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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container_end_page 3746
container_issue 20
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container_title Chinese medical journal
container_volume 125
creator Li, Ju
Yu, Yue-Xin
Sun, Chun-Yan
Xue, Dan
Qu, Dong-Ying
description 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.
doi_str_mv 10.3760/cma.j.issn.0366-6999.2012.20.027
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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.</description><identifier>ISSN: 0366-6999</identifier><identifier>EISSN: 2542-5641</identifier><identifier>DOI: 10.3760/cma.j.issn.0366-6999.2012.20.027</identifier><identifier>PMID: 23075736</identifier><language>eng</language><publisher>China: Department of Obstetrics and Gynecology, 202 Military Hospital of China, Shenyang, Liaoning 110812, China</publisher><subject>Adolescent ; Adult ; Female ; Humans ; Ligation ; Ovarian Neoplasms - physiopathology ; Ovarian Neoplasms - surgery ; Ovary - blood supply ; Ovary - physiopathology ; Torsion Abnormality - surgery ; Ultrasonography, Doppler, Color ; 卵巢功能 ; 卵巢肿瘤 ; 手术切除 ; 手术操作 ; 扭曲 ; 残留 ; 结扎 ; 静脉</subject><ispartof>Chinese medical journal, 2012-10, Vol.125 (20), p.3744-3746</ispartof><rights>Copyright © Wanfang Data Co. Ltd. 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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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Female</subject><subject>Humans</subject><subject>Ligation</subject><subject>Ovarian Neoplasms - physiopathology</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Ovary - blood supply</subject><subject>Ovary - physiopathology</subject><subject>Torsion Abnormality - surgery</subject><subject>Ultrasonography, Doppler, Color</subject><subject>卵巢功能</subject><subject>卵巢肿瘤</subject><subject>手术切除</subject><subject>手术操作</subject><subject>扭曲</subject><subject>残留</subject><subject>结扎</subject><subject>静脉</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90E9v2yAYBnA0rVqydl9hYpcpF3v8Mdgcp6rtJlXaYe3ZeoPBxrIhATvR9unrNk0uvBLvTzzoQWhDSc5LSX7oEfI-dyn5nHApM6mUyhmhbDlywsoPaM1EwTIhC_oRrS9mhT6n1BPChCjlJ7RinJSi5HKN-r9zbJ2GAXeu7fDgWphc8DhYPHUGhwNEBx4fjPMYfIN30SQTDxd0Bnb2-u3Ohoino0uTaS7LaR5DTDfoysKQzJf3eY2e7--ebn9lj38eft_-fMw0k9WUgTK0sUzTgjRaMKikEVxRowSHrWAaLCWF3ZqmsYpKrRQwsq0qWlIojSwkv0bfT-8ewVvwbd2HOfolsf7f6bF_rYstVVQL3JzgLob9bNJUjy5pMwzgTZhTTSnlqlo-9Uq_vtN5O5qm3kU3QvxXn4tcwLcT0F3w7d4tsWdT8Ipwogh_AUIdhjc</recordid><startdate>20121020</startdate><enddate>20121020</enddate><creator>Li, Ju</creator><creator>Yu, Yue-Xin</creator><creator>Sun, Chun-Yan</creator><creator>Xue, Dan</creator><creator>Qu, Dong-Ying</creator><general>Department of Obstetrics and Gynecology, 202 Military Hospital of China, Shenyang, Liaoning 110812, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>20121020</creationdate><title>Surgical high ligation of the ovarian vein and preservation of ovarian function for twisted ovarian tumors</title><author>Li, Ju ; Yu, Yue-Xin ; Sun, Chun-Yan ; Xue, Dan ; Qu, Dong-Ying</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c268t-a9e1df2c140dc52a86e5391e953ab52caf104fbeddf916c99a20b88171a7e6463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Female</topic><topic>Humans</topic><topic>Ligation</topic><topic>Ovarian Neoplasms - physiopathology</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Ovary - blood supply</topic><topic>Ovary - physiopathology</topic><topic>Torsion Abnormality - surgery</topic><topic>Ultrasonography, Doppler, Color</topic><topic>卵巢功能</topic><topic>卵巢肿瘤</topic><topic>手术切除</topic><topic>手术操作</topic><topic>扭曲</topic><topic>残留</topic><topic>结扎</topic><topic>静脉</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Ju</creatorcontrib><creatorcontrib>Yu, Yue-Xin</creatorcontrib><creatorcontrib>Sun, Chun-Yan</creatorcontrib><creatorcontrib>Xue, Dan</creatorcontrib><creatorcontrib>Qu, Dong-Ying</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Ju</au><au>Yu, Yue-Xin</au><au>Sun, Chun-Yan</au><au>Xue, Dan</au><au>Qu, Dong-Ying</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical high ligation of the ovarian vein and preservation of ovarian function for twisted ovarian tumors</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chinese Medical Journal</addtitle><date>2012-10-20</date><risdate>2012</risdate><volume>125</volume><issue>20</issue><spage>3744</spage><epage>3746</epage><pages>3744-3746</pages><issn>0366-6999</issn><eissn>2542-5641</eissn><abstract>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. 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subjects Adolescent
Adult
Female
Humans
Ligation
Ovarian Neoplasms - physiopathology
Ovarian Neoplasms - surgery
Ovary - blood supply
Ovary - physiopathology
Torsion Abnormality - surgery
Ultrasonography, Doppler, Color
卵巢功能
卵巢肿瘤
手术切除
手术操作
扭曲
残留
结扎
静脉
title Surgical high ligation of the ovarian vein and preservation of ovarian function for twisted ovarian tumors
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