Ovarian torsion medical therapy: Difference between revisions

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Latest revision as of 19:52, 26 February 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associated symptoms of nausea and vomiting can be treated with antiemetics. Dehydration secondary to vomiting can be treated with intravenous fluids.

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 {{CMG}}
+==Overview==
-==Surgery==
+Associated symptoms of [[nausea]] and [[vomiting]] can be treated with antiemetics. [[Dehydration]] secondary to vomiting can be treated with intravenous fluids.
-===Early Conservative Management===
-If there is no evidence of vascular compromise, or [[peritonitis]] then laparoscopy can be used to uncoil the torsed ovary.
-===Salpingo-oophorectomy===
-If there is evidence of vascular compromise, or peritonitis, the salpingo-oophorectomy may be   required.  Unfortunately, the visual characteristics of the ovaries such as size, color, and edema may not accurately reflect the extent of injury.  Therefore, most studies support a strategy of early conservative management, which is successful in 88% of cases.
-===Treatment to Reduce the Risk of Recurrent Torsion===
-Among young women in whom there is a long ligament, laparoscopic triplication of the utero-ovarian ligament has been utilized to reduce the risk of recurrent torsion. Patients with [[polycystic ovarian disease]] are also at risk of recurrence.
 ==References==
 {{reflist|2}}
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-[[Category:Needs overview]]
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