“…To preserve the ovarian function, treatment of torsion should be as conservative as possible (Rousseau et al, 2008). RhEPO which was used in this study has several beneficial effects in ischemic organs (Sharples et al, 2004;Bonakdar et al, 2007;Calvillo et al, 2003;Wu et al, 2006).…”
Problem statement:To show the effect of recombinant Erythropoietin (rhEPO) on the ovarian viability and histology in the twisted ischemic ovaries in rats, followed by detorsion. Approach: An experimental study was conducted in primate clinic
“…To preserve the ovarian function, treatment of torsion should be as conservative as possible (Rousseau et al, 2008). RhEPO which was used in this study has several beneficial effects in ischemic organs (Sharples et al, 2004;Bonakdar et al, 2007;Calvillo et al, 2003;Wu et al, 2006).…”
Problem statement:To show the effect of recombinant Erythropoietin (rhEPO) on the ovarian viability and histology in the twisted ischemic ovaries in rats, followed by detorsion. Approach: An experimental study was conducted in primate clinic
“…When aetiologies of ovarian torsion in children were analyzed, a normal non-tumoral ovary was involved in 0% to 60.86% of cases 2,7,10,19,20 in contrast with adult population(2.2%). 16 This inconsistent finding is perhaps due to small sample size in each series and heterogeneity of sample population.…”
Section: Discussionmentioning
confidence: 99%
“…Oophoropexy is another method to fix the ovary after detorsion to prevent recurrence, however there is no consensus about this technique nor the preventive pexy on the opposite site. 20 Nevertheless, it is an interesting method that could be utilized in dealing with non-tumoral adnexal torsion or adnexal torsion in patients with a remaining single ovary.…”
“…Klinik tablo göz önüne alındığında ayırıcı tanıda erişkin hastalar için ektopik gebelik, pelvik inflamatuar hastalık, appendisit, divertikülit, hemorajik over kisti ve renal kolik yer almaktadır. Pediyatrik yaş grubunda benzer klinik tablo ile karşımıza çıksa da neonatal dönemde bulgular genellikle karın distansiyonu, bulantı, kusma, huzursuzluk ve irritabilite ile kendini gösterir (12).…”
Section: Over Torsi̇yonunun Kli̇ni̇k Tablosu Nasildir?unclassified
ÖZOver torsiyonu nadir görülen ancak ciddi sonuçlara yol açabilecek jinekolojik acillerden biridir. Over torsiyonu tanısı her zaman kolay olmamaktadır. Gri skala ultrasonografi (USG) her ne kadar over torsiyonu için özgün bulgular ortaya koymasa da ilk başvurulan görüntüleme yöntemi-dir. Doppler USG ile kan akımının gösterilmiş olması over torsiyonu tanısını ekarte ettirmese de, kan akımınının belirlenmemesi tanıyı destekleyici bulgulardandır. Cerrahi öncesi over torsiyonu tanısında güvenilirliği ve duyarlılığı yüksek serum belirteci henüz tanımlanmamıştır. Hızlı tanı ve cerrahi tedavi, hastanın fertilitesinin; overinin korunmasının temelidir. Bu derlemenin amacı over torsiyonu konusunda genel değerlendirme yapmaktır.Anahtar Kelimeler: Over torsiyonu, IL-6, iskemi modifiye albumin, D-dimer, IL-8, USG, doppler USG.
ABSTRACTTorsion of the ovary is rare but serious cause of gynecologic emergency. Diagnosis of ovarian torsion (OT) is difficult. Ultrasonography has no specific finding for diagnosis of OT, it is initial imaging technique. Presence of vascular flow detected by doppler USG doesn't exclude diagnosis of OT but, absence of vascular flow is suspicious for diagnosis. The main challenge about diagnosis is that many of patients undergo surgery without confirmed diagnosis while rapid clinical workup and surgical treatment are keys to preserve fertility. Specific biomarkers supporting diagnosis of OT aren't currently available. Aim of article is to make an overview of OT.
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