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
Comparative Study
. 2025 Oct;312(4):1317-1325.
doi: 10.1007/s00404-025-08128-x. Epub 2025 Jul 28.

Comparative outcomes of oophoropexy techniques in preventing recurrent adnexal torsion

Yael Yagur  1   2 , Amit Klein  3 , Lisa Tiosano  4   3 , Omer Weitzner  4   3 , Yair Daykan  4   3 , David Rosen  5   6 , Zvi Klein  4   3 , Ron Schonman  4   3
Affiliations
Comparative Study

Comparative outcomes of oophoropexy techniques in preventing recurrent adnexal torsion

Yael Yagur et al. Arch Gynecol Obstet. 2025 Oct.

Abstract

Purpose: To compare the effectiveness of ovarian ligament plication and ovario-round ligament fixation ("hot-dog" technique) in preventing recurrent adnexal torsion.

Methods: This is a retrospective cohort study performed in the gynecology department, of a university-affiliated tertiary medical center. Women of reproductive age who underwent first fixation following adnexal torsion surgery on the ipsilateral side between 2014 and 2023. The study included a homogenous population with normal ovarian size. Primary outcome was the recurrence rate of adnexal torsion following each fixation technique. Two fixation techniques of ovarian ligament plication and ovario-round ligament fixation were compared.

Results: A total of 525 adnexal torsion events were reviewed, involving 413 patients. After applying strict inclusion criteria, 38 patients who underwent their first fixation on the ipsilateral side were included in the final analysis. Among them, 27 (71%) underwent ovarian ligament plication, and 11 (29%) underwent ovario-round ligament fixation. Recurrent torsion occurred in 25.9% (7 of 27) of patients in the ovarian ligament plication group, while no recurrences were observed in the ovario-round ligament fixation group. While clinically promising, the difference did not reach statistical significance (p = 0.08). Fixation was also safely performed during pregnancy, primarily in the first trimester, with no postoperative complications observed.

Conclusions: Ovario-round ligament fixation shows promise as a technique for preventing recurrent torsion with a favorable safety profile. Due to the limited sample size, further larger-scale studies are required to confirm these findings and comprehensively evaluate long-term outcomes.

Keywords: Adnexal torsion; Oophoropexy; Ovario-round ligament fixation; Recurrent torsion.

PubMed Disclaimer

Conflict of interest statement

Declarations. Conflict of interest: The authors declare no competing interests. Ethical approval: This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Meir Medical Centre MMC-060–23, March 2024. Consent to participate: Waiver for informed consent was accepted based in the nature of the study. Consent for publication: None relevant.

Figures

Fig. 1
Fig. 1
Study population
See this image and copyright information in PMC

References

    1. Sasaki KJ, Miller CE (2014) Adnexal torsion: review of the literature. J Minim Invasive Gynecol. 10.1016/j.jmig.2013.09.010 - PubMed
    1. Jain N, Manchanda R, Chithra S, Lekhi A (2016) Adnexal torsion-symptoms, diagnosis and management: a review of literature. Int J Reprod Contracept Obstet Gynecol. 10.18203/2320-1770.ijrcog20161276
    1. White M, Stella J (2005) Ovarian torsion: 10-Year perspective. Emerg Med Australas 17:231–237 - PubMed
    1. (2019) Adnexal torsion in adolescents: ACOG Committee Opinion No, 783. Obstet Gynecol 134. 10.1097/AOG.0000000000003373 - PubMed
    1. Soh PQ, Cheng C, Reddington C et al (2022) Oophorectomy for ovarian torsion – should this be abandoned? Aust N Z J Obstet Gynaecol. 10.1111/ajo.13506 - PubMed

Publication types

LinkOut - more resources