Folicular reserve changes in torsion–detorsion of the ovary: an experimental study

Yücel, Burak; Usta, Taner; Kaya, Erdal; Turgut, Hürriyet; Ateş, Utku

doi:10.1016/j.ejogrb.2014.03.029

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…contrary to popular belief, in ischemic ovarian damage, total ovarian necrosis does take place [6]. in longterm ischemic cases, in spite of the blue-black discoloration in the ovary, the presence of live follicles has been shown.…”

Section: Introductionmentioning

confidence: 73%

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The effect of a natural molecule in ovary ischemia reperfusion damage: does lycopene protect ovary?

et al. 2021

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Ovarian ischemia is a gynecological emergency case that occurs as a result of ovarian torsion. Oxidative stress plays a central role in the development of ischemia/reperfusion (IR) injuries. Lycopene (LYC) is a lipophilic, natural carotenoid well known for its antioxidant properties. This study provides information on the potential applications of lycopene. The Wistar Albino rats were distributed into six groups: Sham group (only a laparotomy was performed), Control group [laparotomy and intraperitoneal dissolvent (olive oil)], IR group, IR+olive oil group, IR+LYC 2.5 mg/kg/dose, intraperitoneal group, IR+LYC 5 mg/kg/dose intraperitoneal group. Evaluated in terms of histopathological changes, tissue malondialdehyde levels (MDA), ovarian expressions of phosphorylated nuclear factor-kappa B (p-NF-κB) and the TUNEL method was utilized to show apoptosis of ovarian tissue. There was a significant decrease in MDA, p-NF-κB values and the proportion of apoptotic cells assessed by TUNEL compared to the group that did not receive intraperitoneal LYC in rat injury with IR damage (P<0.05). In histopathological damage scoring, it was observed that the cell damage was significantly reduced in LYC-administered groups. LYC showed significant ameliorative effects on ovary injury caused by IR through acting as an antioxidant, antiinflammatory, and antiapoptotic agent.

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Section: Introductionmentioning

confidence: 73%

“…the question here is whether detortion will cause ir damage in the ovary. studies have shown that varying degrees of ovarian follicles decrease with detorsion [6,8]. However, the common belief is that follicular viability is still ongoing.…”

Section: Introductionmentioning

confidence: 99%

The effect of a natural molecule in ovary ischemia reperfusion damage: does lycopene protect ovary?

et al. 2021

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“…In contrast with these assessments, Yucel et al [54] and Bozdag et al [31 & ] affirm that follicle reserve is not reduced after detorsion and it is not influenced by duration and intensity of ovarian damage.…”

Section: Effects Of Reperfusion After Detorsion: Experimental Studiesmentioning

confidence: 94%

Adnexal torsion in adolescents

Spinelli

Piscioneri

Strambi

2015

Current Opinion in Obstetrics &Amp; Gynecology

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A systematic review of physiopathology, clinical picture, and imaging of adnexal torsion is certainly useful to identify as soon as possible this emergency condition. An early identification and an adequate treatment are indispensable in order to achieve a proper outcome for the patient. The choice of the appropriate surgical approach can be challenging and should be made on the basis of an accurate evaluation of the ovarian lesion. Therefore, it would be useful to perform an intraoperative frozen section analysis in selected cases.

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“…The rotation of vascular pedicles may cause venous and lymphatic occlusion, which is followed by arterial insufficiency. The congestion may be followed by hemorrhagic infarction, gangrene, and, finally, necrosis ( 7 ). Ischemia–reperfusion injury, referring to the microvascular and parenchymal cell dysfunction of ischemic organs, can occur following the restoration of tissue perfusion subsequent to ischemia.…”

Section: Introductionmentioning

confidence: 99%

“…Classically, ovarian torsion causes a dark blue-black discoloration of the ovary ( 7 ). In the past, oophorectomy has been the traditional treatment, likely due to the assumption that tissue that has lost its viability may cause damage through mediators of reperfusion or by embolism.…”

Section: Introductionmentioning

confidence: 99%

Influence of ovarian torsion on reproductive outcomes and mode of delivery

Silberstein,

Freud,

Baumfeld

et al. 2024

Front. Med.

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PurposeTo investigate differences in reproductive outcomes among patients before and following ovarian torsion.Study designIn this retrospective cohort study, we investigated the reproductive outcomes of patients who underwent surgery for ovarian torsion between 1988 and 2015 in a tertiary medical center. Data on deliveries before and after ovarian torsion were compared.ResultsDuring the study period, 199 women underwent surgery due to ovarian torsion. The majority (91.4%; n = 182) underwent detorsion, and 8.6% (n = 17) underwent unilateral adnexectomy. At the time of the torsion, 27.6% (n = 55) of patients were pregnant. Among women who suffered from ovarian torsion, about half (52%) of the deliveries occurred before the torsion and 48% following the torsion. No significant difference in the live birth rate was noted (p = 0.19). The fertility treatment rate in our cohort was 7.5% before and 5% after the torsion (p = 0.01). In addition, live birth, cesarean delivery, and fertility treatment rates were similar in women who underwent detorsion vs. those who had adnexectomy.ConclusionSurgically treated ovarian torsion does not appear to negatively influence fertility and live birth potential.

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Folicular reserve changes in torsion–detorsion of the ovary: an experimental study

Cited by 8 publications

References 21 publications

The effect of a natural molecule in ovary ischemia reperfusion damage: does lycopene protect ovary?

The effect of a natural molecule in ovary ischemia reperfusion damage: does lycopene protect ovary?

Adnexal torsion in adolescents

Influence of ovarian torsion on reproductive outcomes and mode of delivery

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