Surgical high ligation of the ovarian vein and preservation of ovarian function for twisted ovarian tumors

Background Appendectomy is the traditional surgica pulmonary embolism, ovarian necrosis, and secondary Methods We performed surgery for adnexal torsion removal of the ovarian tumor. procedure for correcting torsion of the adnexa. Although it prevents nfection, it can have critical adverse effects on...

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Veröffentlicht in:Chinese medical journal 2012-10, Vol.125 (20), p.3744-3746
Hauptverfasser: Li, Ju, Yu, Yue-Xin, Sun, Chun-Yan, Xue, Dan, Qu, Dong-Ying
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Sprache:eng
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Zusammenfassung:Background Appendectomy is the traditional surgica pulmonary embolism, ovarian necrosis, and secondary Methods We performed surgery for adnexal torsion removal of the ovarian tumor. procedure for correcting torsion of the adnexa. Although it prevents nfection, it can have critical adverse effects on the ovarian function. in 12 patients, using high ligation of the ovarian vein, followed by Results Blood flow in the residual ovary gradually returned to normal within 1-3 months, and a dominant follicle could be seen in the residual ovary within 2-6 months post-surgery in all the 12 cases. Menstruation recovered in these three cases within 2-3 months. Postoperative intrauterine pregnancies occurred in two cases, with a corpus luteum graviditatis in the residual ovary in one case, while the other patient underwent labor after 13 months and a normal ovary on the affected side was seen at cesarean section. Conclusions This new surgical technique involving high ligation of the ovarian vein for adnexal torsion allowed successful preservation of the residual ovary and ovarian blood distribution, and can thus be used for the treatment of primary diseases of the ovary. The surgical procedure is simple, safe, and effective, and warrants extensive application inclinical practice.
ISSN:0366-6999
2542-5641
DOI:10.3760/cma.j.issn.0366-6999.2012.20.027