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Fertil Steril. 2002 May;77(5):1053-5.

Ovarian bivalving after detorsion.

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  • 1Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.

Abstract

OBJECTIVE:

To assess the efficacy of a new technique, ovarian bivalving, on facilitating adnexal recovery after adnexal torsion.

DESIGN:

Retrospective case series.

SETTING:

Academic medical center.

PATIENT(S):

Five patients undergoing conservative surgical management of adnexal torsion at the Children's Hospital, Boston, Massachusetts, from May 1999 to April 2000.

INTERVENTION(S):

Performance of ovarian bivalving after untwisting of adnexal torsion.

MAIN OUTCOME MEASURE(S):

Sonographic appearance of adnexa after ovarian bivalving, and postoperative complications.

RESULT(S):

After surgical treatment, four of five patients undergoing untwisting of adnexa and ovarian bivalving had sonographically confirmed normal follicular function; in three of five cases, it was confirmed with Doppler arterial flow. There were no postoperative complications.

CONCLUSION(S):

After the untwisting of ischemic adnexa, ovarian bivalving is an effective technique to decrease ovarian intracapsular pressure, increase arterial perfusion, and facilitate adnexal reperfusion and recovery.

PMID:
12009367
[PubMed - indexed for MEDLINE]
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