Postoperative Ovarian Morphology on Ultrasound after Ovarian Torsion—Effect of Immediate Surgery: A Retrospective Cohort Study
| Autor: | Sari Kives, Dana Elborno, Lisa Allen, Niamh C Murphy |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Torsion Abnormality
medicine.medical_specialty Ovarian surgery Adolescent Ovarian Torsion endocrine system diseases medicine.medical_treatment Ovary Cystectomy Statistical significance medicine Humans Ovarian Diseases Child Retrospective Studies Ultrasonography business.industry Ultrasound Ovarian torsion Obstetrics and Gynecology Retrospective cohort study General Medicine medicine.disease Surgery medicine.anatomical_structure Pediatrics Perinatology and Child Health Ovarian morphology Female business |
| Zdroj: | Journal of Pediatric and Adolescent Gynecology. 35:353-358 |
| ISSN: | 1083-3188 |
| DOI: | 10.1016/j.jpag.2021.10.013 |
| Popis: | Study Objective Our objective was to determine if ovarian surgery at the time of ovarian detorsion is associated with impaired short-term ovarian function, as indicated by ovarian morphology on ultrasound when compared to detorsion alone. Design Retrospective cohort study Setting The Hospital for Sick Children, Toronto Participants Confirmed ovarian torsion in patients ≤ 18 years from 1/1/2004 to 31/12/2018 with ovarian sparing surgery. Main Outcome Measures Data was collected on demographics, procedure, intraoperative findings and post-operative ultrasound. To determine ovarian function, we compared morphology on post-operative ultrasound between those with surgery to the ovary compared to those without surgery to the ovary at the time of detorsion. We also compared ovarian volume of affected and contralateral ovaries after detorsion and surgery to the affected ovary. Results 119 patients met inclusion criteria- 67 (56%) had detorsion with surgery to the ovary and 52 (44%) had detorsion alone. There was no statistically significant difference in appearance on post-operative ultrasound between these groups (p=0.446). There was also no statistically significant difference on post-operative ultrasound of affected and contralateral ovarian volumes after detorsion and surgery to the affected ovary (p=0.69). Patients that underwent surgery to the ovary experienced a lower rate of recurrence, however, this did not reach statistical significance with a p-value of 0.080. Conclusion Our study demonstrates that surgery e.g. cystectomy to the ovary at the time of ovarian detorsion does not appear to impact ovarian function when compared to detorsion alone, as indicated on postoperative imaging. There was also no difference in volume of the affected and contralateral ovaries in those cases that underwent surgery at the time of initial detorsion. This evidence would support that immediate cystectomy at the time of initial ovarian detorsion is not associated with impaired ovarian function thus avoiding the need for an interval cystectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect