Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Aug;62(4):548-552.
doi: 10.1111/ajo.13506. Epub 2022 Mar 4.

Oophorectomy for ovarian torsion - should this be abandoned?

Pei Qian Soh  1 , Claudia Cheng  1   2 , Charlotte Reddington  1   2   3 , Uri P Dior  1   4 , Martin Healey  1   2
Affiliations

Oophorectomy for ovarian torsion - should this be abandoned?

Pei Qian Soh et al. Aust N Z J Obstet Gynaecol. 2022 Aug.

Abstract

Background: Management of ovarian torsion ranges from de-torsion to oophorectomy and is dependent on various factors. Oophorectomy can have significant implications for fertility and general health, thus requiring careful consideration.

Aims: We evaluate the management of ovarian torsion at a tertiary hospital over a ten-year period and identify the predictors of oophorectomy in ovarian torsion cases.

Materials and methods: Inpatient notes of patients who underwent surgical management for acute ovarian torsion at a tertiary hospital in Victoria, Australia, were reviewed, from January 2008 to June 2018. We reported the incidence and predictors of oophorectomy and ovarian ischaemia and current practices in oophoropexy.

Results: Our analysis included 159 patients. The incidence of oophorectomy was 47%. After confounders were adjusted, increasing age was the only significant predictor for oophorectomy. The adjusted odds ratio of having an oophorectomy based on age alone was 1.10 for each year increase in age between the ages of 15 and 68 (P = 0.001, 95% confidence interval 1.04-1.16). Of those with oophorectomy, 57% had ischaemia confirmed histologically. There were no significant predictors for ischaemia.

Conclusion: The incidence of oophorectomy in this audit is comparable to reported incidences in current literature. However, with increasing evidence to support ongoing ovarian function even in cases where ischaemia is histologically confirmed, this incidence could be lowered. Age was the only variable that was found to have a significant effect on the incidence of oophorectomy.

Keywords: de-torsion; oophorectomy; oophoropexy; ovary; torsion.

PubMed Disclaimer

References

REFERENCES

    1. Houry D, Abbott JT. Ovarian torsion: a fifteen-year review. Ann Emerg Med 2001; 38: 156-159.
    1. Otjen JP, Stanescu AL, Alessio AM, Parisi MT. Ovarian torsion: developing a machine-learned algorithm for diagnosis. Pediatr Radiol 2020; 50: 706-714.
    1. Moro F, Bolomini G, Sibal M, et al. Imaging in gynecological disease: clinical and ultrasound characteristics of adnexal torsion. Ultrasound Obstet Gynecol 2020; 56: 934-943.
    1. Asfour V, Polson A, Varma R, Menon P. Evaluating ovarian preservation after ovarian torsion using the ovarian preservation score and tissue necrosis score. Clin Obstet Gynecol Reprod Med 2015; 1(2): 34-39.
    1. Taskin O, Birincioglu M, Aydin A, et al. The effects of twisted ischaemic adnexa managed by detorsion on ovarian viability and histology: an ischemia-reperfusion rodent model. Hum Reprod 1998; 13: 2823-2827.

LinkOut - more resources