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Oophoropexy for Management of Ovarian Torsion in the Pediatric Population
Journal of Obstetrics and Gynaecology Canada (2018)
  • Hannah R. Goldberg
  • Carol King, Western University
  • Lisa Allen
  • Sari Kives, University of Toronto
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.
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Citation Information
Hannah 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)
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