Oophoropexy to prevent sequential or recurrent torsion

Emergency Management and Conservative Surgery of Ovarian Torsion in Children: A Report of 40 Cases

“…5 Shortening the utero-ovarian ligaments might represent an alternative treatment to the peritoneal or uterine fixation, which might impair the vascularization and the function of ovarian tubes. 30 Eckler et al 21 recommend the use of non-resorbing sutures, after a recurrent torsion that occurred on an ovarian cyst that had been fixed with a absorbable suture.…”

Long-term results of conservative management of adnexal torsion in children

“…It is clear that early diagnosis is beneficial in terms of a higher possibility to salvage the torsed adnexa and maximize the success of conservative therapy [6,7,[29][30][31]. Although the detection of normal flow by CDU does not exclude ovarian torsion, it is still the most useful noninvasive diagnostic modality [7] to expedite early operative intervention.…”

Ovarian torsion: to pex or not to pex? case report and review of the literature

“…This has been described as a laparoscopic procedure, although, inevitably, long-term results are not yet available. 7,8 Unfortunately the management of ovarian torsion is often complicated by misdiagnosis. The commonest cause of pelvic pain in children is appendicitis and ovarian torsion may only be found at laparotomy.…”