Related Experiment Video
Updated: Aug 8, 2026

Orthotopic Ovarian Transplantation Procedures to Investigate the Life- and Health-span Influence of Ovarian Senescence in Female Mice
Published on: February 12, 2018
When to operate nonreducible ovary?
S Marinković1, M Kantardzić, S Bukarica
1Institut za zdravstvenu zastitu dece i omladine, Medicinski fakultet, Novi Sad.
Insights
Incarcerated inguinal hernias in infant girls can cause ovarian torsion. Urgent surgical reduction is recommended for nonreducible ovaries to prevent complications like ischemia and oophorectomy.
Area of Science:
- Pediatric Surgery
- Gynecology
Background:
- Incarcerated inguinal hernias are common in infants.
- Ovarian involvement is a known complication.
Purpose of the Study:
- To evaluate the risk of ovarian torsion in infant girls with incarcerated inguinal hernias.
- To determine optimal management for nonreducible ovaries in this population.
Main Methods:
- Retrospective review of 93 infant girls with incarcerated inguinal hernias.
- Analysis of intraoperative findings, including ovarian incarceration and torsion.
- Assessment of management strategies and outcomes.
Main Results:
- 37% of infant girls had nonreducible ovaries within the hernia sac.
- 5% experienced ovarian or adnexal torsion.
- 2 out of 5 cases required oophorectomy due to ischemia.
- Nonreducible ovaries pose a significant risk of torsion, not just vascular compression.
Conclusions:
- Nonreducible ovaries in incarcerated inguinal hernias are at high risk for torsion.
- Urgent surgical intervention, including manual or operative reduction, is crucial for asymptomatic nonreducible ovaries.
- Prompt management can prevent ovarian ischemia and the need for oophorectomy.
Abstract:
During the period from 1992, to 1996, ninety three girls with incarcerated inguinal hernias, mean age 6 weeks, underwent operation at the Clinic for Paediatric Surgery in Novi Sad. All infant girls had incarcerated ovaries or ovaries and fallopian tubes inside hernia sacs. The nonreducible ovaries were present at the time of operation in 35 (37%) girls and in 5 the ovary and tube were twisted. The ovary and tube, were twisted and ischemic at the time of operation, requiring oophorectomy in 2 out of 5 girls. The results of this review and recent experiences reveal that nonreducible ovary is not at risk of compression of its blood supply, but at significant risk of torsion. That is why asymptomatic nonreducible ovary should be treated as every incarcerated hernia--with urgent reduction, manual or operative.
Related Concept Videos
Oogenesis
Ovarian Cycle

