Ovarian torsion medical therapy: Difference between revisions

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{{Ovarian torsion}}
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{{CMG}}
==Surgery==
===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}}
[[Category:Emergency medicine]]
[[Category:Gynecology]]
[[Category:Disease]]
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[[Category:Needs overview]]
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Revision as of 18:45, 26 February 2013