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Ovarian bivalving after detorsion
1Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Objective:
To assess the efficacy of a new technique, ovarian bivalving, on facilitating adnexal recovery after adnexal torsion.
Design:
Retrospective case series.
Setting:
Academic medical center.
Patient(S):
Five patients undergoing conservative surgical management of adnexal torsion at the Children's Hospital, Boston, Massachusetts, from May 1999 to April 2000.
Intervention(S):
Performance of ovarian bivalving after untwisting of adnexal torsion.
Main Outcome Measure(S):
Sonographic appearance of adnexa after ovarian bivalving, and postoperative complications.
Result(S):
After surgical treatment, four of five patients undergoing untwisting of adnexa and ovarian bivalving had sonographically confirmed normal follicular function; in three of five cases, it was confirmed with Doppler arterial flow. There were no postoperative complications.
Conclusion(S):
After the untwisting of ischemic adnexa, ovarian bivalving is an effective technique to decrease ovarian intracapsular pressure, increase arterial perfusion, and facilitate adnexal reperfusion and recovery.
