Ovarian Salvage With Prompt Surgical Intervention for Adnexal Torsion: Does Timing Matter?
Background Adnexal torsion requires treatment to limit ischemic injury and tissue loss. Optimal time to surgical intervention has not been established. We compared outcomes of ovarian loss amongst pediatric patients. Methods We conducted a retrospective review of 88 patients with adnexal torsion fro...
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| Veröffentlicht in: | The American surgeon 2024-06, Vol.90 (6), p.1508-1513 |
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| container_title | The American surgeon |
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| creator | Avila, Azalia Motta, Monique Schechter, David Samuels, Shenae Jaramillo, Ingry Whitehouse, Jill Neville, Holly L. Levene, Tamar |
| description | Background
Adnexal torsion requires treatment to limit ischemic injury and tissue loss. Optimal time to surgical intervention has not been established. We compared outcomes of ovarian loss amongst pediatric patients.
Methods
We conducted a retrospective review of 88 patients with adnexal torsion from March 2014 through April 2021. Rates of ovarian loss were compared for patients who underwent surgery within and beyond 60 minutes from diagnosis.
Results
Most patients underwent surgery more than 60 minutes from the time of diagnosis (83%; median time 116 minutes). Comparing patients with and without ovarian loss, there was no statistically significant difference in time to surgery from time of diagnosis (P = .618). Patients with ovarian loss had a longer duration of symptoms (24 vs 96 hours; P = .017).
Conclusions
While surgical repair of adnexal torsion may be urgent, this study suggests that duration of symptoms should be considered when assessing a patient’s likelihood of ovarian loss. |
| doi_str_mv | 10.1177/00031348241241678 |
| format | Article |
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Adnexal torsion requires treatment to limit ischemic injury and tissue loss. Optimal time to surgical intervention has not been established. We compared outcomes of ovarian loss amongst pediatric patients.
Methods
We conducted a retrospective review of 88 patients with adnexal torsion from March 2014 through April 2021. Rates of ovarian loss were compared for patients who underwent surgery within and beyond 60 minutes from diagnosis.
Results
Most patients underwent surgery more than 60 minutes from the time of diagnosis (83%; median time 116 minutes). Comparing patients with and without ovarian loss, there was no statistically significant difference in time to surgery from time of diagnosis (P = .618). Patients with ovarian loss had a longer duration of symptoms (24 vs 96 hours; P = .017).
Conclusions
While surgical repair of adnexal torsion may be urgent, this study suggests that duration of symptoms should be considered when assessing a patient’s likelihood of ovarian loss.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/00031348241241678</identifier><identifier>PMID: 38566270</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><ispartof>The American surgeon, 2024-06, Vol.90 (6), p.1508-1513</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-b55a32ebbb7a7f5e36389603faebc1f053d19d688bc02a8dbcbe8b6c716356413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00031348241241678$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00031348241241678$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21810,27915,27916,43612,43613</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38566270$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Avila, Azalia</creatorcontrib><creatorcontrib>Motta, Monique</creatorcontrib><creatorcontrib>Schechter, David</creatorcontrib><creatorcontrib>Samuels, Shenae</creatorcontrib><creatorcontrib>Jaramillo, Ingry</creatorcontrib><creatorcontrib>Whitehouse, Jill</creatorcontrib><creatorcontrib>Neville, Holly L.</creatorcontrib><creatorcontrib>Levene, Tamar</creatorcontrib><title>Ovarian Salvage With Prompt Surgical Intervention for Adnexal Torsion: Does Timing Matter?</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Background
Adnexal torsion requires treatment to limit ischemic injury and tissue loss. Optimal time to surgical intervention has not been established. We compared outcomes of ovarian loss amongst pediatric patients.
Methods
We conducted a retrospective review of 88 patients with adnexal torsion from March 2014 through April 2021. Rates of ovarian loss were compared for patients who underwent surgery within and beyond 60 minutes from diagnosis.
Results
Most patients underwent surgery more than 60 minutes from the time of diagnosis (83%; median time 116 minutes). Comparing patients with and without ovarian loss, there was no statistically significant difference in time to surgery from time of diagnosis (P = .618). Patients with ovarian loss had a longer duration of symptoms (24 vs 96 hours; P = .017).
Conclusions
While surgical repair of adnexal torsion may be urgent, this study suggests that duration of symptoms should be considered when assessing a patient’s likelihood of ovarian loss.</description><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kF1LwzAUhoMobk5_gDeSS286k6b5qDcy5tdgMmETwZuSpOnsaJuZtEP_vRmb3gjCgXBynvPCeQA4x2iIMedXCCGCSSLiBIdiXByAPqaURqmIySHob-fRFuiBE-9XoU0YxcegRwRlLOaoD95mG-lK2cC5rDZyaeBr2b7DZ2frdQvnnVuWWlZw0rTGbUzTlraBhXVwlDfmMwwW1vnwdw1vrfFwUdZls4RPsg34zSk4KmTlzdn-HYCX-7vF-DGazh4m49E00nEat5GiVJLYKKW45AU1hBGRMkQKaZTGBaIkx2nOhFAaxVLkSisjFNMcM0JZgskAXO5y185-dMa3WV16bapKNsZ2PiNBEqMpRTygeIdqZ713psjWrqyl-8owyrZKsz9Kw87FPr5Ttcl_N34cBmC4A3zwl61s55pw7j-J38lDfh8</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Avila, Azalia</creator><creator>Motta, Monique</creator><creator>Schechter, David</creator><creator>Samuels, Shenae</creator><creator>Jaramillo, Ingry</creator><creator>Whitehouse, Jill</creator><creator>Neville, Holly L.</creator><creator>Levene, Tamar</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240601</creationdate><title>Ovarian Salvage With Prompt Surgical Intervention for Adnexal Torsion: Does Timing Matter?</title><author>Avila, Azalia ; Motta, Monique ; Schechter, David ; Samuels, Shenae ; Jaramillo, Ingry ; Whitehouse, Jill ; Neville, Holly L. ; Levene, Tamar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-b55a32ebbb7a7f5e36389603faebc1f053d19d688bc02a8dbcbe8b6c716356413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Avila, Azalia</creatorcontrib><creatorcontrib>Motta, Monique</creatorcontrib><creatorcontrib>Schechter, David</creatorcontrib><creatorcontrib>Samuels, Shenae</creatorcontrib><creatorcontrib>Jaramillo, Ingry</creatorcontrib><creatorcontrib>Whitehouse, Jill</creatorcontrib><creatorcontrib>Neville, Holly L.</creatorcontrib><creatorcontrib>Levene, Tamar</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Avila, Azalia</au><au>Motta, Monique</au><au>Schechter, David</au><au>Samuels, Shenae</au><au>Jaramillo, Ingry</au><au>Whitehouse, Jill</au><au>Neville, Holly L.</au><au>Levene, Tamar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ovarian Salvage With Prompt Surgical Intervention for Adnexal Torsion: Does Timing Matter?</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>90</volume><issue>6</issue><spage>1508</spage><epage>1513</epage><pages>1508-1513</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>Background
Adnexal torsion requires treatment to limit ischemic injury and tissue loss. Optimal time to surgical intervention has not been established. We compared outcomes of ovarian loss amongst pediatric patients.
Methods
We conducted a retrospective review of 88 patients with adnexal torsion from March 2014 through April 2021. Rates of ovarian loss were compared for patients who underwent surgery within and beyond 60 minutes from diagnosis.
Results
Most patients underwent surgery more than 60 minutes from the time of diagnosis (83%; median time 116 minutes). Comparing patients with and without ovarian loss, there was no statistically significant difference in time to surgery from time of diagnosis (P = .618). Patients with ovarian loss had a longer duration of symptoms (24 vs 96 hours; P = .017).
Conclusions
While surgical repair of adnexal torsion may be urgent, this study suggests that duration of symptoms should be considered when assessing a patient’s likelihood of ovarian loss.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>38566270</pmid><doi>10.1177/00031348241241678</doi><tpages>6</tpages></addata></record> |
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| title | Ovarian Salvage With Prompt Surgical Intervention for Adnexal Torsion: Does Timing Matter? |
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