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When to operate nonreducible ovary?
S Marinković1, M Kantardzić, S Bukarica
1Institut za zdravstvenu zastitu dece i omladine, Medicinski fakultet, Novi Sad.
Medicinski Pregled
|March 19, 1999
Summary
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.