2018
DOI: 10.1055/s-0038-1673426 View full text |Buy / Rent full text
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Abstract: Recurrent adnexal torsion is a rare gynecological emergency. We report a case of recurrent ipsilateral adnexal torsion in a woman with polycystic ovaries, previously submitted to a laparoscopic plication of the utero-ovarian ligament. Due to the recurrence after the plication of the utero-ovarian ligament, the authors performed a laparoscopic oophoropexy to the round ligament, which is an underreported procedure. The patient was asymptomatic for 1 year, after which she had a new recurrence and needed a unilate… Show more

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“…Several oophoropexy techniques have been reported, such as fixation of the ovary to the pelvic side wall, the posterior uterine wall, the sacro-uterine ligament, the posterior abdominal wall, and the ligamentum teres uteri both with and without plication of the utero-ovarian ligament [6, 10, 12, 19, 20]. The best management strategy of recurrent ovarian torsion is still under debate, and no clear answer exists regarding patient selection, timing, the preferred surgical method, and whether the procedure should be performed bilaterally or unilaterally [7, 17].…”
Section: Discussionmentioning
“…Oophoropexy has been described as a preventive intervention to decrease the risk of recurrent torsion. Various techniques have been described, including plication of the utero-ovarian ligament, suturing the ovary to the round ligament or the posterior uterus, or pelvic sidewall [52][53][54]. Small studies have shown success with fertility and normal appearance of ovaries on follow-up ultrasound, but long-term effects of oophoropexy on recurrence rates and fertility are not known [52].…”
Section: Treatmentmentioning