Preservation of ovarian tissue in adnexal torsion with fluorescein
| Autor: | Paul P. Koonings, Charles A. Ballard, Lynda L. Burt McHutchison, Gerrit d'Ablaing |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Torsion Abnormality medicine.medical_specialty Adolescent Ovariectomy medicine.medical_treatment Ovary chemistry.chemical_compound Ultraviolet light Humans Medicine Prospective Studies Fluorescein Radionuclide Imaging Prospective cohort study Adnexa Uteri Intraoperative Care business.industry Ovarian torsion Obstetrics and Gynecology Oophorectomy Fluoresceins medicine.disease Surgery medicine.anatomical_structure chemistry Adnexal Diseases Female business |
| Zdroj: | American Journal of Obstetrics and Gynecology. 168:1386-1388 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/s0002-9378(11)90769-8 |
| Popis: | OBJECTIVE: Our purpose was to assess the ability of fluorescein to intraoperatively detect viable fallopian and ovarian tissues involved in adnexal torsion. STUDY DESIGN: This prospective study was performed at Los Angeles County + University of Southern California Women's Hospital. Participants were female patients 18 to 45 years old with adnexal torsion confirmed at exploratory celiotomy. Five milliliters of 10% fluorescein were injected intravenously, and the involved untwisted adnexa was observed under ultraviolet light. Nonfluorescent tissue was resected and histologically evaluated. RESULTS: Eleven patients were entered into the study. Mean age was 25 years (range 15 to 42). Eight patients (72%) had preservation of involved ovarian tissue. No complications were associated with this procedure. Only three patients (28%) underwent oophorectomy. CONCLUSION: The use of intravenous fluorescein appears to be a valuable adjunct in the management of adnexal torsion. Application of this technique in reproductive-aged patients resulted in a three-quarter reduction in oophorectomy procedures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|