Oophoropexy for Management of Ovarian Torsion in the Pediatric PopulationJournal of Obstetrics and Gynaecology Canada (2018)
The incidence of ovarian torsion (OT) in the pediatric population is 4.9–20/100,000. OT may be caused by the presence of mass, or in the absence of a mass, an elongated ovarian ligament or fallopian tube, or a hypermobile mesosalpinx or meso-ovarium. Effective management is critical as OT can result in loss of reproductive potential. Recent SOGC guidelines have recommended conservative management, specifically, detorsion and preservation of the ovary despite a blue-black appearance, rather than performing an oophorectomy. As a result of conservative management, there is potential for rate of recurrent OT to increase. Oophoropexy (OP) can be used to prevent OT in patients with congenitally long utero-ovarian ligaments, recurrent OT, and idiopathic OT. There are two types of OP procedures: (1) Plication of adnexal ligaments (2) Fixation of the adnexa to the pelvic sidewall or the ipsilateral uterosacral ligament. In this video, both types of oophoropexy procedures are demonstrated.
Citation InformationHannah R. Goldberg, Carol King, Lisa Allen and Sari Kives. "Oophoropexy for Management of Ovarian Torsion in the Pediatric Population" Journal of Obstetrics and Gynaecology Canada (2018)
Available at: http://works.bepress.com/carol-king1/1/