Kevin Ke

University of New South Wales (UNSW), Australia

  • Mini Review   
    Conservative Management of Ovarian Torsion
    Author(s): Kevin Ke*, Dean Helmar Conrad and Gregory Miles Cario

    Ovarian torsion is a common gynaecological emergency, affecting women of all ages, with a peak incidence around the age of 30. Risk factors include enlarged ovaries secondary to ovarian cysts, ovarian hyperstimulation syndrome and ovulation induction, as well as tubal ligation and pregnancy. Diagnosis is primarily clinical, with laboratory and imaging investigations providing further support. Current management primarily consists of oophorectomy, although there is a trend towards preserving ovarian tissue through a combination of detorsion, ovarian cystectomy and oophoropexy. There is increasing evidence that necrotic appearing ovaries that do not appear to recover immediately following detorsion can still be viable in the long term. Furthermore, a policy of ovarian conservation for all pre-menopausal women with ovarian torsion appears to result in very good outco.. Read More»

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