Folicular reserve changes in torsion–detorsion of the ovary: an experimental study

Autor: Ugur Ates, Erdal Kaya, Burak Yucel, Taner Usta, Hürriyet Turgut
Rok vydání: 2014
Předmět:
Zdroj: European Journal of Obstetrics & Gynecology and Reproductive Biology. 177:126-129
ISSN: 0301-2115
DOI: 10.1016/j.ejogrb.2014.03.029
Popis: Objective We assess follicular reserve changes by follicle count in torsion–detorsion rat model. Study design 30 albino rats were randomly divided into 3 groups: sham group (SG), detorsion after 24-hour torsion group (24hTG) and detorsion after 72-hour torsion group (72hTG). Ovaries were torsioned and fixed. They were untwisted 24 and 72 h later. Oophorectomies were performed at 14th day after detorsion. Tissue damage scoring and follicle counts were evaluated microscopically. Results Tissue damage scores (TDSs) were higher in 72hTG and 24hTG compared to SG. In addition, as we increase torsion duration, TDSs also increased. There was no statistically significant difference in follicle numbers (primordial, primary, secondary and tertiary). Conclusion Duration of torsion and intensity of ovarian damage do not affect follicular reserve in a rat model. Regardless of their macroscopic appearance, ovaries maintain their follicle reserves after torsion. Thus, surgeons should be reassured and encouraged to untwist torsioned ovaries rather than removing them.
Databáze: OpenAIRE