Abstract
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.
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