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Recurrent Ovarian Torsion and Fixation – Risk Factors and Predictors for Treatment Outcome

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Study Objective Identifying risk factors for recurrent ovarian torsion and evaluation of the efficacy of ovarian fixation techniques. Design Retrospective cohort study. Setting Tertiary-care medical center. Patients or Participants Seventy-nine… Click to show full abstract

Study Objective Identifying risk factors for recurrent ovarian torsion and evaluation of the efficacy of ovarian fixation techniques. Design Retrospective cohort study. Setting Tertiary-care medical center. Patients or Participants Seventy-nine women with recurrent ovarian torsion (study group) were matched with 158 women with a single episode of ovarian torsion (control) during the same year of their first episode. Interventions Demographic data, clinical and surgical characteristics were retrieved between the years 2001-2020. In order to identify risk factors for recurrent ovarian torsion, the first episode of ovarian torsion in the study group was compared to the only episode of the control group. A second analysis was performed between women with ovarian fixation (success and failure). Measurements and Main Results Women with recurrent torsion were significantly younger and the percentage of premenarchal women was significantly higher (25.6±8.6 vs. 30.6±7.1, P Ovarian pathology was significantly more common in the control group (89.0% vs. 38.1%, P Conclusion Recurrent ovarian torsion is more common in young premenarchal women. Ovarian fixation is a safe procedure with a 70% success rate. We found no advantage in one fixation techniques over the others.

Keywords: fixation; torsion; risk factors; ovarian torsion; recurrent ovarian

Journal Title: Journal of Minimally Invasive Gynecology
Year Published: 2021

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