Emergency laparoscopy for suspected ovarian torsion: are we too hasty to operate?

Objective To reevaluate the rate of correct diagnosis of ovarian torsion (OT) in our department. Design Retrospective computerized chart review. Setting Tertiary referral center. Patient(s) Seventy-eight women who underwent laparoscopy for suspected OT. Intervention(s) Laparoscopy. Main Outcome Meas...

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Veröffentlicht in:	Fertility and sterility 2010-04, Vol.93 (6), p.2012-2015
Hauptverfasser:	Bar-On, Shikma, M.D, Mashiach, Roy, M.D, Stockheim, David, M.D, Soriano, David, M.D, Goldenberg, Motti, M.D, Schiff, Eyal, M.D, Seidman, Daniel S., M.D
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Pain - diagnosis Abdominal Pain - epidemiology Abdominal Pain - surgery adnexa Diagnosis, Differential emergency laparoscopy Emergency Treatment - statistics & numerical data Emergency Treatment - utilization Female Gynecologic Surgical Procedures - methods Gynecologic Surgical Procedures - statistics & numerical data Gynecologic Surgical Procedures - utilization Humans Internal Medicine Laparoscopy - methods Laparoscopy - statistics & numerical data Laparoscopy - utilization Medical Futility Obstetrics and Gynecology Ovarian Diseases - diagnosis Ovarian Diseases - epidemiology Ovarian Diseases - surgery ovary Ovary - blood supply Ovary - diagnostic imaging Predictive Value of Tests Preoperative diagnosis Preoperative Period Regional Blood Flow - physiology Retrospective Studies Sensitivity and Specificity Time Factors torsion Torsion Abnormality - diagnosis Torsion Abnormality - epidemiology Torsion Abnormality - surgery Ultrasonography, Doppler, Color
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Beschreibung
Zusammenfassung:	Objective To reevaluate the rate of correct diagnosis of ovarian torsion (OT) in our department. Design Retrospective computerized chart review. Setting Tertiary referral center. Patient(s) Seventy-eight women who underwent laparoscopy for suspected OT. Intervention(s) Laparoscopy. Main Outcome Measure(s) Rate of true diagnosis of torsion, correlation with Doppler studies. Result(s) The preoperative diagnosis of OT was confirmed in only 36 (46.1%) of the patients. Immediate operation (
ISSN:	0015-0282 1556-5653
DOI:	10.1016/j.fertnstert.2008.12.022