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Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives
Published on: September 16, 2021
['Conservative' organ-sparing approach for ovarian torsion in children]
M A Chundokova1, A F Dronov1, I S Chirkov1
1Pediatric Surgery Department of Pirogov Russian National Medical Research University of Healthcare Ministry of Russia, Moscow, Russia; Filatov Children's City Hospital #13, Moscow, Russia.
Insights
Organ-sparing surgery for pediatric ovarian torsion, including detorsion and ovariopexy, preserves ovarian structure and function. This conservative approach aims to improve outcomes for children experiencing ovarian torsion.
Area of Science:
- Pediatric Surgery
- Gynecology
- Reproductive Medicine
Background:
- Ovarian torsion is a gynecologic emergency in children.
- Prompt diagnosis and surgical intervention are crucial to preserve ovarian viability.
Purpose of the Study:
- To evaluate the effectiveness of organ-sparing surgery for pediatric ovarian torsion.
- To assess the long-term outcomes of conservative surgical management.
Main Methods:
- Presents three clinical cases of pediatric ovarian torsion.
- Details organ-sparing surgical techniques: detorsion and ovariopexy.
- Includes early and late postoperative follow-up (up to 5 years).
Main Results:
- Postoperative ultrasound confirmed normal ovarian structure and dimensions.
- Evidence of follicular development was observed.
- All patients maintained ovarian function after conservative surgery.
Conclusions:
- Organ-sparing surgery, including detorsion and ovariopexy, is effective in treating pediatric ovarian torsion.
- This conservative approach preserves ovarian anatomy and reproductive potential.
- Improved outcomes are achievable with timely intervention.
Aim:
To improve the outcomes in children with ovarian torsion.
Material And Methods:
Three clinical observations of patients with ovarian torsion are presented. Duration of the disease was 3-4 days. All children underwent organ-sparing surgery including untwisting followed by ovariopexy.
Results:
All children were examined in early and late postoperative period (up to 5 years) after organ-sparing procedures. Ultrasonic picture of the ovaries including structure and dimensions corresponded to age, the follicles were determined.
Conclusion:
'Conservative' approach allows to preserve anatomical structure and potential for reproductive function.
