Evaluation of the results of ovarian preservation and avoiding oophorectomy in pediatric ovarian torsion

Abstract

Background: Ovarian torsion as a surgical emergency needs an urgent operation. According to the researches, ovarian saving in ovarian torsion in the adult population has considerable success. But this study has not yet been performed in the pediatric age group in Iran. Methods: This is a prospective study extending from 2017/1/20 to 2018/9/22. In this period 18 patients (4-13 years old) were diagnosed by ultrasonography and abdominal CT scan. In all of the patients, tumor markers were checked preoperatively and detorsion and fixation with ovarian cyst biopsy was done. One of the patients in spite of normal tumor marker had a malignant pathology (dysgerminoma) that was removed from the study. The patients were followed 3 months after operation by ultrasonography. Results: Ultrasonography was useful in the diagnosis of ovarian torsion in 82/4% of cases. Ovarian torsion was more prevalent in the right side and there was no relation between the cyst size, presentation symptom, the number of twistings, reversibility of the discoloration of the ovary and the intraoperative findings. Ultrasonography showed that the volume of the affected ovary reached the noninvolved ovary in 3 months. Conclusions: According to this study detorting and preserving the torsioned ovaries is effective, even in necrotic cases.