Alumi Laparoscopic Discussion Board

Is it safe to Detort a gangrenous ovarian/adenexal torsion..??
Discussion in 'All Categories' started by Omkar Potdar - Feb 13th, 2018 7:06 am.
Omkar Potdar
Omkar Potdar
Sir.... Many people have different opinion regarding whether to detort a twisted ovarian cyst or not so as to conserve the ovary some people say detorsion will lead to conservation of ovary some people say the Detorsion will lead to release of inflammatory mediators and will lead to systemic inflammatory response syndrome and pulmonary embolism some cases.
Is it that a nongangrenous torsion should be detorted and a gangrenous torsion should not be detorted and straightaway coagulated and cut??
how to choose it wisely weather detort or not?
re: Is it safe to Detort a gangrenous ovarian/adenexal torsion..?? by Dr R K Mishra - May 1st, 2018 2:45 pm
Dr R K Mishra
Dr R K Mishra
Dear Dr Potdar

If the color of torted ovary is not totally black, you can detort it safely. The diagnosis of ovarian torsion requires a meticulous approach adequate history, examination and investigation. Clinical appearance of the twisted adnexa does not always correlate well with the residual function. Ovarian function can be safely preserved by untwisting and observing for the clinical reperfusion, even if it appears necrotic initially.
re: Is it safe to Detort a gangrenous ovarian/adenexal torsion..?? by Omkar Potdar - Jul 28th, 2018 3:32 pm
Omkar Potdar
Omkar Potdar
Thank you sir..!
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